동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제28권3호
  • /
  • Pages.195-206
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  • 2017
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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신경성 식욕부진증에 대한 한약치료, 인지행동치료 및 인간중심상담치료 병행 1예 보고

A Case Report of Concurrent Korean Herbal Medicine Treatment, Cognitive Behavior Therapy, and Person-centered Counseling Therapy for Anorexia Nervosa

  • 허미숙 (대전대학교 한의과대학 신경정신과학교실) ;
  • 김환 (대전대학교 한의과대학 신경정신과학교실) ;
  • 서영경 (대전대학교 둔산한방병원 임상시험센터) ;
  • 양창섭 (한국한의학연구원 임상연구부) ;
  • 이미영 (한국한의학연구원 한의약융합연구부) ;
  • 장익순 (한국기초과학지원연구원 바이오융합연구부) ;
  • 정인철 (대전대학교 한의과대학 신경정신과학교실)
  • Her, Misuk (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University) ;
  • Kim, Hwan (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University) ;
  • Seo, Young-Kyung (Clinical Trial Center, Dunsan Korean Medicine Hospital of Daejeon University) ;
  • Yang, Changsop (Clinical Research Division, Korea Institute of Oriental Medicine) ;
  • Lee, Mi-Young (Convergence Research Division, Korea Institute of Oriental Medicine) ;
  • Jang, Ik-Soon (Division of Bioconvergence, Korea Basic Science Institute) ;
  • Jung, In Chul (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University)
  • 투고 : 2017.08.25
  • 심사 : 2017.09.18
  • 발행 : 2017.09.30
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초록

Objectives: To evaluate the effects of concurrent therapy with cognitive behavior therapy and person-centered counseling in addition to general Korean herbal medicine treatment for a patient with anorexia nervosa. Methods: A patient diagnosed with anorexia nervosa was treated with Korean herbal medicine treatment, cognitive behavior therapy, and person-centered treatment. The results were evaluated through a feeding interview, self-checklist, beck depression inventory (BDI) and InBody test. Results: After the treatment period, the treatment effects such as improvement of dietary restriction and elimination behavior, weight gain, and reduced depression were confirmed. Conclusions: This study suggests that concurrent therapy together with cognitive behavior therapy, person-centered counseling, and general Korean herbal medicine treatment is effective on patients with anorexia nervosa.

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참고문헌

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association. 2016:364-71.
  2. Yao N. TCM Identification of clinical symptoms diagnostics. Beijing : People's Medical Publishing House. 1987:254.
  3. Chao Y. Treatise on the pathogenesis and manifestations of all diseases. Beijing : People's Medical Publishing House. 1983:626-7.
  4. Yu B, Kim J, Shim J, Kim M, Oh B, Lee J, et al. A clinical study of one patient suffering anorexia nervosa-like symptoms. Korean J Orient Int Med. 2004;25(3):655-61.
  5. Kim H, Seong W, Kim K. A literature study on treatment of infantile anorexia based on Chinese medical journals. J Pediatr Korean Med. 2013;27(4):87-98. https://doi.org/10.7778/jpkm.2013.27.4.087
  6. Kim H, Chu C, Lee J, Cha H, Seo Y, Park S, et al. A case report of binge eating due to disharmony of the liver & spleen and retention of undigested food. J Orient Neuropsychiatry. 2008;19(3):255-64.
  7. Dong-Hoon Jung, Woo-Suk Shin, Won-Hyung Park, Yun-Yeop Cha, Woo-Jin Choi1. A Case Report for an Eating Disorders with Banhabaeckchulchunma-tang and Acupuncture Treatment : Departments of Rehabilitation Medicine of Korean Medicine and Neuropsychiatry, College of Korean Medicine, Sangji University. 2015;15(1):45-50. https://doi.org/10.15429/jkomor.2015.15.1.45
  8. Joon Ki Kim. Cognitive Behavioral Therapy of Binge Eating. Korean J Psychopharmacol. 1997;8(1):23-41.
  9. Christopher G, Fairburn. Cognitive behavior therapy and eating disorder. First edition. Hana Medical Press. 2011:313-6.
  10. Fairburn CG. The management of bulimia nervosa, J psychiatr Res. 1985;19:465-72. https://doi.org/10.1016/0022-3956(85)90055-X
  11. Robson, Kenneth S; Kaye, Walter H. BOOK REVIEWS : Fear of Being Fat : The treatment of anorexia nervosa and bulimia. Journal of the American Academy of Child Psychiatry. 1985;24(1):120-1. https://doi.org/10.1016/S0002-7138(09)60425-8
  12. Lee Young Ho. A Clinical Practice Guideline. J korean Neuropsychiatry Assoc. 1999;38(3):466-7.
  13. Christopher G, Fairburn. Cognitive behavior therapy and eating disorder. 1st ed. Hana medical press. 2011:82-3.
  14. Kim Min-Joung. A Case Study on the Self-Art therapy for the Woman with Bulimia Nervosa. Korean Journal of Art Therapy. 2006;13(4):813-38.
  15. Aaron T. Beck. Cognitive Therapy of Depression. 3th Ed. Hakjisa Publisher. 1997:1-486.
  16. Seo Dong-Min. Clinical observation on Effect and Adverse effects of Choweseuncheng-tang on Obesity Patients. The Journal of Korean Acupuncure & Moxibustion Society. 2005;22(3):145-53.
  17. Mitchell JE. General treatment considerations In Bulimia Nervosa, Mineapolis, University of Minnesota Press. 1990:94-118.
  18. Andersen AE, Baltimore. Outpatient Treatment of Bulimia In : Practical Comprehensive Treatment of Anorexia Nervosa and Bulimia. Am J Clin Nutr. 1985;42(3):573-4. https://doi.org/10.1093/ajcn/42.3.573
  19. Jung Hyun Gang. The Effect of Perfectionism and Emotion Regulation Style on Anorexic and binge eating behaviors. The korean journal of phsycology. 2008;13(1):41-55.
  20. David Mearns, Brian Thorne. Person-centred counselling in action. 3rd ed. Seoul : Hak-Ji sa. 2012:22.
  21. Carl Rogers. Counseling and psychotherapy : newer concepts in practice. The American Journal of Psychology. 1944;57(1):113-6. https://doi.org/10.2307/1416872
  22. Stice, E. & Agras, W.S. Predicting onset and cessation of bulimic behaviors during adolescence. A longitudinal grouping analysis. 264 Behavior Therapy. 1998;29:257-76. https://doi.org/10.1016/S0005-7894(98)80006-3
  23. Lee young ho. Inpatient treatment of anorexia nervosa: clinical practice models. J korean neuropsychiatr assoc. 1999:38(3):444.