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교통사고 상해증후군 환자의 급성 스트레스 장애와 외상 후 스트레스 장애의 유병률과 한의변증유형 분석

An Analysis of the Prevalence and Pattern Identification of Korean Medicine for Acute Stress Disorder and Post Traumatic Stress Disorder in Patients with Traffic Injuries

동의신경정신과학회지 2021년 32권 1호 p.1 ~ 11
이유진, 이성준, 정문주, 임정화, 조희근, 김보민, 정선용, 곽희용, 박보라, 박태용, 신병철, 강형원,
소속 상세정보
이유진 ( Lee Yu-Jin ) - Haneum Neuropsychiatry Clinic of Korean Medicine
이성준 ( Lee Sung-Joon ) - Madibareum Korean Medicine Clinic
정문주 ( Cheong Moon-Joo ) - Wonkwang University Jangheung Integrated Medical Hospital Rare Disease Treatment Research Center
임정화 ( Lim Jung-Hwa ) - Pusan National University School of Korean Medicine Department of Neuropsychiatry
조희근 ( Jo Hee-Geun ) - Chung-Yeon Central Institute
김보민 ( Kim Bo-Min ) - Chung-Yeon Central Institute
정선용 ( Jung Seon-Yong ) - Gangdong Kyung Hee University Hospita Department of Korean Neuropsychiatry
곽희용 ( Kwak Hui-Yong ) - Gangdong Kyung Hee University Hospita Department of Korean Neuropsychiatry
박보라 ( Park Bo-Ra ) - Wonkwang University Gwangju Medical Center
박태용 ( Park Tae-Yong ) - Catholic Kwandong University International St. Mary’s Hospital Institute for Integrative Medicine
신병철 ( Shin Byung-Cheul ) - Wonkwang University Sanbon Hospital Department of Korean Neuropsychiatry Medicine
강형원 ( Kang Hyung-Won ) - Wonkwang University Research Center of Traditional Korean Medicine

Abstract


Objectives: To investigate the prevalence of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) in patients with traffic injuries. In addition, PTSD patients was classified using ‘pattern identification for jing ji and zheng chong'.

Methods: Questionnaires such as the primary care PTSD screen for DSM-5(PC-PTSD-5), Korean version of PTSD checklist-5 (PCL-5-K), and the instrument of pattern identification for jing ji and zheng chong were conducted on 195 patients within 3 days to 1 year after traffic accidents. Patients were recruited from six medical institutions. Collected data were used to determine the prevalence of acute stress disorder and post-traumatic stress disorder.

Results: On PC-PTSD-5, the prevalence was 39.1% for ASD and 50% for PTSD. On PCL-5-K, the prevalence was 20.4% for ASD and 29.3% for PTSD. Satisfying both PC-PTSD-5 and PCL-5-K, the prevalence was 18.2% for ASD and 25.8% for PTSD. As a result of pattern identification for jing ji and zheng chong, ‘weakness of heart and gall bladder type’ accounted for the highest proportions in both ASD and PTSD groups.

Conclusions: In this study, the prevalence was 39.1% for ASD and 50% for PTSD by PC-PTSD-5. Satisfying both PC-PTSD-5 and PCL-5-K, the prevalence was 18.2% for ASD and 25.8% for PTSD. Further large-scale prospective studies are needed to analyze the prevalence of ASD and PTSD, the rate of progression from ASD to PTSD, and the type of pattern identification.

키워드

Traffic injury; Acute stress disorder; Post-traumatic stress disorder

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