Abstract
Anxiety disorder is known as the most common disease among psychiatric disorders. However, many studies have not been conducted in the Korean medicine area. This study explores the current state of anxiety disorder treatments of Korean medicine through a survey research. The survey for Korean medicine doctors (KMDs) on Korean medicine (KM) diagnosis and treatments for anxiety disorder was conducted online from December 21, 2016, to December 29, 2016. The results were divided into two groups, KMDs and Korean medicine neuropsychiatric specialists (KMNPS), and comparatively analyzed. Self-evaluation and counseling were the most common in both diagnostic methods and evaluation of treatment effects, and KMNPS tended to make extensive use of objective indicators. There was no difference in the rate of psychiatric medication use among the patients between KMD and KMNPS. The main reason for patients wanting KM treatment was the tapering cessation of psychiatric medications. The most common treatments were acupuncture, herbal medicine, and moxibustion, in addition to dry cupping in KMD and psychotherapy in KMNPS. The most important factor for treatment was herbal medicine treatment, followed by rapport formation in KMD and patient's temperament in KMNPS. Opinions on various items were presented as treatment barriers, and KMNPS tended to think more importantly about the patient's family problems. For the items to be additionally trained in the future, KMD chose the diagnostic tools and KMNPS chose psychotherapies. This study is the first study to analyze the clinical patterns for anxiety disorder in KMDs. KMD and KMNPS showed similar patterns in the perception, diagnosis, and treatment of anxiety disorders, but KMNPS tended to use objective indicators and psychotherapy more actively. Further clinical studies for the development of clinical guidelines should be additionally required.
Highlights
Anxiety disorder is the most common disease among psychiatric disorders
It is shown that the lifetime prevalence of anxiety disorders in Korea has been reported as 9.3% with the annual prevalence rate at 5.7%. at is almost two times higher than depression, at lifetime prevalence of 5.4%, with an annual prevalence rate of 3.1% according to the Epidemiological Survey of Mental Disorders
Of the 219 search results, 12 relevant studies were selected and referenced in the production of the questionnaire [12,13,14,15,16,17,18,19,20,21,22,23]. ree Korean medicine neuropsychiatry specialist (KMNPS) (SIS, SYC, and GWK) and one acupuncture and moxibustion medicine specialist (EJK), totaled four Korean medicine doctor (KMD), participated in drafting. e questionnaire covers demographic characteristics, diagnosis method, treatment method, assessment method, and factors affecting the treatment of anxiety disorders. e draft was made after two conferences
Summary
Anxiety disorder is the most common disease among psychiatric disorders. According to the WHO report, the proportion of the global population with anxiety disorders in 2015 is estimated to be 3.6% [1], and the total estimated number of people living with anxiety disorders in the world is 264 million. is total for 2015 reflects a 14.9% increase since 2005 [2]. According to the WHO report, the proportion of the global population with anxiety disorders in 2015 is estimated to be 3.6% [1], and the total estimated number of people living with anxiety disorders in the world is 264 million. It is shown that the lifetime prevalence of anxiety disorders in Korea has been reported as 9.3% (male 6.7% and female 11.7%) with the annual prevalence rate at 5.7% (male 3.5% and female 7.5%). At is almost two times higher than depression, at lifetime prevalence of 5.4% (male 3.3% and female 7.2%), with an annual prevalence rate of 3.1% (male 1.8% and female 4.3%) according to the Epidemiological Survey of Mental Disorders. The lifetime use rate of mental health services for patients with anxiety disorders is still low at 25.1% in 2011 and 27.3% in 2016 [5]
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