A Study on the Diagnosis of Hwabyung.
- Author:
Jee Hwan PARK
1
;
Sung Kil MIN
;
Man Hong LEE
Author Information
1. Department of Psychiatry, College of Medicine, Yonsei University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Hwabyung;
Diagnosis;
Somatization;
Depression;
Anxiety
- MeSH:
Anxiety;
Depression;
Diagnosis*;
Discrimination (Psychology);
Female;
Flour;
Flushing;
Head;
Headache;
Humans;
Odds Ratio;
Panic Disorder;
Pharynx;
Prothrombin;
Somatoform Disorders;
Stomach;
Thorax
- From:Journal of Korean Neuropsychiatric Association
1997;36(3):496-502
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTS: The aim of this study was to find out the differences in co-morbidity of DSM-III-R diagnosis and in symptom patters between Hwabyung and non-Hwabyung groups. METHODS: The DSM-III-R diagnosis and somatic symptoms related with Hwabyung were studied in 287 patients with depressive, anxiety and somatization disorders: patients were divided into two groups, Hwabyung and non-Hwabyung groups according to the opinions of themselves and their neighbors. Diagnostic criteria was DSM-III-R and instruments for collecting data were Korean version of DIS-III, which included culturally related 21 additional items in somatization disorder. RESULTS: Hwabyung was more prevalent in women and in older ages. Hwabyung group had higher categorized scores of somatization disorder, panic disorder and major depression than non-Hwabyung group. Odds ratio showed that somatization disorder, dysthymia and panic disorder had highest possibility to co-exist with Hwabyung. Somatic symptoms which proved to be characteristics in Hwabyung were headache, blurred vision, palpitation, lump in throat, stomach rumble, chest tightness and stifling, pushing-up in the chest, urinary frequency, facial flushing, frequent sighing, heaviness in the head, shaking in head and pain on eyeballs. factor analysis with somatic symptoms yielded 4 factors. Discrimination analysis with scores of flour factors and categorized scores of DSM-III-R diagnosis showed that somatization factor II (pushing-up in the chest, heaviness in the head, and chest tightness and stifling), major depression and generalized anxiety were most highly related variables with Hwabyung which discriminate Hwabyung from non-Hwabyuag in 73.5% accuracy. CONCLUSION: The results suggest that Hwabyung is an atypical psychiatric syndrome combined with characteristic somatization symptoms, depression and anxiety.
