Posttraumatic Embitterment Disorder and Hwa-byung in the General Korean Population
Posttraumatic embitterment disorder (PTED) is characterized by states of "embitterment", characteristically similar to "Hwa-byung", which is a Korean culture-bound syndrome. The present study aimed to assess diagnostic relationships between PTED and Hwa-byung. A total of 290 part...
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| Published in | Psychiatry investigation Vol. 14; no. 4; pp. 392 - 399 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
Korean Neuropsychiatric Association
01.07.2017
대한신경정신의학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1738-3684 1976-3026 |
| DOI | 10.4306/pi.2017.14.4.392 |
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| Abstract | Posttraumatic embitterment disorder (PTED) is characterized by states of "embitterment", characteristically similar to "Hwa-byung", which is a Korean culture-bound syndrome. The present study aimed to assess diagnostic relationships between PTED and Hwa-byung.
A total of 290 participants completed our survey. PTED and Hwa-byung were diagnosed using a diagnostic interview and scale. Scales for depression, suicide ideation, and anger were used for evaluation. Fisher's exact tests and Mann-Whitney U tests were performed to evaluate diagnostic overlap between PTED and Hwa-byung, and associations of scale scores for depression, suicide ideation, and anger between the PTED, Hwa-byung, and non-diagnosed groups. Associations of these scales between the depressive and non-depressive groups, and suicidal and non-suicidal groups were also evaluated.
Among the participants, 1.7% of the sample fit the diagnostic criteria for PTED and 2.1% fit the criteria for Hwa-byung. No individual fit the criteria for both. Anger scores were significantly higher in the Hwa-byung group than in the non-diagnostic group. There were not any significant differences in anger scores between the PTED and non-diagnostic groups. Depression scores were significantly higher in the PTED than in the non-diagnostic groups. In contrast, no significant differences were observed between depression scores in the Hwa-byung and non-diagnostic groups.
These results suggest that PTED may be a disorder category that is distinct from Hwa-byung. |
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| AbstractList | Posttraumatic embitterment disorder (PTED) is characterized by states of "embitterment", characteristically similar to "Hwa-byung", which is a Korean culture-bound syndrome. The present study aimed to assess diagnostic relationships between PTED and Hwa-byung.OBJECTIVEPosttraumatic embitterment disorder (PTED) is characterized by states of "embitterment", characteristically similar to "Hwa-byung", which is a Korean culture-bound syndrome. The present study aimed to assess diagnostic relationships between PTED and Hwa-byung.A total of 290 participants completed our survey. PTED and Hwa-byung were diagnosed using a diagnostic interview and scale. Scales for depression, suicide ideation, and anger were used for evaluation. Fisher's exact tests and Mann-Whitney U tests were performed to evaluate diagnostic overlap between PTED and Hwa-byung, and associations of scale scores for depression, suicide ideation, and anger between the PTED, Hwa-byung, and non-diagnosed groups. Associations of these scales between the depressive and non-depressive groups, and suicidal and non-suicidal groups were also evaluated.METHODSA total of 290 participants completed our survey. PTED and Hwa-byung were diagnosed using a diagnostic interview and scale. Scales for depression, suicide ideation, and anger were used for evaluation. Fisher's exact tests and Mann-Whitney U tests were performed to evaluate diagnostic overlap between PTED and Hwa-byung, and associations of scale scores for depression, suicide ideation, and anger between the PTED, Hwa-byung, and non-diagnosed groups. Associations of these scales between the depressive and non-depressive groups, and suicidal and non-suicidal groups were also evaluated.Among the participants, 1.7% of the sample fit the diagnostic criteria for PTED and 2.1% fit the criteria for Hwa-byung. No individual fit the criteria for both. Anger scores were significantly higher in the Hwa-byung group than in the non-diagnostic group. There were not any significant differences in anger scores between the PTED and non-diagnostic groups. Depression scores were significantly higher in the PTED than in the non-diagnostic groups. In contrast, no significant differences were observed between depression scores in the Hwa-byung and non-diagnostic groups.RESULTSAmong the participants, 1.7% of the sample fit the diagnostic criteria for PTED and 2.1% fit the criteria for Hwa-byung. No individual fit the criteria for both. Anger scores were significantly higher in the Hwa-byung group than in the non-diagnostic group. There were not any significant differences in anger scores between the PTED and non-diagnostic groups. Depression scores were significantly higher in the PTED than in the non-diagnostic groups. In contrast, no significant differences were observed between depression scores in the Hwa-byung and non-diagnostic groups.These results suggest that PTED may be a disorder category that is distinct from Hwa-byung.CONCLUSIONThese results suggest that PTED may be a disorder category that is distinct from Hwa-byung. Posttraumatic embitterment disorder (PTED) is characterized by states of "embitterment", characteristically similar to "Hwa-byung", which is a Korean culture-bound syndrome. The present study aimed to assess diagnostic relationships between PTED and Hwa-byung. A total of 290 participants completed our survey. PTED and Hwa-byung were diagnosed using a diagnostic interview and scale. Scales for depression, suicide ideation, and anger were used for evaluation. Fisher's exact tests and Mann-Whitney U tests were performed to evaluate diagnostic overlap between PTED and Hwa-byung, and associations of scale scores for depression, suicide ideation, and anger between the PTED, Hwa-byung, and non-diagnosed groups. Associations of these scales between the depressive and non-depressive groups, and suicidal and non-suicidal groups were also evaluated. Among the participants, 1.7% of the sample fit the diagnostic criteria for PTED and 2.1% fit the criteria for Hwa-byung. No individual fit the criteria for both. Anger scores were significantly higher in the Hwa-byung group than in the non-diagnostic group. There were not any significant differences in anger scores between the PTED and non-diagnostic groups. Depression scores were significantly higher in the PTED than in the non-diagnostic groups. In contrast, no significant differences were observed between depression scores in the Hwa-byung and non-diagnostic groups. These results suggest that PTED may be a disorder category that is distinct from Hwa-byung. Objective: Posttraumatic embitterment disorder (PTED) is characterized by states of “embitterment”, characteristically similar to “Hwa-byung”, which is a Korean culture-bound syndrome. The present study aimed to assess diagnostic relationships between PTED and Hwa-byung. Methods: A total of 290 participants completed our survey. PTED and Hwa-byung were diagnosed using a diagnostic interview and scale. Scales for depression, suicide ideation, and anger were used for evaluation. Fisher’s exact tests and Mann-Whitney U tests were performed to evaluate diagnostic overlap between PTED and Hwa-byung, and associations of scale scores for depression, suicide ideation, and anger between the PTED, Hwa-byung, and non-diagnosed groups. Associations of these scales between the depressive and non-depressive groups, and suicidal and non-suicidal groups were also evaluated. Results: Among the participants, 1.7% of the sample fit the diagnostic criteria for PTED and 2.1% fit the criteria for Hwa-byung. No individual fit the criteria for both. Anger scores were significantly higher in the Hwa-byung group than in the non-diagnostic group. There were not any significant differences in anger scores between the PTED and non-diagnostic groups. Depression scores were significantly higher in the PTED than in the non-diagnostic groups. In contrast, no significant differences were observed between depression scores in the Hwa-byung and non-diagnostic groups. Conclusion: These results suggest that PTED may be a disorder category that is distinct from Hwa-byung. KCI Citation Count: 2 |
| Author | Ha, Kyoo Seob Won, Seung-hee Joe, Soohyun Lee, Jung Sun Kim, Seong Yoon Lim, Jong Seok |
| AuthorAffiliation | 2 Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea 5 Department of Psychiatry, Seoul National Hospital, Seoul, Republic of Korea 6 Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea 4 Department of Psychiatry, Kyungpook National University School of Medicine, Deagu, Republic of Korea 3 Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Boston, USA 1 Department of Psychiatric Rehabilitation, Bugok National Hospital, Changnyung, Republic of Korea |
| AuthorAffiliation_xml | – name: 4 Department of Psychiatry, Kyungpook National University School of Medicine, Deagu, Republic of Korea – name: 6 Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea – name: 2 Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea – name: 1 Department of Psychiatric Rehabilitation, Bugok National Hospital, Changnyung, Republic of Korea – name: 3 Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Boston, USA – name: 5 Department of Psychiatry, Seoul National Hospital, Seoul, Republic of Korea |
| Author_xml | – sequence: 1 givenname: Soohyun surname: Joe fullname: Joe, Soohyun organization: Department of Psychiatric Rehabilitation, Bugok National Hospital, Changnyung, Republic of Korea – sequence: 2 givenname: Jung Sun surname: Lee fullname: Lee, Jung Sun organization: Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea., Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Boston, USA – sequence: 3 givenname: Seong Yoon surname: Kim fullname: Kim, Seong Yoon organization: Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea – sequence: 4 givenname: Seung-hee surname: Won fullname: Won, Seung-hee organization: Department of Psychiatry, Kyungpook National University School of Medicine, Deagu, Republic of Korea – sequence: 5 givenname: Jong Seok surname: Lim fullname: Lim, Jong Seok organization: Department of Psychiatric Rehabilitation, Bugok National Hospital, Changnyung, Republic of Korea – sequence: 6 givenname: Kyoo Seob surname: Ha fullname: Ha, Kyoo Seob organization: Department of Psychiatry, Seoul National Hospital, Seoul, Republic of Korea., Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea |
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| Keywords | Anger Stress disorders Post-traumatic Koreans Cultural psychiatry |
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| Title | Posttraumatic Embitterment Disorder and Hwa-byung in the General Korean Population |
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