Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typology

Background: The pathophysiological symptom of Sasang typology is essential for getting clinical diagnosis and analyzing treatment effects. The clinical index for examining urination and defecation related symptoms were developed and validated with established clinical measures. Methods: Questionnair...

Full description

Bibliographic Details
Main Authors: Yu Gyeong Park, Sang Yun Han, Han Chae, Nayoung Bae
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Integrative Medicine Research
Online Access:http://www.sciencedirect.com/science/article/pii/S2213422018303020
_version_ 1819151057391976448
author Yu Gyeong Park
Sang Yun Han
Han Chae
Nayoung Bae
author_facet Yu Gyeong Park
Sang Yun Han
Han Chae
Nayoung Bae
author_sort Yu Gyeong Park
collection DOAJ
description Background: The pathophysiological symptom of Sasang typology is essential for getting clinical diagnosis and analyzing treatment effects. The clinical index for examining urination and defecation related symptoms were developed and validated with established clinical measures. Methods: Questionnaire items of six subscales of Sasang Urination and Defecation Inventory (SUDI) were developed based on previous systematic reviews, and its clinical validity was examined with clinical measures of Urogenital Distress Inventory-6 (UDI-6), Overactive Bladder Symptom Score (OBSS), and ROME 3 criteria for Irritable Bowel Syndrome (ROME3-IBS) and Functional Constipation (ROME3-FC) using 48 healthy participants. The internal consistency of six subscales of SUDI were examined with Cronbach alpha. The Pearson correlation was used to examine correlation between SUDI and Western clinical measures, and the ANOVA was adopted to investigate differences among Sasang type groups in clinical measures. Results: The SUDI-UCHR (problematic characteristics of urine) and SUDI-ANMD (defecation anomaly discomfort) were found to represent unique concept of traditional Korean medicine, however SUDI-IRRB (irritability of bowel movement) and SUDI-FCON (functional constipation) were similar with functional gastrointestinal disease of western medicine. SUDI-URET (ability to retain urine), SUDI-UDIS (urinary discomfort) and SUDI-ANMD of So-Yang type (7.95 ± 2.16, 14.33 ± 2.01, and 13.10 ± 2.57) are significantly different from those of So-Eum type (9.94 ± 2.54, 12.18 ± 2.96, and 10.59 ± 3.47, respectively). Conclusion: The pathophysiological symptoms of urination and defecation in Sasang typology were systematically scrutinized, and summarized into six subscales of SUDI in this study. The SUDI would be useful for analyzing clinical symptoms of Sasang typology along with integrative collaboration of traditional Korean and Western medicine. Keywords: Sasang typology, Pathophysiological symptom, Sasang Urination and Defection Inventory, Excretory function
first_indexed 2024-12-22T14:27:21Z
format Article
id doaj.art-683831a39aac4537925762ceb5ca0b6c
institution Directory Open Access Journal
issn 2213-4220
language English
last_indexed 2024-12-22T14:27:21Z
publishDate 2019-06-01
publisher Elsevier
record_format Article
series Integrative Medicine Research
spelling doaj.art-683831a39aac4537925762ceb5ca0b6c2022-12-21T18:22:49ZengElsevierIntegrative Medicine Research2213-42202019-06-01828288Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typologyYu Gyeong Park0Sang Yun Han1Han Chae2Nayoung Bae3Department of Sasang Constitutional Medicine, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea; First Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Busan, Republic of Korea; EL Korean Medicine Clinic, Busan, Republic of KoreaDivision of Longevity and Biofunctional Medicine, School of Korean Medicine, Pusan National University, Busan, Republic of KoreaDivision of Longevity and Biofunctional Medicine, School of Korean Medicine, Pusan National University, Busan, Republic of Korea; Corresponding authors at: Division of Longevity and Biofunctional medicine, School of Korean Medicine, Pusan National University, 49 Basandaehak-ro, Mulgeum-eup, Yangsan, Gyeongnam 50612, Republic of Korea (H. Chae); Department of Sasang Constitutional Medicine, Division of Clinical Medicine, School of Korean Medicine, Pusan National University, 49 Basandaehak-ro, Mulgeum-eup, Yangsan, Gyeongnam 50612, Republic of Korea (N. Bae)Department of Sasang Constitutional Medicine, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea; First Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Busan, Republic of Korea; Corresponding authors at: Division of Longevity and Biofunctional medicine, School of Korean Medicine, Pusan National University, 49 Basandaehak-ro, Mulgeum-eup, Yangsan, Gyeongnam 50612, Republic of Korea (H. Chae); Department of Sasang Constitutional Medicine, Division of Clinical Medicine, School of Korean Medicine, Pusan National University, 49 Basandaehak-ro, Mulgeum-eup, Yangsan, Gyeongnam 50612, Republic of Korea (N. Bae)Background: The pathophysiological symptom of Sasang typology is essential for getting clinical diagnosis and analyzing treatment effects. The clinical index for examining urination and defecation related symptoms were developed and validated with established clinical measures. Methods: Questionnaire items of six subscales of Sasang Urination and Defecation Inventory (SUDI) were developed based on previous systematic reviews, and its clinical validity was examined with clinical measures of Urogenital Distress Inventory-6 (UDI-6), Overactive Bladder Symptom Score (OBSS), and ROME 3 criteria for Irritable Bowel Syndrome (ROME3-IBS) and Functional Constipation (ROME3-FC) using 48 healthy participants. The internal consistency of six subscales of SUDI were examined with Cronbach alpha. The Pearson correlation was used to examine correlation between SUDI and Western clinical measures, and the ANOVA was adopted to investigate differences among Sasang type groups in clinical measures. Results: The SUDI-UCHR (problematic characteristics of urine) and SUDI-ANMD (defecation anomaly discomfort) were found to represent unique concept of traditional Korean medicine, however SUDI-IRRB (irritability of bowel movement) and SUDI-FCON (functional constipation) were similar with functional gastrointestinal disease of western medicine. SUDI-URET (ability to retain urine), SUDI-UDIS (urinary discomfort) and SUDI-ANMD of So-Yang type (7.95 ± 2.16, 14.33 ± 2.01, and 13.10 ± 2.57) are significantly different from those of So-Eum type (9.94 ± 2.54, 12.18 ± 2.96, and 10.59 ± 3.47, respectively). Conclusion: The pathophysiological symptoms of urination and defecation in Sasang typology were systematically scrutinized, and summarized into six subscales of SUDI in this study. The SUDI would be useful for analyzing clinical symptoms of Sasang typology along with integrative collaboration of traditional Korean and Western medicine. Keywords: Sasang typology, Pathophysiological symptom, Sasang Urination and Defection Inventory, Excretory functionhttp://www.sciencedirect.com/science/article/pii/S2213422018303020
spellingShingle Yu Gyeong Park
Sang Yun Han
Han Chae
Nayoung Bae
Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typology
Integrative Medicine Research
title Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typology
title_full Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typology
title_fullStr Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typology
title_full_unstemmed Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typology
title_short Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typology
title_sort development and validation of sasang urination and defecation inventory sudi for pathophysiological symptoms of sasang typology
url http://www.sciencedirect.com/science/article/pii/S2213422018303020
work_keys_str_mv AT yugyeongpark developmentandvalidationofsasangurinationanddefecationinventorysudiforpathophysiologicalsymptomsofsasangtypology
AT sangyunhan developmentandvalidationofsasangurinationanddefecationinventorysudiforpathophysiologicalsymptomsofsasangtypology
AT hanchae developmentandvalidationofsasangurinationanddefecationinventorysudiforpathophysiologicalsymptomsofsasangtypology
AT nayoungbae developmentandvalidationofsasangurinationanddefecationinventorysudiforpathophysiologicalsymptomsofsasangtypology