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Hwa-Byung (HB)
Suppressed Anger, Frustration, Hate, Unsatisfied Desires
toward families & significant others.
Middle-aged to Older Korean Women (>40 years old)
Underserved women (Low Socioeconomic Status)
Hwa-Byung
S&S of
Hwa-Byung
Pervasive Psychological Symptoms:
- Depressive Mood
- Anger, Disruptive Impulses
- Paranoid Feelings
- Insomnia, Fatigue
For approximately 10 years, up to 30-40 years
4.2%
Koreans living in Korea
First appeared in DSM-IV as a “Culture-bound Syndrome”
Korean Americans
(1st Generation Immigrants)
11.9%
Hwa-Byung
"Hwa" = Fire, Anger
"Byung" = Disease
Psychosomatic Symptoms:
- Headaches
- Tachycardia
- Palpitations
- SOB
- Feelings of lumps in chest or throat
Triggers to Hwa-Byung
Nursing Intervention Programs
Treatments
<Pharmacological Tx>
- Antipsychotics
- Antidepressants
- Antianxiety
FOCUS = Ventilation of negative emotions (sorrow, regret)
<Community-Based Group Therapy>
Music Therapy
Drama
<Non-Pharmacological Tx>
- Psychotherapy
- Cognitive-Behavioural Therapy
- Relaxation Techniques
Group Therapy
"Culturally tailored nursing interventions
encourage expression of one's needs & empower patients to solve problems in an accustomed way."
Cultural Differences
Ventilation
Self-Expression
Intimacy
"Transcultural nursing is a more powerful means to care for health problems & satisfy cultural needs."
+ Language Barrier
+ Mental illness stigmatized
+ Tend to internalize negative feelings
+ Relationship with spouse, in-laws,
adult children
+ Other life stressors
Confronting
Reality & Support
INTERVIEW
Expression of
Inner Conflicts
& Catharsis
Empowering &
Sharing Hope
Expression for Change, Reviving Hope, and Support
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