| ‘자율신경실조’ 용어와 진료에 대한 신경과 의사의 인식: 2025년 대한통증·자율신경학회 설문 |
| 최교민1, 오지영1, 박진우2, 윤별아3, 조은빈4, 이태경5 |
1건국대학교 의과대학 건국대학교병원 신경과
2고려대학교 의과대학 신경과학교실
3동아대학교 의과대학 신경과학교실
4경상국립대학교 의과대학 창원경상국립대학교병원 신경과
5순천향대학교 의과대학 순천향대학교 부천병원 신경과 |
| ‘Jayulsingyeongsiljo’ Is Not a Recognized Medical Term: 2025 Survey of the Korean Society of Pain and Autonomic Disorders |
| Kyomin Choi MD, PhD1, Jeeyoung Oh MD, PhD1, Jin-Woo Park MD, PhD2, Byeol-A Yoon MD, PhD3, Eun Bin Cho MD, PhD4, Tae-Kyeong Lee MD, PhD5 |
1Department of Neurology, Konkuk University Medical Center, Konkuk University College of Medicine, Seoul, Korea
2Department of Neurology, Korea University College of Medicine, Seoul, Korea
3Department of Neurology, Dong-A University College of Medicine, Busan, Korea
4Department of Neurology, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Jinju, Korea
5Department of Neurology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea |
Corresponding Author:
Tae-Kyeong Lee ,Tel: +82-32-621-5220, Fax: +82-31-621-5018, Email: xorudoc@schmc.ac.kr
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| *These authors contributed equally to this work |
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Received: November 17, 2025 Revised: December 24, 2025 Accepted: December 24, 2025 Published online: February 1, 2026 |
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| Abstract |
Background: To investigate Korean neurologists' perceptions of the non-standard term ‘jayulsingyeongsiljo’ and their actual evaluation and management of such patients.
Methods: We performed an anonymous web-based cross-sectional survey of board-certified Korean neurologists by Korean Society of Pain and Autonomic Disorders between August 13 and September 10, 2025. A questionnaire sent by e-mail asked about demographics, experience with patients labeled with ‘jayulsingyeongsiljo,’ use and perceived usefulness of autonomic function tests, the impact of coronavirus disease 2019, and opinions on terminology and the role of neurologists.
Results: In total, 109 neurologists responded. Most reported that patients presenting for ‘jayulsingyeongsiljo’ were young or middle-aged adults and that their numbers had increased over the preceding 2 years. Referrals frequently originated from Korean medicine clinics and other non-neurology departments, often after stand-alone heart rate variability testing. Fatigue, orthostatic intolerance, palpitations, sweating abnormalities, gastrointestinal symptoms, and anxiety or insomnia were common, and autonomic testing was generally regarded as helpful. Eighty percent felt that the risks associated with ‘jayulsingyeongsiljo’ are overstated, and 95% preferred replacing the term with standardized expressions such as autonomic dysfunction.
Conclusions: Korean neurologists view ‘jayulsingyeongsiljo’ as an unrecognized and potentially misleading label and support society-led standardization of terminology and guidance to improve autonomic dysfunction care and resource use. |
| Key Words:
Autonomic nervous system | Sympathetic nervous system | Parasympathetic nervous system | Autonomic nervous system diseases | Terminology |
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