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Differences in the Diagnostic Accuracy of the Questionnaire for Sasang Constitution Diagnosis Across Constitutional Types

  • Journal of Sasang Constitution and Immune Medicine
  • Abbr : JSCIM
  • 2026, 38(1), pp.1~13
  • Publisher : The Society of Sasang Constitution and Immune Medicine
  • Research Area : Medicine and Pharmacy > Korean Medicine
  • Received : October 23, 2025
  • Accepted : December 11, 2025
  • Published : March 31, 2026

Kim Sang-Hyuk 1

1한국한의학연구원

Accredited

ABSTRACT

Objectives This study aimed to compare the diagnostic accuracy of the Questionnaire for Sasang Constitution Diagnosis(QSCD) across constitutional types by recalculating sensitivity and specificity, rather than relying solely on Percent Correctly Predicted. It also sought to explore potential reasons for variations in diagnostic performance based on prior research. Methods Studies reporting the diagnostic accuracy of the QSCD were reviewed. For each constitutional type, 2×2 contingency tables of true positives, false positives, true negatives, and false negatives were reconstructed to compute sensitivity and specificity. When multiple studies were available for a single QSCD version, pooled estimates with 95% confidence intervals were derived using a diagnostic meta-analysis approach. Results & Conclusions Considering the QSCD’s frequent use as a screening tool in clinical settings, the SDQ_S showed superior accuracy in diagnosing Taeeum(TE) and Soyang(SY) types, whereas the KS-15 demonstrated better performance for the Soeum(SE) type. However, the SY type consistently exhibited relatively low sensitivity across questionnaires. This may result from the insufficient development of scales specific to the SY type, methodological limitations of discriminant analysis commonly applied in QSCD studies, and the absence of a consistent SY type diagnostic image among experts.

Citation status

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