Anxiety related to De Qi psychophysical responses as measured by MASS: A sub-study embedded in a multisite randomised clinical trial

Razavy, Shohreh; Gadau, Marcus; Zhang, Shi Ping; Wang, Fu Chun; Bangrazi, Sergio; Berle, Christine; Li, Tie; Li, Wei Hong; Zaslawski, Chris

doi:10.1016/j.ctim.2018.05.009

Cited by 5 publications

(4 citation statements)

References 64 publications

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“…He explored how these sensations manifest across various interventions, including both acupuncture treatments and sham acupuncture treatments. His insights are in line with relevant studies centered on needling sensations [12,13].…”

Section: Sensory Characteristics Of Needlingsupporting

confidence: 78%

Perspectives and Ideas to Advance Integrative Medicine and Healthcare: Proceedings of the 4th Annual Jaseng Academic Conference

Jang,

Lee,

Donahue

et al. 2023

PIM

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The 4<sup>th</sup> Annual Jaseng Academic conference (August 13, 2023) in Seoul, South Korea, was a pivotal event in the realm of integrative medicine. Cohosted by Jaseng Hospital of Korean Medicine and Michigan State University College of Osteopathic Medicine, over 500 professionals including Korean medicine doctors, medical doctors, doctors of osteopathic medicine, acupuncturists, researchers, and students gathered at the conference. The theme, “Perspectives on Integrative Medicine,” marked a departure from previous conference themes and embraced a multidisciplinary approach to healthcare. The event highlighted the importance of holistic patient care and cross-disciplinary collaboration within healthcare. It offered a comprehensive overview of the current state of integrative medicine approaches in manual medicine, evidence-based acupuncture treatment, and acupuncture research. The Annual Jaseng Academic conference continues to serve as a platform for healthcare professionals to exchange ideas and perspectives, and bridges the gap between diverse medical systems to promote improved patient outcome and wellbeing.

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Section: Sensory Characteristics Of Needlingsupporting

confidence: 78%

Perspectives and Ideas to Advance Integrative Medicine and Healthcare: Proceedings of the 4th Annual Jaseng Academic Conference

Jang,

Lee,

Donahue

et al. 2023

PIM

Self Cite

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“…Anxiety, among many factors that are involved in nonspecific (placebo) effects of acupuncture, 30 has been reported to affect treatment expectation in patients receiving acupuncture therapy. 31 Reduction in anxiety is often observed in response to acupuncture that is targeted on other symptoms. 32,33 Our observation of anxiety predicting acupuncture response may also reflect nonspecific effects of acupuncture treatment.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for Hot Flashes in Cancer Patients: Clinical Characteristics and Traditional Chinese Medicine Diagnosis as Predictors of Treatment Response

et al. 2019

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Background: Acupuncture is a recognized integrative modality for managing hot flashes. However, data regarding predictors for response to acupuncture in cancer patients experiencing hot flashes are limited. We explored associations between patient characteristics, including traditional Chinese medicine (TCM) diagnosis, and treatment response among cancer patients who received acupuncture for management of hot flashes. Methods: We reviewed acupuncture records of cancer outpatients with the primary reason for referral listed as hot flashes who were treated from March 2016 to April 2018. Treatment response was assessed using the hot flashes score within a modified Edmonton Symptom Assessment Scale (0-10 scale) administered immediately before and after each acupuncture treatment. Correlations between TCM diagnosis, individual patient characteristics, and treatment response were analyzed. Results: The final analysis included 558 acupuncture records (151 patients). The majority of patients were female (90%), and 66% had breast cancer. The median treatment response was a 25% reduction in the hot flashes score. The most frequent TCM diagnosis was qi stagnation (80%) followed by blood stagnation (57%). Older age (P = .018), patient self-reported anxiety level (P = .056), and presence of damp accumulation in TCM diagnosis (P = .047) were correlated with greater hot flashes score reduction. Conclusions: TCM diagnosis and other patient characteristics were predictors of treatment response to acupuncture for hot flashes in cancer patients. Future research is needed to further explore predictors that could help tailor acupuncture treatments for these patients.

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“…Moreover, almost all studies concluded that deep needling and/or manipulation could initiate more significant de qi reactions than shallow needling and/or no manipulation [2,6,8]. Conversely, researchers also noticed that body-intrinsic factors affected de qi, mainly involving the constitution of Traditional Chinese Medicine (TCM) [9,10], personality characteristics [11][12][13], and psychological factors, including the patient's perception of the credibility of acupuncture [14,15], expectations [16], anxiety levels, and depressive symptoms [12,17,18]. Certain personality traits such as social boldness, warmth, and liveliness were related to de qi [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, three studies have different views on the influence of anxiety and depression on de qi: one study found that the de qi score decreased when patients were anxious or depressed [12]; another found that the degree of anxiety was positively correlated with the de qi index [18]; while a third study reported that anxiety did not affect either the de qi rate and its intensity [17]. These results suggest that psychological factors affecting de qi require further study.…”

Section: Introductionmentioning

confidence: 99%

Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled Trial

Wang

et al. 2023

J Acupunct Meridian Stud

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Background: De qi, the needling sensation, is important in acupuncture treatment. Almost all studies believe that deep needling and manipulation could achieve a significant de qi sensation. However, relatively few studies have examined the effect of psychological factors on de qi, and those that did often reached different conclusions. Objectives: To explore the influence of psychologic factors on de qi in patients with primary dysmenorrhea (PD). Methods: Sixty-eight PD patients with cold and dampness stagnation were randomly allocated to de qi (deep insertion using thick needles, with manipulation, n=17) and non-de qi groups (shallow insertion using thin needles, without manipulation, n=51). Both groups received bilateral needling at Sanyinjiao (SP6) for 30 min. De qi was assessed using the Acupuncture De qi Clinical Assessment Scale (ADCAS). The patients' acupuncturerelated anxiety and their expectations of the relationship between needle sensation and curative effect were evaluated using a five-point and four-point scale, respectively. Results: Within the de qi group, all patients experienced the de qi sensation, although anxiety levels were unrelated to de qi. Patients' expectations correlated negatively with de qi timing, and positively with electric sensation. Within the non-de qi group, 59.5% of patients experienced de qi. Between those who experienced it and those who did not, no significant differences were found in anxiety levels, although patients' expectations differed significantly. Among patients who experienced de qi sensations in the non-de qi group, anxiety and throbbing were positively correlated. Additionally, patients' expectations correlated positively with de qi intensity, as well as coldness, and numbness. Conclusion: Psychological factors should be considered when studying de qi since PD patients' expectations could influence the de qi sensation at SP6.

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Anxiety related to De Qi psychophysical responses as measured by MASS: A sub-study embedded in a multisite randomised clinical trial

Cited by 5 publications

References 64 publications

Perspectives and Ideas to Advance Integrative Medicine and Healthcare: Proceedings of the 4th Annual Jaseng Academic Conference

Perspectives and Ideas to Advance Integrative Medicine and Healthcare: Proceedings of the 4th Annual Jaseng Academic Conference

Acupuncture for Hot Flashes in Cancer Patients: Clinical Characteristics and Traditional Chinese Medicine Diagnosis as Predictors of Treatment Response

Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled Trial

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