Journal of alternative and complementary medicine (New York, N.Y.)最新文献

{"title":"The Effect of Foot Reflexology on the Anxiety Levels of Women in Labor.","authors":"Zümrüt Yılar Erkek,&nbsp;Songul Aktas","doi":"10.1089/acm.2017.0263","DOIUrl":"https://doi.org/10.1089/acm.2017.0263","url":null,"abstract":"<p><strong>Objectives: </strong>This research was conducted to analyze the effect of foot reflexology on the anxiety levels of women during labor.</p><p><strong>Design, setting and subjects: </strong>The study was conducted as a semiexperimental study. It was conducted with 154 nulliparous pregnant women who applied to a maternity unit of a state hospital in the north-western part of Turkey to give birth.</p><p><strong>Interventions: </strong>Foot reflexology was applied once to the pregnant women in the experimental group when cervical dilation was 3-4 cm. The treatment was applied to the right foot and left foot reflex points for 15 min, for a total of 30 min. The data in the study were collected using the \"Pregnant Women Introductory Information Form\" and the \"Spielberger State-trait Anxiety Inventory\" (STAI TX-1). In evaluating the data, number, percentage, Chi-square, independent samples t-test, and repeated measure analysis of variance test were used.</p><p><strong>Main outcome measures: </strong>The mean scores of the STAI TX-1 were used to analyze the results.</p><p><strong>Results: </strong>The mean STAI TX-1 scores were measured before reflexology, in the latent and active phases of labor and early in postpartum period (four times in total). The mean STAI TX-1 scores were higher in the experimental group than in the control group (p < 0.001). The mean STAI TX-1 scores postreflexology application (when cervical dilation was 3-4 cm) and during the active phase of the labor (when cervical dilation was 6-8 cm) of the pregnant women in the experimental group were lower than those of the control group (respectively p = 0.010, p < 0.001). In the experimental group, there was no statistically significant difference between the mean STAI TX-1 scores pre- and postreflexology (p = 0.820). The mean STAI TX-1 scores in the early postpartum period were similar in the experimental and control groups (p = 0.080).</p><p><strong>Conclusion: </strong>Foot reflexology was found to have a positive effect in lowering the total anxiety scores of the pregnant women. Reflexology is a noninvasive and economical method, which may be used by health professionals to reduce problems during labor. A decrease in anxiety experienced at birth improves women's positive birth experiences, promotes a secure mother-infant attachment, and protects postpartum mental health.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"352-360"},"PeriodicalIF":2.6,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2017.0263","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35857931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Change in Sense of Nondual Awareness and Spiritual Awakening in Response to a Multidimensional Well-Being Program.","authors":"Paul J Mills,&nbsp;Christine Tara Peterson,&nbsp;Meredith A Pung,&nbsp;Sheila Patel,&nbsp;Lizabeth Weiss,&nbsp;Kathleen L Wilson,&nbsp;P Murali Doraiswamy,&nbsp;Jeffery A Martin,&nbsp;Rudolph E Tanzi,&nbsp;Deepak Chopra","doi":"10.1089/acm.2017.0160","DOIUrl":"https://doi.org/10.1089/acm.2017.0160","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the effects of a comprehensive mind-body program on sense of nondual awareness and spiritual awakening.</p><p><strong>Design and intervention: </strong>The study compared the effects of participation in an intensive 6-day Ayurveda-based mind-body program that addressed physical, emotional, and spiritual domains as compared with a control condition.</p><p><strong>Setting: </strong>Resort setting.</p><p><strong>Subjects: </strong>Participants were 69 healthy women and men (mean age 53.9 years; range 32-86).</p><p><strong>Outcome measure: </strong>The primary outcome was the Nondual Embodiment Thematic Inventory (NETI).</p><p><strong>Results: </strong>A significant group by time interaction (p = 0.029) indicated that after the intervention, participants in the mind-body program showed a significant increase in NETI scores (p < 0.03), which was sustained 1 month later (p < 0.01).</p><p><strong>Conclusion: </strong>Findings suggest that an intensive program providing holistic instruction and experience in mind-body practices can lead to a significant and sustained shift in perception of self-awareness, one that is likely favorable to well-being.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"343-351"},"PeriodicalIF":2.6,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2017.0160","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35625934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Saffron on Cognition, Anxiety, and Depression in Patients Undergoing Coronary Artery Bypass Grafting: A Randomized Double-Blind Placebo-Controlled Trial.","authors":"Ehsan Moazen-Zadeh,&nbsp;Seyed Hesameddin Abbasi,&nbsp;Hamideh Safi-Aghdam,&nbsp;Nazila Shahmansouri,&nbsp;Akram Arjmandi-Beglar,&nbsp;Azita Hajhosseinn Talasaz,&nbsp;Abbas Salehiomran,&nbsp;Saeedeh Forghani,&nbsp;Shahin Akhondzadeh","doi":"10.1089/acm.2017.0173","DOIUrl":"https://doi.org/10.1089/acm.2017.0173","url":null,"abstract":"<p><strong>Objectives: </strong>Cognitive decline, depression, and anxiety are among the major concerns in patients undergoing coronary artery bypass grafting (CABG). Crocus sativus L. (saffron) seems to be a promising candidate for treatment of these conditions.</p><p><strong>Design: </strong>In this 12-week, randomized, double-blind, placebo-controlled clinical trial, men and women with on-pump CABG, who had Wechsler Memory Scale (WMS) score >70 and age <70 years, received either saffron capsules (15 mg/twice daily) or placebo. Patients were excluded if they had history of treatment with saffron or acetylcholinesterase inhibitors, comorbid neuropsychiatric disorders, serious medical conditions other than cardiovascular diseases, and hypersensitivity to herbal compounds. The primary outcome was defined as the difference in mean total score changes for WMS-Revised from the baseline to week 12 between the saffron and placebo groups. Secondary outcomes included difference in mean score changes from baseline to endpoint between the two treatment groups for Mini Mental Status Examination and subscales of Hospital Anxiety and Depression Scale ( www.irct.ir ; IRCT201408071556N63).</p><p><strong>Results: </strong>No significant difference was detected in primary or secondary outcomes between the saffron and placebo groups. Also, no significant time × treatment interaction effect was found for any of the scales.</p><p><strong>Conclusions: </strong>The results of this trial do not support the hypothesis of potential benefits of saffron in treatment of CABG-related neuropsychiatric conditions.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"361-368"},"PeriodicalIF":2.6,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2017.0173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35649434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis.","authors":"Deanna Befus, Remy R Coeytaux, Karen M Goldstein, Jennifer R McDuffie, Megan Shepherd-Banigan, Adam P Goode, Andrzej Kosinski, Megan G Van Noord, Soheir S Adam, Varsha Masilamani, Avishek Nagi, John W Williams","doi":"10.1089/acm.2016.0408","DOIUrl":"10.1089/acm.2016.0408","url":null,"abstract":"<p><strong>Objectives: </strong>Vasomotor symptoms (VMSs) are the most common symptoms reported during menopause. Although hormone therapy is effective for reducing VMSs, its use is restricted in some women. Many women with VMSs thus seek nonhormonal, nonpharmacologic treatment options such as acupuncture.</p><p><strong>Design: </strong>An umbrella systematic review (SR) was conducted, supplemented by a search of published randomized controlled trials (RCTs), that assessed the effectiveness of acupuncture for VMSs, health-related quality of life (HRQOL), and adverse effects of treatment in perimenopausal or postmenopausal women. Meta-analyses were conducted using a random-effects model when data were sufficient.</p><p><strong>Results: </strong>Three SRs and four new RCTs were identified that met eligibility criteria. Meta-analyses of this study revealed statistically significant standardized mean differences (SMDs) associated with acupuncture compared with no acupuncture at reducing VMS frequency (SMD -0.66, 95% confidence interval [CI] -1.06 to -0.26, I² = 61.7%, 5 trials) and VMS severity (SMD -0.49, 95% CI -0.85 to -0.13, I² = 18.1%, 4 trials) and improving HRQOL outcomes (SMD -0.93, 95% CI -1.20 to -0.67, I² = 0.0%, 3 trials). SMDs were smaller or not statistically significant when acupuncture was compared with sham acupuncture.</p><p><strong>Conclusions: </strong>Evidence from RCTs supports the use of acupuncture as an adjunctive or stand-alone treatment for reducing VMSs and improving HRQOL outcomes, with the caveat that observed clinical benefit associated with acupuncture may be due, in part, or in whole to nonspecific effects. The safety of acupuncture in the treatment of VMSs has not been rigorously examined, but there is no clear signal for a significant potential for harm.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"314-323"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35705131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Quality of Life of Children Under Chiropractic Care Using PROMIS-25: Results from a Practice-Based Research Network.","authors":"Joel Alcantara,&nbsp;Andrea E Lamont,&nbsp;Jeanne Ohm,&nbsp;Junjoe Alcantara","doi":"10.1089/acm.2017.0141","DOIUrl":"https://doi.org/10.1089/acm.2017.0141","url":null,"abstract":"<p><strong>Objectives: </strong>To characterize pediatric chiropractic and assess pediatric quality of life (QoL).</p><p><strong>Design: </strong>A prospective cohort. Setting/Locations: Individual offices within a practice-based research network located throughout the United States.</p><p><strong>Subjects: </strong>A convenience sample of children (8-17 years) under chiropractic care and their parents.</p><p><strong>Exposure: </strong>Chiropractic spinal adjustments and adjunctive therapies.</p><p><strong>Outcome measures: </strong>Survey instrument measuring sociodemographic information and correlates from the clinical encounter along with the Patient Reported Outcomes Measurement Information System (PROMIS)-25 to measure QoL (i.e., depression, anxiety, and pain interference). Sociodemographic and clinical correlates were analyzed using descriptive statistics (i.e., frequencies/percentages, means, and standard deviations). The PROMIS-25 data were analyzed using scoring manuals, converting raw scores to T score metric (mean = 50; SD = 10). A generalized linear mixed model was utilized to examine covariates (i.e., sex, number of visits, and motivation for care) that may have played an important role on the PROMIS outcome.</p><p><strong>Results: </strong>The original data set consisted of 915 parent-child dyads. After data cleaning, a total of 881 parents (747 females, 134 males; mean age = 42.03 years) and 881 children (467 females and 414 males; mean age = 12.49 years) comprised this study population. The parents were highly educated and presented their child for mainly wellness care. The mean number of days and patient visits from baseline to comparative QoL measures was 38.12 days and 2.74 (SD = 2.61), respectively. After controlling for the effects of motivation for care, patient visits, duration of complaint, sex, and pain rating, significant differences were observed in the probability of experiencing problems (vs. no reported problems) across all QoL domains (Wald = 82.897, df = 4, p < 0.05). Post hoc comparisons demonstrated the children were less likely to report any symptoms of depression (Wald = 6.1474, df = 1, p < 0.05), anxiety (Wald = 20.603, df = 1, p < 0.05), fatigue (Wald = 22.191, df = 1, p < 0.05), and pain interference (Wald = 47.422, df = 1, p < 0.05) after a trial of chiropractic care.</p><p><strong>Conclusions: </strong>The QoL of children improved with chiropractic care as measured by PROMIS.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"378-384"},"PeriodicalIF":2.6,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2017.0141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35674077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Yoga on Arm Volume, Strength, and Range of Motion in Women at Risk for Breast Cancer-Related Lymphedema.","authors":"Melissa Mazor,&nbsp;Jeannette Q Lee,&nbsp;Anne Peled,&nbsp;Sarah Zerzan,&nbsp;Chetan Irwin,&nbsp;Margaret A Chesney,&nbsp;Katherine Serrurier,&nbsp;Hani Sbitany,&nbsp;Anand Dhruva,&nbsp;Devorah Sacks,&nbsp;Betty Smoot","doi":"10.1089/acm.2017.0145","DOIUrl":"https://doi.org/10.1089/acm.2017.0145","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the feasibility, safety, and initial estimates of efficacy of a yoga program in postoperative care for women at high risk for breast cancer-related lymphedema (BCRL).</p><p><strong>Design: </strong>Single-group pretest-post-test design.</p><p><strong>Settings/location: </strong>Patients were recruited from the University of California, San Francisco Carol Franc Buck Breast Care Center.</p><p><strong>Subjects: </strong>Twenty-one women were enrolled in the study. Women were >18 years of age, had undergone surgical treatment for breast cancer, and were at high risk for BCRL.</p><p><strong>Intervention: </strong>The women participated in an Ashtanga yoga intervention for 8 weeks. Sessions consisted of once/week instructor-led practice and once/week home practice. Particular attention was given to poses that emphasized upper body strength and flexibility, while avoiding significant time with the upper extremity (UE) in a dependent position.</p><p><strong>Outcome measures: </strong>UE volume was assessed through circumferential forearm measurement, which was converted to volume using the formula for a truncated cone. Range of motion (ROM) was assessed for the shoulders, elbows, and wrists, using a standard goniometer. UE strength was assessed for shoulder abduction, elbow flexion, wrist flexion, and grip using a dynamometer.</p><p><strong>Results: </strong>Twenty women completed the yoga intervention, with 17 returning for final assessment. Mean age was 52 (±9.1) years and body mass index was 24.8 (±5.1) kg/m². Postintervention, mean volume in the at-risk UE was slightly reduced (p = 0.397). ROM for shoulder flexion (p < 0.01) and external rotation (p < 0.05) significantly increased bilaterally. Shoulder abduction ROM significantly improved for the unaffected limb (p = 0.001). Following intervention, strength improved on the affected side for shoulder abduction and grip strength, and bilaterally for elbow flexion (p < 0.05 for all).</p><p><strong>Conclusions: </strong>These preliminary findings suggest that yoga is feasible and safe for women who are at risk for BCRL and may result in small improvements in shoulder ROM and UE strength.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"154-160"},"PeriodicalIF":2.6,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2017.0145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39985089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifestyle Advice and Self-Care Integral to Acupuncture Treatment for Patients with Chronic Neck Pain: Secondary Analysis of Outcomes Within a Randomized Controlled Trial.","authors":"Hugh MacPherson, Ben Elliot, Ann Hopton, Harriet Lansdown, Stephen Birch, Catherine Hewitt","doi":"10.1089/acm.2016.0303","DOIUrl":"10.1089/acm.2016.0303","url":null,"abstract":"<p><strong>Background: </strong>Lifestyle advice is widely considered as an integral component of acupuncture treatment. However, it is unclear whether lifestyle advice and related self-care are important for sustaining benefit over the longer term. In a novel secondary analysis of trial data, this paper explores the nature and impact of acupuncture-related diagnosis, and associated lifestyle advice and self-care, in patients with chronic neck pain.</p><p><strong>Design: </strong>In a three-arm, randomized, controlled multicenter trial with 12 months of follow-up, a total of 517 patients with chronic neck pain were randomized in equal proportions to acupuncture, Alexander technique, or usual care alone.</p><p><strong>Methods: </strong>For each acupuncture patient, practitioners reported treatment components that included an acupuncture-related diagnosis and provision of associated lifestyle advice. Patients reported at baseline, 3, 6, and 12 months on variables related to treatment, which included aspects of self-care, self-efficacy, and lifestyle advice acted upon, as well as pain and disability scores. Congruence between practitioner advice and patient take-up was assessed using chi-squared test. Impact of lifestyle advice and self-efficacy on outcome was evaluated using regression models.</p><p><strong>Results: </strong>Among patients randomized to acupuncture, the most common diagnostic framework involved the Zang-Fu syndromes for 139/160 (87%) patients. Lifestyle advice was provided by practitioners to 134/160 (84%) of patients, most commonly related to exercise, relaxation, diet, rest, and work. Significant congruence with patient take-up was found for diet, rest, and work. Moreover, patients in the acupuncture group improved their ability to use what they had learnt and increased their self-efficacy. In turn, these characteristics were associated with significant reductions in pain and disability scores at 12 months.</p><p><strong>Conclusion: </strong>Acupuncture-related lifestyle advice helped patients improve the way they live and care for themselves and enhanced self-efficacy and ability to use what they had learnt. These changes were associated with reductions in pain and disability at 12 months.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"180-187"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6266543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39982827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized Controlled Trial to Assess the Effectiveness of a Self-Care Program for Pregnant Women for Relieving Hiesho.","authors":"Sachiyo Nakamura,&nbsp;Shigeko Horiuchi","doi":"10.1089/acm.2016.0030","DOIUrl":"https://doi.org/10.1089/acm.2016.0030","url":null,"abstract":"<p><strong>Objective: </strong>To assess differences in improvement of hiesho (sensitivity to cold) through a randomized controlled trial (RCT) of one group that used a self-care program (the Home Care Package Program for Relieving Hiesho) and another that did not.</p><p><strong>Methods: </strong>Participants were pregnant women experiencing hiesho in the 28th to 33rd weeks of pregnancy. The group carried out the intervention program for 4 weeks by wearing leg warmers, performing exercises, and pressing acupuncture points. The control group did not take any specific actions. Hiesho condition was assessed by using thermography to measure temperature in the four limbs; the changes were analyzed.</p><p><strong>Results: </strong>Findings for 140 pregnant women (73 in the experimental group and 67 in the control group) were analyzed. Participants' body temperatures were measured after completion of the program for 4 weeks and compared to their temperatures before start of the program. Compared with the control group, the experimental group had arm skin temperature 3.0°C (p < 0.001) higher and leg skin temperature 1.93°C (p = 0.02) higher; both differences were significant.</p><p><strong>Conclusion: </strong>The Home Care Package Program for Relieving Hiesho self-care program significantly relieved hiesho.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"53-59"},"PeriodicalIF":2.6,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2016.0030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34678222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of T'ai Chi on Serotonin, Nicotine Dependency, Depression, and Anger in Hospitalized Alcohol-Dependent Patients.","authors":"Chung-Uk Oh,&nbsp;Nam-Cho Kim","doi":"10.1089/acm.2016.0246","DOIUrl":"https://doi.org/10.1089/acm.2016.0246","url":null,"abstract":"Abstract Objectives: The aim of this study was to investigate the effects of t'ai chi on blood serotonin levels, nicotine dependence, depression, and anger in hospitalized alcohol-dependent patients. Method: This study followed an experimental and nonequivalent control group in a non-synchronized design. It was performed in a hospital located in Young Ju city, Korea, from April to August 2013. Thirty-eight patients who were hospitalized with alcohol dependence were included. They were randomly divided into an experimental and a control group, with 19 patients in each group. Patients in the experimental group practiced the 24-posture yang style t'ai chi for 50 min three times per week for 8 weeks as part of the routine hospital rehabilitation program, and those in the control group followed only the routine hospital rehabilitation program. The effect of treatment was measured using blood serotonin levels and a questionnaire on nicotine dependence, depression, and anger. Both measurements were performed bef...","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"957-963"},"PeriodicalIF":2.6,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2016.0246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39980388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I Felt Like It Was God's Hands Putting the Needles In\": A Qualitative Analysis of the Experience of Acupuncture for Chronic Pain in a Low-Income, Ethnically Diverse, and Medically Underserved Patient Population.","authors":"Benjamin Kligler,&nbsp;Michele Buonora,&nbsp;Jonathan Gabison,&nbsp;Emilie Jacobs,&nbsp;Alison Karasz,&nbsp;M Diane McKee","doi":"10.1089/acm.2014.0376","DOIUrl":"https://doi.org/10.1089/acm.2014.0376","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the experience of patients from a low-income, ethnically diverse medically underserved population receiving acupuncture for chronic pain.</p><p><strong>Design: </strong>Qualitative analysis using inductive thematic analysis of interviews with participants from an acupuncture trial.</p><p><strong>Settings/location: </strong>Four community health centers in the Bronx, New York.</p><p><strong>Participants: </strong>Thirty-seven adults with chronic neck or back pain or osteoarthritis who participated in a previous acupuncture trial.</p><p><strong>Interventions: </strong>Up to 14 weekly acupuncture treatments.</p><p><strong>Outcome measures: </strong>Pain and quality of life were examined in the original trial; this study examines qualitative outcomes.</p><p><strong>Results: </strong>The themes grouped naturally into three domains of the acupuncture experience: the decision-making process, the treatment experience, and the effect of acupuncture on health. Regarding decision-making, important factors were a willingness to try something new even if you do not necessarily \"believe\" in it or have specifically positive expectations; a sense that medications were not working for their pain, that they also caused significant adverse effects, and that natural strategies might be preferable; and a feeling of desperation. Cost and access were significant barriers to acupuncture treatment. Regarding the process of acupuncture, the open and personal communication with the acupuncturist was an important factor, as were the sense that the process of acupuncture related to a natural process of healing or correction within the body and that part of making acupuncture successful required being open to the power of the mind to generate a positive outcome. Regarding the effect of treatment, notable aspects were the deep sense of rest and relaxation participants reported during treatment as well as the benefit they experienced for conditions other than pain.</p><p><strong>Conclusions: </strong>The themes that emerged in this ethnically diverse, low-income population were very similar to those that have emerged over the past decade of qualitative research on the acupuncture experience in other patient populations.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"713-9"},"PeriodicalIF":2.6,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2014.0376","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39977459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}