Fear of acupuncture enhances sympathetic activation to acupuncture stimulation
Background Acupuncture treatment frequently evokes both pain and fear, causing patients to be hesitant about undergoing the procedure. This study investigated individual differences in autonomic response to acupuncture stimulation and its relationship to fear of the procedure. Methods Twenty-seven p...
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Veröffentlicht in: | Acupuncture in medicine : journal of the British Medical Acupuncture Society 2013-09, Vol.31 (3), p.276-281 |
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creator | Lee, In-Seon Jo, Hee-Jin Lee, Soon-Ho Lee, Hyangsook Lee, Hyejung Park, Hi-Joon Chae, Younbyoung |
description | Background Acupuncture treatment frequently evokes both pain and fear, causing patients to be hesitant about undergoing the procedure. This study investigated individual differences in autonomic response to acupuncture stimulation and its relationship to fear of the procedure. Methods Twenty-seven participants filled out the acupuncture fear scale (AFS) questionnaire and underwent acupuncture stimulation at the LI4 acupuncture point. Autonomic responses were measured by recording the skin conductance response (SCR) throughout acupuncture stimulation. Pearson correlation analysis was performed between the self-reported AFS scores and changes in SCR. Results After acupuncture stimulation, SCR significantly increased and there were greater individual differences in enhanced sympathetic activations to acupuncture stimulation. Changes in SCR correlated with scores for the painful sensation domain of the AFS. Conclusions Our results indicate that fear of acupuncture-induced pain is associated with physiological arousal when people receive acupuncture stimulation. Fear of pain is the dominant factor in acupuncture-related fear and it should be considered in practice and in research. |
doi_str_mv | 10.1136/acupmed-2012-010291 |
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This study investigated individual differences in autonomic response to acupuncture stimulation and its relationship to fear of the procedure. Methods Twenty-seven participants filled out the acupuncture fear scale (AFS) questionnaire and underwent acupuncture stimulation at the LI4 acupuncture point. Autonomic responses were measured by recording the skin conductance response (SCR) throughout acupuncture stimulation. Pearson correlation analysis was performed between the self-reported AFS scores and changes in SCR. Results After acupuncture stimulation, SCR significantly increased and there were greater individual differences in enhanced sympathetic activations to acupuncture stimulation. Changes in SCR correlated with scores for the painful sensation domain of the AFS. Conclusions Our results indicate that fear of acupuncture-induced pain is associated with physiological arousal when people receive acupuncture stimulation. Fear of pain is the dominant factor in acupuncture-related fear and it should be considered in practice and in research.</description><identifier>ISSN: 0964-5284</identifier><identifier>EISSN: 1759-9873</identifier><identifier>DOI: 10.1136/acupmed-2012-010291</identifier><identifier>PMID: 23644719</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>ACUPUNCTURE ; Acupuncture Points ; Acupuncture Therapy - psychology ; Adolescent ; Adult ; CLINICAL PHYSIOLOGY ; Fear ; Female ; Galvanic Skin Response ; Humans ; Male ; Pain - etiology ; Pain - psychology ; PAIN RESEARCH ; Surveys and Questionnaires ; Sympathetic Nervous System - physiology ; Young Adult</subject><ispartof>Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2013-09, Vol.31 (3), p.276-281</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright British Medical Acupuncture Society Sep 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b410t-91063a5069b6c5d3dbecbf08680698a13b85ac7461198c859f7f58c792c84c813</citedby><cites>FETCH-LOGICAL-b410t-91063a5069b6c5d3dbecbf08680698a13b85ac7461198c859f7f58c792c84c813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23644719$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, In-Seon</creatorcontrib><creatorcontrib>Jo, Hee-Jin</creatorcontrib><creatorcontrib>Lee, Soon-Ho</creatorcontrib><creatorcontrib>Lee, Hyangsook</creatorcontrib><creatorcontrib>Lee, Hyejung</creatorcontrib><creatorcontrib>Park, Hi-Joon</creatorcontrib><creatorcontrib>Chae, Younbyoung</creatorcontrib><title>Fear of acupuncture enhances sympathetic activation to acupuncture stimulation</title><title>Acupuncture in medicine : journal of the British Medical Acupuncture Society</title><addtitle>Acupunct Med</addtitle><description>Background Acupuncture treatment frequently evokes both pain and fear, causing patients to be hesitant about undergoing the procedure. This study investigated individual differences in autonomic response to acupuncture stimulation and its relationship to fear of the procedure. Methods Twenty-seven participants filled out the acupuncture fear scale (AFS) questionnaire and underwent acupuncture stimulation at the LI4 acupuncture point. Autonomic responses were measured by recording the skin conductance response (SCR) throughout acupuncture stimulation. Pearson correlation analysis was performed between the self-reported AFS scores and changes in SCR. Results After acupuncture stimulation, SCR significantly increased and there were greater individual differences in enhanced sympathetic activations to acupuncture stimulation. Changes in SCR correlated with scores for the painful sensation domain of the AFS. Conclusions Our results indicate that fear of acupuncture-induced pain is associated with physiological arousal when people receive acupuncture stimulation. Fear of pain is the dominant factor in acupuncture-related fear and it should be considered in practice and in research.</description><subject>ACUPUNCTURE</subject><subject>Acupuncture Points</subject><subject>Acupuncture Therapy - psychology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>CLINICAL PHYSIOLOGY</subject><subject>Fear</subject><subject>Female</subject><subject>Galvanic Skin Response</subject><subject>Humans</subject><subject>Male</subject><subject>Pain - etiology</subject><subject>Pain - psychology</subject><subject>PAIN RESEARCH</subject><subject>Surveys and Questionnaires</subject><subject>Sympathetic Nervous System - physiology</subject><subject>Young Adult</subject><issn>0964-5284</issn><issn>1759-9873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqN0E1LwzAYB_Agis7pJxCk4MVLZtK8H2W-I3Pgy8FLSLMUO9d2Jqm4b29rp6AnT4H8f8_Dwx-AA4xGGBN-YmyzLN0MpginEGGUKrwBBlgwBZUUZBMMkOIUslTSHbAbwhwhJAWj22AnJZxSgdUATC6c8UmdJ922prKx8S5x1YuprAtJWJVLE19cLGwLYvFuYlFXSax_8RCLsll8RXtgKzeL4PbX7xA8Xpw_jK_g7d3l9fj0FmYUowgVRpwYhrjKuGUzMsuczXIkuWy_pMEkk8xYQTnGSlrJVC5yJq1QqZXUSkyG4Ljfu_T1W-NC1GURrFssTOXqJmhMU8WJRKlo6dEfOq8bX7XXtYpJJhhHnSK9sr4OwbtcL31RGr_SGOmubr2uW3d1677udupwvbvJuux75rvfFsAeFCG6j5_c-FfNBRFMT57GesqnZ2fPkxt93_pR77Ny_q8LPgFqfZqR</recordid><startdate>201309</startdate><enddate>201309</enddate><creator>Lee, In-Seon</creator><creator>Jo, Hee-Jin</creator><creator>Lee, Soon-Ho</creator><creator>Lee, Hyangsook</creator><creator>Lee, Hyejung</creator><creator>Park, Hi-Joon</creator><creator>Chae, Younbyoung</creator><general>BMJ Publishing Group Ltd</general><general>Sage Publications Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201309</creationdate><title>Fear of acupuncture enhances sympathetic activation to acupuncture stimulation</title><author>Lee, In-Seon ; Jo, Hee-Jin ; Lee, Soon-Ho ; Lee, Hyangsook ; Lee, Hyejung ; Park, Hi-Joon ; Chae, Younbyoung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b410t-91063a5069b6c5d3dbecbf08680698a13b85ac7461198c859f7f58c792c84c813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>ACUPUNCTURE</topic><topic>Acupuncture Points</topic><topic>Acupuncture Therapy - psychology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>CLINICAL PHYSIOLOGY</topic><topic>Fear</topic><topic>Female</topic><topic>Galvanic Skin Response</topic><topic>Humans</topic><topic>Male</topic><topic>Pain - etiology</topic><topic>Pain - psychology</topic><topic>PAIN RESEARCH</topic><topic>Surveys and Questionnaires</topic><topic>Sympathetic Nervous System - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, In-Seon</creatorcontrib><creatorcontrib>Jo, Hee-Jin</creatorcontrib><creatorcontrib>Lee, Soon-Ho</creatorcontrib><creatorcontrib>Lee, Hyangsook</creatorcontrib><creatorcontrib>Lee, Hyejung</creatorcontrib><creatorcontrib>Park, Hi-Joon</creatorcontrib><creatorcontrib>Chae, Younbyoung</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Acupuncture in medicine : journal of the British Medical Acupuncture Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, In-Seon</au><au>Jo, Hee-Jin</au><au>Lee, Soon-Ho</au><au>Lee, Hyangsook</au><au>Lee, Hyejung</au><au>Park, Hi-Joon</au><au>Chae, Younbyoung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fear of acupuncture enhances sympathetic activation to acupuncture stimulation</atitle><jtitle>Acupuncture in medicine : journal of the British Medical Acupuncture Society</jtitle><addtitle>Acupunct Med</addtitle><date>2013-09</date><risdate>2013</risdate><volume>31</volume><issue>3</issue><spage>276</spage><epage>281</epage><pages>276-281</pages><issn>0964-5284</issn><eissn>1759-9873</eissn><abstract>Background Acupuncture treatment frequently evokes both pain and fear, causing patients to be hesitant about undergoing the procedure. This study investigated individual differences in autonomic response to acupuncture stimulation and its relationship to fear of the procedure. Methods Twenty-seven participants filled out the acupuncture fear scale (AFS) questionnaire and underwent acupuncture stimulation at the LI4 acupuncture point. Autonomic responses were measured by recording the skin conductance response (SCR) throughout acupuncture stimulation. Pearson correlation analysis was performed between the self-reported AFS scores and changes in SCR. Results After acupuncture stimulation, SCR significantly increased and there were greater individual differences in enhanced sympathetic activations to acupuncture stimulation. Changes in SCR correlated with scores for the painful sensation domain of the AFS. Conclusions Our results indicate that fear of acupuncture-induced pain is associated with physiological arousal when people receive acupuncture stimulation. Fear of pain is the dominant factor in acupuncture-related fear and it should be considered in practice and in research.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>23644719</pmid><doi>10.1136/acupmed-2012-010291</doi><tpages>6</tpages></addata></record> |
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subjects | ACUPUNCTURE Acupuncture Points Acupuncture Therapy - psychology Adolescent Adult CLINICAL PHYSIOLOGY Fear Female Galvanic Skin Response Humans Male Pain - etiology Pain - psychology PAIN RESEARCH Surveys and Questionnaires Sympathetic Nervous System - physiology Young Adult |
title | Fear of acupuncture enhances sympathetic activation to acupuncture stimulation |
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