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
Hauptverfasser: Lee, In-Seon, Jo, Hee-Jin, Lee, Soon-Ho, Lee, Hyangsook, Lee, Hyejung, Park, Hi-Joon, Chae, Younbyoung
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container_end_page 281
container_issue 3
container_start_page 276
container_title Acupuncture in medicine : journal of the British Medical Acupuncture Society
container_volume 31
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. 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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.</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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