Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled Trial
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 d...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Association of Pharmacopuncture Institute
2023-02-01
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| Series: | Journal of Acupuncture & Meridian Studies |
| Subjects: | |
| Online Access: | http://www.journal-jams.org/journal/view.html?doi=10.51507/j.jams.2023.16.1.20 |
| _version_ | 1797902995326763008 |
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| author | Ni-juan Hu Chun-hua Li Pei Wang Gui-wen Wu Liang-xiao Ma Jiang Zhu |
| author_facet | Ni-juan Hu Chun-hua Li Pei Wang Gui-wen Wu Liang-xiao Ma Jiang Zhu |
| author_sort | Ni-juan Hu |
| collection | DOAJ |
| description | 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’ acupuncture-related 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. |
| first_indexed | 2024-04-10T09:25:59Z |
| format | Article |
| id | doaj.art-e2f9df8292a649c5b6042e1bf3e53693 |
| institution | Directory Open Access Journal |
| issn | 2005-2901 |
| language | English |
| last_indexed | 2024-04-10T09:25:59Z |
| publishDate | 2023-02-01 |
| publisher | Medical Association of Pharmacopuncture Institute |
| record_format | Article |
| series | Journal of Acupuncture & Meridian Studies |
| spelling | doaj.art-e2f9df8292a649c5b6042e1bf3e536932023-02-20T04:49:45ZengMedical Association of Pharmacopuncture InstituteJournal of Acupuncture & Meridian Studies2005-29012023-02-01161202910.51507/j.jams.2023.16.1.20j.jams.2023.16.1.20Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled TrialNi-juan Hu0Chun-hua Li1Pei Wang2Gui-wen Wu3Liang-xiao Ma4Jiang Zhu5Capital Medical University Electric Power Teaching Hospital, Beijing, ChinaCapital Medical University Electric Power Teaching Hospital, Beijing, ChinaBeijing Luhe Hospital Affiliated to Capital Medical University, Beijing, ChinaThe First People’s Hospital of Changzhou, Jiangsu, ChinaSchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, ChinaBackground : 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’ acupuncture-related 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.http://www.journal-jams.org/journal/view.html?doi=10.51507/j.jams.2023.16.1.20acupuncturede qiprimary dysmenorrheapsychological factor |
| spellingShingle | Ni-juan Hu Chun-hua Li Pei Wang Gui-wen Wu Liang-xiao Ma Jiang Zhu Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled Trial Journal of Acupuncture & Meridian Studies acupuncture de qi primary dysmenorrhea psychological factor |
| title | Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled Trial |
| title_full | Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled Trial |
| title_fullStr | Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled Trial |
| title_full_unstemmed | Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled Trial |
| title_short | Influence of Psychological Factors in Primary Dysmenorrhea Patients on De qi: a Secondary Analysis of a Randomized Controlled Trial |
| title_sort | influence of psychological factors in primary dysmenorrhea patients on de qi a secondary analysis of a randomized controlled trial |
| topic | acupuncture de qi primary dysmenorrhea psychological factor |
| url | http://www.journal-jams.org/journal/view.html?doi=10.51507/j.jams.2023.16.1.20 |
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