May Nils, Bennett Ashley
Northern College of Acupuncture, York, United Kingdom.
School of Psychology, University of Bedfordshire, Luton, United Kingdom.
Integr Med (Encinitas). 2023 Jul;22(3):28-36.
Attention Deficit Hyperactivity Disorder (ADHD) includes inattention, hyperactivity, and impulsivity as core symptoms and is associated with increased self-perceived stress.
This article evaluates the impact of acupuncture (provided in addition to regular pharmacological treatment with Atomoxetine) on self-perceived stress and ADHD core symptomatology, compared to atomoxetine (ATX) alone.
METHODS/DESIGN: In-depth single case study, involving a mixed methods approach with questionnaires and interviews was used. The participant completed two rating scales. Additionally, semi-structured interviews were held. Qualitative data were subjected to content analysis and both sets of data were triangulated.
Data collection/intervention (treatments) took place at an Acupuncture clinic in Hamburg, Germany, EU.
One adult, atomoxetine-taking ADHD participant.
Acupuncture according to Chinese medicine-diagnosis twice/week, over the course of eight weeks, following a pre-defined but flexible point protocol.
Acupuncture treatments in addition to regular ATX intake positively affected the participant's ADHD symptoms (PSS - 31%, total score of the CSS - 47%). There was a considerable decrease in subgroup scores (attention deficit - 39%; functionality impairment - 55%; hyperactivity/impulsivity - 53%; impulsivity - 30%). Post-interventional interviews showed perceived increased self-control, (self-) awareness and centeredness. Combined treatment was perceived as more beneficial than pharmaceutical treatment alone.
Acupuncture treatment appears to have a positive impact on both self-perception of stress and ADHD core symptomatology. Findings were partially congruent with the reviewed research literature but due to limitations/risks of bias (ROBs) associated with the design, no concrete conclusions regarding a potential method-related specificity can be drawn. Further research with larger samples and a more robust design is recommended.
注意力缺陷多动障碍（ADHD）以注意力不集中、多动和冲动为核心症状，且与自我感知压力增加有关。
本文评估与单独使用托莫西汀（ATX）相比，针刺疗法（在使用托莫西汀进行常规药物治疗的基础上）对自我感知压力和ADHD核心症状的影响。
方法/设计：采用深入的单病例研究，涉及问卷调查和访谈的混合方法。参与者完成了两个评定量表。此外，还进行了半结构化访谈。对定性数据进行了内容分析，并对两组数据进行了三角互证。
数据收集/干预（治疗）在欧盟德国汉堡的一家针灸诊所进行。
一名正在服用托莫西汀的成年ADHD患者。
根据中医诊断进行针刺治疗，每周两次，共八周，遵循预先定义但灵活的穴位方案。
1）当前症状量表（CSS）和感知压力量表（PSS）。2）半结构化访谈。
在常规服用ATX的基础上进行针刺治疗对参与者的ADHD症状产生了积极影响（PSS降低31%，CSS总分降低47%）。各亚组得分有显著下降（注意力缺陷降低39%；功能损害降低55%；多动/冲动降低53%；冲动降低30%）。干预后的访谈显示，参与者自我控制、（自我）意识和专注力有所增强。联合治疗被认为比单纯药物治疗更有益。
针刺治疗似乎对压力的自我感知和ADHD核心症状均有积极影响。研究结果与已审查的研究文献部分一致，但由于该设计存在局限性/偏倚风险，无法就潜在的方法特异性得出具体结论。建议开展更大样本量和更严谨设计的进一步研究。
