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Acupuncture and Hypnosis for Pain Management in a Child with Acute Lymphoblastic Leukemia: A Single-Case Experimental Design | ||
| Middle East Journal of Cancer | ||
| مقاله 20، دوره 13، شماره 1 - شماره پیاپی 49، فروردین 2022، صفحه 177-182 اصل مقاله (742.15 K) | ||
| نوع مقاله: Case Report(s) | ||
| شناسه دیجیتال (DOI): 10.30476/mejc.2021.85868.1310 | ||
| نویسندگان | ||
| Bijan Pirnia* 1، 2؛ Parastoo Malekanmehr3؛ Paria Sadeghi4؛ Kambiz Pirnia5؛ Alireza Zahiroddin6 | ||
| 1Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
| 2Bijan Center for Substance Abuse Treatment, Tehran, Iran | ||
| 3Department of Psychology, Faculty of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran | ||
| 4Department of Psychology, Faculty of Psychology, Tehran Science and Research Branch, Islamic Azad University, Tehran, Iran | ||
| 5Cardiology Fellowship, Technical Assistant in Bijan Center for Substance Abuse Treatment, Tehran, Iran | ||
| 6Department of Psychiatry, Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
| چکیده | ||
| Burn and wound care process for children is very painful and distressing. Hypnosis is used as a technique to reduce pain and anxiety caused by burns in adults. Acupuncture is also applied to reduce pain and improve psychological indices. However, the effectiveness of the two treatments in children has not been compared so far. In a single-case experimental design, from October 2015 to June 2016, an eight-year-old child with acute lymphoblastic leukemia and a severe left-hand burn was selected through the purposely sampling method and was treated in the form of a reverse A1B1A2B2 design in four time intervals, including sham, acupuncture, natural hypnosis, and clinical hypnosis, and was evaluated over a 24-week period. Data were analyzed via generalized estimation equation (GEE) and Repeated Measures Correlation (rmcorr) SPSS version 22. The primary outcomes showed that hypnosis had a significant effect on pain and anxiety (all P values < 0.05) and did not have any effect on the salivary cortisol level (P = 0.93). Additionally, acupuncture had a significant effect on reducing the pain, anxiety, and cortisol levels (all P values < 0.05). Secondary outcomes revealed a significant positive correlation between pain, anxiety, and cortisol (all P values < 0.01). The results of this study, consistent with the research background, indicated the effectiveness of each treatment on specific physical and psychological indices. These results can be considered in designing appropriate therapeutic programs although the explanation of the gap between the effectiveness of the two treatments requires further studies. | ||
| کلیدواژه‌ها | ||
| Hypnosis؛ Acupuncture؛ Burn؛ Cancer؛ Pain | ||
| اصل مقاله | ||
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How to cite this article: Pirnia B, Malekanmehr P, Sadeghi P, Pirnia K, Zahiroddin A. Acupuncture or hypnosis for pain management in a child with acute lymphoblastic leukemia: A single-case experimental design. Middle East J Cancer. 2022;13(1):177-82. doi: 10.30476/mejc.2021.85868.1310. | ||
| مراجع | ||
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1.Greaves M. COVID-19 and childhood acute lymphoblastic leukemia. Pediatr Blood Cancer. 2020;67(12):e28481. doi: 10.1002/pbc.28481. 2.Chester SJ, Stockton K, De Young A, Kipping B, Tyack Z, Griffin B, et al. Effectiveness of medical hypnosis for pain reduction and faster wound healing in pediatric acute burn injury: study protocol for a randomized controlled trial. Trials. 2016;17(1):223. doi: 10.1186/s13063-016-1346-9. 3.Pirnia B, Pirnia K, Mohammadpour S, Malekanmehr P, Soleimani A, Mahmoodi Z, et al. The effectiveness of acupuncture on HPA functional in depressed patients under methadone maintenance treatment, a randomized double-blind sham-controlled trial. Asian J Psychiatr. 2018;36:62-3. doi: 10.1186/s13063-016-1346-9. 4.Baker TE, Chang G. The use of auricular acupuncture in opioid use disorder: A systematic literature review. Am J Addict. 2016;25(8):592-602. doi: 10.1111/ajad. 12453. 5.Pirnia B, Pirnia K. Comparison of two mindfulness-based cognitive therapies and acupuncture on the pain and depression index in a case with lobular carcinoma: A single case experimental study. Int J Cancer Manag. 2018;11(6):e65641. doi: 10.5812/ijcm.65641. 6.Pirnia B, Pirnia K, Zahiroddin A. Auricular acupuncture for craving in a single-subject case study of woman with fibromyalgia and chronic ecstasy use. Iran J Public Health. 2018; 47(7): 1055-7. 7.Pirnia B, Nakhost HRT, Pirnia K, Moradi AR, Teimouri M. Ear acupuncture in treating trismus-syndrome: A case report. Ann Med Health Sci Res. 2017;7:97-8. 8.Provençal S-C, Bond S, Rizkallah E, El-Baalbaki G. Hypnosis for burn wound care pain and anxiety: A systematic review and meta-analysis. Burns. 2018;44(8):1870-81. doi: 10.1016/j.burns.2018.04.017. 9.Jafarizadeh H, Lotfi M, Ajoudani F, Kiani A, Alinejad V. Hypnosis for reduction of background pain and pain anxiety in men with burns: A blinded, randomised, placebo-controlled study. Burns. 2018;44(1):108-17. doi: 10.1016/j.burns.2017.06.001. 10.Chellew K, Evans P, Fornes-Vives J, Pérez G, Garcia-Banda G. The effect of progressive muscle relaxation on daily cortisol secretion. Stress. 2015;18(5):538-44. doi: 10.3109/10253890.2015.1053454. | ||
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