Auricular Acupressure Improves Habit Reversal Treatment for Nail Biting

Sun, Dawei; Keyimu, Reziwan; Wang, Jiangtao; Zhang, Jie; Cao, Min; Wang, Xing; Wang, Xuan; Liu, Jia; Li, Boqi; Dilimaolati, Refukati; Liu, Zhong

doi:10.1089/acm.2018.0063

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…The sample size calculation was performed for a comparison between APT and control APT with a hypothesis of superiority and a two-side (α = 0.05) paired-samples-test to provide 80% power. Expecting to find a 30% difference in anxiety levels between the Method A and Method B, the number of participants needed was calculated to be 19 for each group to complete the study ( 13 , 40 ). However, given the high trial dropout rates for a two-sequence, two-period crossover design, we expected that recruitment of more than 40 enrollees for each group would yield the above number of completers.…”

Section: Methodsmentioning

confidence: 99%

“…One procedure comprised anxiety-reducing auricular acupressure plus Tell-Show-Do (TSD). APT was performed using five pressure points ( Figure 2 ) with demonstrated anxiety-reducing effects: the sympathetic point (MA-AH7), Sanjiao point (MA-IC4), heart point (MA-IC), Shenmen point (MA-TF1), and adrenal gland point (MA-TG) ( 13 – 16 ). The other method comprised “placebo”/control auricular acupressure plus TSD.…”

Section: Methodsmentioning

confidence: 99%

“…Additionally, point acupuncture can help reduce pain and autonomic excitability when children undergo local dental anesthesia ( 40 ). Previously, we have established that auricular acupressure can help nail biters overcome their anxiety and break the habit ( 13 ). Thus, these data indicated that auricular acupressure may help alleviate anxiety and pain in children receiving dental caries therapy.…”

Section: Introductionmentioning

confidence: 99%

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Randomized Crossover Study of Auricular Plaster Therapy to Relieve Dental Anxiety in Children

2022

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ObjectiveTo determine if auricular plaster therapy (APT) can alleviate dental anxiety in children aged 9 or 10 years old.MethodsA crossover research was conducted on children with at least two deep-arrested deciduous molar caries (N = 80?). The first group (N = 40) received APT intended to reduce anxiety prior to the first caries treatment, whereas the second group (N = 40) received placebo/control APT (no anticipated impact on anxiety). The APT approaches were exchanged after a washout period following the initial caries treatment. Additionally, both groups were also informed and given a demonstration regarding the procedures and equipment prior to their use as part of a Tell-Show-Do (TSD) protocol. The dentists, children, and parents were all involved in assessing the level of anxiety using general anxiety scales. Moreover, the average heart rate and salivary cortisol concentration, both of which are indications of anxiety, were compared between the pre- and post-intervention periods. The participants were unaware of the type of APT that was employed (anti-anxiety vs. control). To avoid inadvertently influencing the outcome, all psychologists, investigators, and data recorders were blinded to the randomized subject sequence.ResultsChildren treated with anti-anxiety APT demonstrated significantly higher levels of obedience than children treated with control APT (P < 0.05). In addition, children treated with APT had a lower average heart rate while awaiting treatment, undergoing local anesthesia, and receiving dental caries treatment (P < 0.05). These children had reduced salivary cortisol levels while awaiting treatment (P < 0.05).ConclusionAnti-anxiety APT can help relieve dental anxiety in children.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Randomized Crossover Study of Auricular Plaster Therapy to Relieve Dental Anxiety in Children

2022

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“…Kulak akupunkturu anksiyeteyi azaltarak HRT'nin etkinliğini arttırır. [20] Tiksinti tekniği ise pekiştirmeli öğrenme içerdiğinden kendini sonlandıran ve yeniden başlatan bir süreçtir. Aynı zamanda tiksinti tekniği ve mekanik mevcudiyet kaçınmada bir hatırlatıcıdır.…”

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A neglected issue 'Onicophagia': Diagnosis and treatment approaches

Gül¹

2021

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Onychophagia is a common and compulsive habit that begins in childhood, which is observed in 20-30% of the general population. It is a stereotypic behavioral disorder related to the body and is likely to be evaluated in the OCD spectrum. It is not an isolated symptom and requires a chronic process with pharmacological treatment and cognitive behavioral therapies in a wide psychosocial perspective by investigating accompanying psychiatric disorders and stereotypical behaviors. In this review, literature information about onychophagia is reviewed.

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“…13 A habit reversal treatment in combination with auricular acupressure was found more effective than habit reversal treatment in combination with placebo auricular acupressure for treating nail biting. 14…”

Section: Therapymentioning

confidence: 99%

Onychophagia as a clinical symptom: A pilot study of physicians and literature review

2021

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Although onychophagia is a medical condition and is associated with poorer health, there are no guidelines for assessment or treatment. The purpose of this study was to investigate the clinical aspects of nail biting from doctors’ points of view, to estimate the prevalence of onychophagia among physicians, and to review the literature on and treatment methods for onychophagia. Twenty-four percent of doctors reported nail-biting periods during their lifetimes, and 2% of them remained active nail biters. A total of 64.4% of doctors see nail biting in their practices, and 60.6% never or only on request ask patients about nail biting and examine their nails. Family doctors and pediatricians ask their patients about nail biting most often. Attitudes and opinions on the treatment of nail biting are undefined and vary. Doctors reported usually treating nail-biting patients by referring them to another specialist or offering special nail polish. There is a need to improve physicians’ knowledge of nail-biting treatment methods, but a lack of studies evaluating the clinical aspects of onychophagia and its relation to mental health and emotion dysregulation. Further research is needed. Clinical attitudes toward nail biting could be more precise in training and medical practice.

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Auricular Acupressure Improves Habit Reversal Treatment for Nail Biting

Abstract: Auricular acupressure appears to improve the efficacy of habit reversal treatment, likely by reducing anxiety.

Cited by 5 publications

References 26 publications

Randomized Crossover Study of Auricular Plaster Therapy to Relieve Dental Anxiety in Children

Randomized Crossover Study of Auricular Plaster Therapy to Relieve Dental Anxiety in Children

A neglected issue 'Onicophagia': Diagnosis and treatment approaches

Onychophagia as a clinical symptom: A pilot study of physicians and literature review

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