The Impact of Acupuncture on self-perceived Stress and ADHD Core Symptomatology in an adult, Atomoxetine-taking ADHD Participant. An in-depth Single Case Study
By Nils May - Online MSc - Advanced Oriental Medicine
Abstract
Introduction/Background
Attention Deficit Hyperactivity Disorder (ADHD) affects both children/adolescents and adults; its core symptoms are inattention, hyperactivity and impulsivity, impairing the social and professional life of those affected. It is associated with an increased level of self -perceived stress.
Aims/objectives
To evaluate the impact acupuncture has on self -perceived stress and ADHD core symptomatology in one adult, atomoxetine -taking ADHD participant, compared to atomoxetine (ATX) alone.
Methodology
The research question was investigated through an in-depth single case study, applying a mixed methods approach. The participant completed two rating scales: the Current Symptom Scale CSS, and the Perceived Stress Scale PSS, once during their usual ATX -intake, thrice during an acupuncture-based intervention phase (8 weeks), and twice after completion. Semi-structured interviews were held twice. Questionnaires/rating-scales data were statistically analysed. Interview data underwent a content analysis. A triangulation was implemented as well.
Findings
The total score of the PSS decreased by 31%. The total score of the CSS decreased by 47%. The attention deficit -related subgroup score decreased by 39%. The functionality impairment score decreased by 55%. The hyperactivity-/impulsivity-related subgroup score decreased by 53%; the impulsivity score decreased by 30%. Content analysis of the post-interventional interview showed perceived increased controllability, (self-) awareness and centeredness, enhanced ability to focus, and increased self-efficiency through improved coping with stressful experiences. Acupuncture-treatments, accompanying the participant’s regular ATX intake, positively affected the participant’s hyperactivity/restlessness and his attention deficit. Combined treatment was perceived as more beneficial than pharmaceutical treatment alone. Triangulation detected a high level of content-related convergence.
Conclusion
Acupuncture treatment appears to have positively impacted both self-perception of stress and ADHD core symptomatology. Due to limitations and risks of bias (ROBs) associated with the design, no concrete conclusions regarding a potential method-related specificity can be drawn. Findings appear promising. Further research with larger samples and more robust design is recommended.
Publication
This article, written by Nils and his co-author Ashley Bennett, is available on PubMed and freely accessible by clicking the link below:
