Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness...

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013Psychosozialer Dienst Leibnitz

Effectiveness of NADA ear acupuncture for

addicted, psychiatric patients in outpatient settings

Euro-Nada Conference 2013

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Psychosocial Center Leibnitz

• The range of services offered in this psychosocial center is focused on individuals with psychological and social questions as well as on their relatives.

• Especially people who have mental disorders and are in a crisis situation are supplied with professional help.

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• Consultation and clarification for individuals and concerned immediate family.

• Assistance with mental-health problems and psychiatric problems

• Crisis intervention

• Group therapies

Services

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• Clinical-psychological treatment

• Psychotherapy

• Psychological diagnostics

• Medical attendance and information about mental health and medication

Services

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Basic conditions of NADA in PSZ LB

• Explanation of possible effects and adverse reaction

• Signing the letter of agreement

• once a week

• Limited: max. amount of treatments = 20

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

The procedure of NADA ear acupuncture was executed strictly

based on NADA protocol.

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Methodology and evaluation

• Structured questionnaire

• Time frame October 2012 to June 2013

• Survey carried out– before the 1st treatment– after the 10th and – after the 20th

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• Evaluation in scaling range from 1 to 5

1= never

2= seldom

3= sometimes

4= often

5= always

Methodology and evaluation

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• Statistical evaluation of individual symptoms

• Calculation of average value and deviation

• Test of statistical significance / T-sample Test

• Statistical Software Minitab 15.0

• Boxplot Graphics

Methodology and evaluation

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• headache

• fatigue

• concentration disorders / memory retention

• agitation

Symptoms

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• tension

• tremor

• anxiety

• insecurity

Symptoms

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• revolving thoughts / brooding

• tension of muscles

• heart palpitations

• aggressiveness

• troubles falling asleep and insomnia

Symptoms

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Methodology and evaluation

• 26 test persons • 80,89% female• 19,11 % male• 61% additionally participated in therapy,

other therapeutic groups and received information on medication

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Diagnoses

• Depression

• Anxiety disorder / panic disorder

• Burn-out

• Bipolar disorder

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• Alcohol abuse

• Additional declared diagnoses:

Tourette Syndrome, Tinnitus,

chronic pain, acute pain

Diagnoses

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Total evaluation of all 15 symptoms

Two-sample T for GesamtbewertungAnzahl N Mean StDev SE Mean 0 26 3,282 0,784 0,1520 26 2,582 0,563 0,11Difference = mu ( 0) - mu (20); Estimate for difference: 0,700T-Test of difference = 0 (vs not =): T-Value = 3,70 P-Value = 0,001 DF = 50

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• The total evaluation of all 26 probands over a number of 20 NADA treatments shows a continual, statistically significant improvement of all 15 recorded subjective conditions from 3.282 to 2.582.

• Statistical significance: p-value <= 0,01

Total evaluation of all 15 symptoms

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptom Fatigue

Two-sample T for MüdigkeitAnzahl N Mean StDev SE Mean 0 26 3,77 1,11 0,2220 26 2,962 0,662 0,13Difference = mu ( 0) - mu (20); Estimate for difference: 0,808T-Test of difference = 0 (vs not =): T-Value = 3,19 P-Value = 0,003 DF = 40

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptom Fatigue

• The results of the symptoms of „fatigue“ show a statistically significant improvement from 3.77 to 2.962.

• Clients felt pleasantly recovered after the NADA treatment, as if they had had a good nights’ sleep. This noticeable recovery lasted for one day only in most cases.

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptoms Agitation and Tension

Anzahl N Mean StDev SE Mean 0 26 3,69 1,19 0,2320 26 2,69 1,01 0,20T-Test of difference = 0 (vs not =): T-Value = 3,26 P-Value = 0,002 DF = 48

Anzahl N Mean StDev SE Mean 0 26 3,85 1,22 0,2420 26 2,85 1,12 0,22T-Test of difference = 0 (vs not =): T-Value = 3,07 P-Value = 0,003 DF = 49

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptoms Agitation and Tension

• The corresponding assessment to the criteria „agitation and tension“ also shows a statistically significant improvement from 3.84 to 2.84.

• This can already be observed during the NADA treatment. Clients often arrive at the treatment setting nervously and unsettled and recount a very hectic and turbulent week. During the 40 minutes of treatment clients visibly calm down.

• This calmness and sometimes even serenity changes into agitation and tension again after three days . This was also observed and confirmed by the clients’ relatives.

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptom Anxiety

Two-sample T for AngstAnzahl N Mean StDev SE Mean 0 26 3,19 1,36 0,2720 26 2,269 0,962 0,19Difference = mu ( 0) - mu (20); Estimate for difference: 0,923T-Test of difference = 0 (vs not =): T-Value = 2,83 P-Value = 0,007 DF = 45

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• “Anxiety” shows a statistically significant improvement from 3.2 to 2.7.

• This change was described as being frequently able to go to places that have a negative meaning for the client.For instance: go shopping without or with less fear due to the regular NADA treatments.

Symptom Anxiety

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptoms Revolving thoughts & Brooding

Anzahl N Mean StDev SE Mean 0 26 3,77 1,18 0,2320 26 2,654 0,846 0,17T-Test of difference = 0 (vs not =): T-Value = 3,92 P-Value = 0,000 DF = 45

Anzahl N Mean StDev SE Mean 0 26 3,69 1,19 0,2320 26 2,654 0,892 0,17T-Test of difference = 0 (vs not =): T-Value = 3,56 P-Value = 0,001 DF = 46

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptoms Revolving thoughts & Brooding

• “Revolving thoughts and brooding“ show an almost identical statistically significant improvement in all 20 NADA treatments.

• Some clients describe the moment of NADA treatment as „sort of rearranging one’s thoughts“. It is only described as a momentary change, without lasting effects.

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Anzahl N Mean StDev SE Mean 0 26 1,885 0,952 0,1920 26 2,269 0,919 0,18Difference = mu ( 0) - mu (20); Estimate for difference: -0,385T-Test of difference = 0 (vs not =): T-Value = -1,48 P-Value = 0,145 DF = 49

Symptom Aggressiveness

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptom Aggressiveness

• An increase in aggressiveness at first appeared to be a paradox.

• But in the following one-on-one conversations clients reported an increased assertiveness, a higher ability to take a stand against things and to be able to set boundaries better.

• Clients were also able to voice their needs properly. This was also confirmed by their relatives.

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptoms Troubles falling asleep and Insomnia

Anzahl N Mean StDev SE Mean 0 26 3,31 1,41 0,2820 26 2,385 0,983 0,19T-Test of difference = 0 (vs not =): T-Value = 2,74 P-Value = 0,009 DF = 44

Anzahl N Mean StDev SE Mean 0 26 3,58 1,33 0,2620 26 2,692 0,970 0,19T-Test of difference = 0 (vs not =): T-Value = 2,74 P-Value = 0,009 DF = 45

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Symptoms Troubles falling asleep and Insomnia

• The symptom „troubles falling asleep and insomnia” shows a statistically significant improvement.

P-Value = 0,009

• Clients describe that they fall asleep more easily and sleep through the night after NADA treatment. But these positive changes only last for two to three days.

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Clients’ statements

• NADA is a time-out for my soul.

• One hour of holiday, that‘s what NADA is to me.

• I am able to sleep, finally.

• Through NADA I have found a way to more patience.

• The group, the needles, the silence, I can feel myself again. THANKS!

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Forecast

• From October 2013 onwards PSZ Leibnitz will start pearl-therapy groups in addition to NADA ear acupuncture.

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Psychosoziale Beratungsstelle Leibnitz

Wagnastraße 1/1

8430 Leibnitz

03452 / 72 6 47

psz.leibnitz@gfsg.at

www.gfsg.at