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ychosozialer Dienst Leibnitz Euro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric patients in outpatient settings Euro-Nada Conference 2013

Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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Page 1: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 2: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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.

Page 3: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 4: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• Clinical-psychological treatment

• Psychotherapy

• Psychological diagnostics

• Medical attendance and information about mental health and medication

Services

Page 5: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 6: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

The procedure of NADA ear acupuncture was executed strictly

based on NADA protocol.

Page 7: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 8: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 9: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 10: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• headache

• fatigue

• concentration disorders / memory retention

• agitation

Symptoms

Page 11: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• tension

• tremor

• anxiety

• insecurity

Symptoms

Page 12: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• revolving thoughts / brooding

• tension of muscles

• heart palpitations

• aggressiveness

• troubles falling asleep and insomnia

Symptoms

Page 13: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 14: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Diagnoses

• Depression

• Anxiety disorder / panic disorder

• Burn-out

• Bipolar disorder

Page 15: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

• Alcohol abuse

• Additional declared diagnoses:

Tourette Syndrome, Tinnitus,

chronic pain, acute pain

Diagnoses

Page 16: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 17: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 18: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 19: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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.

Page 20: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 21: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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.

Page 22: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 23: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 24: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 25: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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.

Page 26: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 27: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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.

Page 28: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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

Page 29: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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.

Page 30: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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!

Page 31: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

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.

Page 32: Psychosozialer Dienst LeibnitzEuro-NADA Conference 2013 Psychosozialer Dienst Leibnitz Effectiveness of NADA ear acupuncture for addicted, psychiatric

Psychosozialer Dienst Leibnitz Euro-NADA Conference 2013

Psychosoziale Beratungsstelle Leibnitz

Wagnastraße 1/1

8430 Leibnitz

03452 / 72 6 47

[email protected]

www.gfsg.at