The Effectiveness of Acupuncture on Addiction Severity Index: A Single Case Experimental Design in a Case of Methamphetamine Abuser Patient With Trismus Syndrome

Bijan Pirnia; Elaheh Najaf; Ali Akbar Soleimani; Parastoo Malekanmehr; Kambiz Pirnia

E-ISSN : 2148-9696

Crescent Journal of
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Jul 2018, Vol 5, Issue 3

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Case Report
The Effectiveness of Acupuncture on Addiction Severity Index: A Single Case Experimental Design in a Case of Methamphetamine Abuser Patient With Trismus Syndrome
Bijan Pirnia^1,2, Elaheh Najaf³, Ali Akbar Soleimani⁴, Parastoo Malekanmehr⁵, Kambiz Pirnia⁶
¹Department of Psychology, Faculty of Humanities, University of Science and Culture, Tehran, Iran ²Behavioral Sciences Research Center of Shahid Beheshti University of Medical Sciences, Tehran, Iran ³Department of Clinical Psychology, Islamic Azad University Branch of Arak, Arak, Iran ⁴Department of Psychology, Faculty of Humanities, University of Science and Culture, Tehran, Iran ⁵Department of Clinical Psychology, Islamic Azad University Branch of Hamedan, Hamedan, Iran ⁶Technical Assistant in Bijan Center for Substance Abuse Treatment, Tehran, Iran
CJMB 2018; 5: 265–267 Viewed : 3370 times Downloaded : 2514 times. Keywords : Acupuncture, Stimulus, Trismus, Addiction
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Abstract

Trismus is one of the side effects of methamphetamine use which is associated with contractions of the jaw muscles. Acupuncture is a traditional and complementary treatment that is effective in reducing pain and psychological indices. The purpose of this study was to investigate the effectiveness of the acupuncture in a case of trismus caused by methamphetamine abuse. The patient was a 31-year-old man with a history of chronic methamphetamine use, reported to have dependence and severe jaw pain. In a single case study and in an ABAB design with multi-baselines, we used acupuncture for 3 weeks to reduce pain and addiction severity index (ASI). Data were analyzed through a generalized estimating equation (GEE). The results showed that there was no signifcant correlation between severity of addiction and pain (P > 0.05). Due to damage caused in the process of production of tyrosine hydroxylase and mitogen-activated protein kinase and the role of these precursors in the production of dopamine as an effective factor in the acupuncture, the effectiveness of this treatment can be limited.