{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:54:02Z","timestamp":1777380842510,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T00:00:00Z","timestamp":1639180800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100016414","name":"Stiftelsen Lindhaga","doi-asserted-by":"publisher","award":["2016"],"award-info":[{"award-number":["2016"]}],"id":[{"id":"10.13039\/100016414","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acupunct Med"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Anorexia nervosa (AN) is a life-threatening illness. Sometimes long inpatient treatment is necessary, increasing the anxiety that comes with hospitalization and the necessary weight gain. Safe, non-pharmacological adjunctive therapies that improve subjective health are called for.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The aim of this non-randomized, mixed-methods observational study was to describe the utilization rate and nurses\u2019 experiences of ear acupuncture in a highly specialized clinic for eating disorders in Sweden, in which acupuncture had been implemented as part of routine clinical care. Twenty-five patients with AN-treated voluntarily or by law were included. The semi-standardized National Acupuncture Detoxification Association (NADA) ear acupuncture protocol, sometimes combined with needling at 2 traditional acupuncture point locations on the body, had been implemented as a voluntary adjunct to usual care, twice weekly. To evaluate the acceptance of acupuncture, the study examined how often patients chose acupuncture when offered on schedule, and how often they asked for extra acupuncture sessions. Patients rated their subjective health using the hospital anxiety and depression scale (HADS) and visual analogue scale (VAS), treatment satisfaction with usual care and acupuncture, and health-related quality of life with the RAND36 instrument. A credibility\/expectancy questionnaire (CEQ) was used to measure confidence in treatment. Body mass index (BMI) was calculated to follow the patients\u2019 recovery. Nurses\u2019 experiences of giving acupuncture as a part of routine care were captured in interviews, and analysed with content analysis. Ethical approval was obtained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Despite an initially moderate level of trust in acupuncture, the utilization rate of the scheduled acupuncture was 89% and patients asked for extra acupuncture sessions on 28 occasions. No serious side effects were reported. Nurses\u2019 experiences of providing acupuncture were positive. They were generally enthusiastic, although they reported finding it difficult to organize group treatments and to find time for acupuncture sessions if they were not scheduled.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Further research into the effectiveness and costs of acupuncture in psychiatric care is needed. This study provides relevant information for clinicians as well as researchers planning future randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09645284211056948","type":"journal-article","created":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T04:15:55Z","timestamp":1639196155000},"page":"322-332","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Ear acupuncture as an adjunct in a treatment protocol for anorexia nervosa: utilization rate and nurses\u2019 experience"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5595-5774","authenticated-orcid":false,"given":"Kajsa","family":"Landgren","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden"},{"name":"Psychiatric Clinic in Lund, Office of Psychiatry and Habilitation, Region Sk\u00e5ne, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,12,11]]},"reference":[{"key":"bibr1-09645284211056948","unstructured":"National Institute for Health and Care Excellence (NICE). Eating disorders: recognition and treatment, full guideline. In: Excellence NIfHaC (ed.). NICE, 2017, https:\/\/www.nice.org.uk\/guidance\/ng69 (accessed 22 June 2017)."},{"key":"bibr2-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718002088"},{"key":"bibr3-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000360"},{"key":"bibr4-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1177\/1359105311419270"},{"key":"bibr5-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.794"},{"key":"bibr6-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2239"},{"key":"bibr7-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2016.03.002"},{"key":"bibr8-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2007.7040"},{"key":"bibr9-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1002\/hbm.20583"},{"key":"bibr10-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/495684"},{"key":"bibr11-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/786839"},{"key":"bibr12-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6882-13-308"},{"key":"bibr13-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2015.1134"},{"key":"bibr14-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2019.02.013"},{"key":"bibr15-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2010.09.006"},{"key":"bibr16-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2013.0142"},{"key":"bibr17-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2017.1303858"},{"key":"bibr18-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2019.1663567"},{"key":"bibr19-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22005"},{"key":"bibr20-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12028"},{"key":"bibr21-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2020.1744203"},{"key":"bibr22-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2018.1534908"},{"key":"bibr23-09645284211056948","doi-asserted-by":"publisher","DOI":"10.2147\/SAR.S99161"},{"key":"bibr24-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2015.0283"},{"key":"bibr25-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/506758"},{"key":"bibr26-09645284211056948","volume-title":"Designing and conducting mixed methods research","author":"Creswell JW","year":"2017","edition":"3"},{"key":"bibr27-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1016\/S1499-4046(06)60097-3"},{"key":"bibr28-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"issue":"4","key":"bibr29-09645284211056948","first-page":"199","volume":"88","author":"Vincent C","year":"1995","journal-title":"J R Soc Med"},{"key":"bibr30-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00012"},{"key":"bibr31-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1002\/hec.4730020305"},{"key":"bibr32-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-016-1047-8"},{"key":"bibr33-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2015.01.007"},{"key":"bibr34-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1186\/1878-5085-3-15"},{"key":"bibr35-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2013.08.015"},{"key":"bibr36-09645284211056948","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-290"}],"container-title":["Acupuncture in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09645284211056948","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09645284211056948","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09645284211056948","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:19:08Z","timestamp":1777367948000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09645284211056948"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,11]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1177\/09645284211056948"],"URL":"https:\/\/doi.org\/10.1177\/09645284211056948","relation":{},"ISSN":["0964-5284","1759-9873"],"issn-type":[{"value":"0964-5284","type":"print"},{"value":"1759-9873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,11]]}}}