{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:56:20Z","timestamp":1777380980897,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acupunct Med"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nosocomephobia, a type of posttraumatic stress disorder (PTSD), is a diagnosis of an extreme fear of hospitals that can hinder current\/future medical care. There is little research on how nosocomephobia affects elective surgery or how acupuncture can help patients cope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using the transactional model of stress\/coping, this qualitative case study examined the role of acupuncture in nosocomephobia patients\u2019 elective surgery appraisal processes. Two patients were interviewed about their nosocomephobia and prior hospital experiences. Six reviewers coded interview transcripts line-by-line using Dedoose software. Reviewers labeled meaningful words, phrases and sentences and produced over 600 codes. Reviewers discussed\/identified themes by grouping similar codes and resolving discrepancies. A thematic analysis was then used to develop final themes. Pseudonyms were assigned to protect patient privacy. Sophie had avascular necrosis in both hips and suffered PTSD from a previous traumatic event. Intraoperative acupuncture calmed her hospital anxiety, allowing her to have both hips replaced. Olivia had experienced PTSD and hospital phobia since she was 12\u2009years old. Acupuncture reduced her anxiety surrounding a necessary knee arthrotomy and osteochondral allograft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thematic analysis showed how nosocomephobia impacted patients\u2019 views of surgery and distinguished between their unique fear rationale. The transactional model of stress\/coping illustrated patients\u2019 appraisal process from surgery (stressor) to coping (acupuncture) to reappraisal (mental state).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Procedural visits can be stressful due to already heightened anxiety. Although no definitive conclusions can be drawn from this small, uncontrolled case series, acupuncture may represent a safe, noninvasive way for nosocomephobia patients to manage preoperative anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09645284241298717","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T07:11:18Z","timestamp":1732259478000},"page":"356-361","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A qualitative analysis of the use of intraoperative acupuncture for patients with nosocomephobia"],"prefix":"10.1177","volume":"42","author":[{"given":"Pa","family":"Thor","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Moreno","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haoyan","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Sheetz","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marko","family":"Popovic","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina M","family":"Strickland","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sports Medicine, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael P","family":"Ast","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Adult Reconstruction and Joint Replacement Surgery, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3761-567X","authenticated-orcid":false,"given":"Stephanie I","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY, USA"},{"name":"Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"key":"bibr1-09645284241298717","unstructured":"National Institute of Mental Health (NIMH). Specific phobia, https:\/\/www.nimh.nih.gov\/health\/statistics\/specific-phobia#part_2639"},{"key":"bibr2-09645284241298717","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-018-1550-x"},{"key":"bibr3-09645284241298717","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201800444"},{"key":"bibr4-09645284241298717","unstructured":"Verywell Health. What is fear of hospitals (nosocomephobia)? https:\/\/www.verywellhealth.com\/fear-of-hospitals-nosocomephobia-symptoms-causes-treatment-5714743#toc-treatment"},{"key":"bibr5-09645284241298717","volume-title":"Post-traumatic stress disorder: basic science and clinical practice","author":"Shiromani PJ","year":"2009"},{"key":"bibr6-09645284241298717","doi-asserted-by":"publisher","DOI":"10.21043\/esoterik.v5i2.6514"},{"key":"bibr7-09645284241298717","volume-title":"Post-traumatic stress disorder a guide for primary care clinicians and therapists","author":"Pagel JF.","year":"2021"},{"key":"bibr8-09645284241298717","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2021.0072"},{"key":"bibr9-09645284241298717","doi-asserted-by":"publisher","DOI":"10.1002\/per.2410010304"},{"key":"bibr10-09645284241298717","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-98812-4.00004-8"},{"key":"bibr11-09645284241298717","unstructured":"Dedoose. Version 9.0.17, cloud application for managing, analyzing, and presenting qualitative and mixed method research data. Los Angeles, CA: SocioCultural Research Consultants, LLC, 2021, www.dedoose.com"},{"key":"bibr12-09645284241298717","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2017.1289493"},{"key":"bibr13-09645284241298717","doi-asserted-by":"publisher","DOI":"10.1089\/acu.2013.0989"},{"key":"bibr14-09645284241298717","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000473"},{"key":"bibr15-09645284241298717","doi-asserted-by":"publisher","DOI":"10.1177\/2156587214525403"},{"key":"bibr16-09645284241298717","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10081575"}],"container-title":["Acupuncture in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09645284241298717","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09645284241298717","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09645284241298717","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:19:33Z","timestamp":1777367973000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09645284241298717"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,22]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1177\/09645284241298717"],"URL":"https:\/\/doi.org\/10.1177\/09645284241298717","relation":{},"ISSN":["0964-5284","1759-9873"],"issn-type":[{"value":"0964-5284","type":"print"},{"value":"1759-9873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,22]]}}}