title: Patients with anorexia nervosa receiving acupuncture or acupressure; their view of the therapeutic encounter.
abstract: BACKGROUND
  Anorexia nervosa is a serious illness with significant morbidity. The evidence base for existing psychological and pharmacological interventions to manage anorexia nervosa is not strong, and use of new adjunctive therapies that improve the effectiveness of existing treatments, and lead to improved mental health outcomes for this patient group is highly desirable. This study investigates the views of patients with anorexia nervosa receiving an acupuncture or acupressure intervention.
  
  
  METHODS
  A randomised controlled trial was conducted in Sydney, Australia. Twenty-six inpatients with a diagnosis of anorexia nervosa were randomised to a six week intervention of acupuncture or acupressure with light massage. Treatment was administered twice weekly for three weeks, then weekly for three weeks. A post treatment questionnaire was administered to explore participant views, of the study consultation. Questions examined important aspects of the clinical encounter including the, patient's perception of the practitioners' relational empathy (CARE), treatment perceptions and the, therapeutic relationship.
  
  
  RESULTS
  Participants in both groups scored highly on the CARE scale assessing empathy and the, therapeutic relationship. There was no difference in the mean CARE scores for the acupuncture group (50 (SD 0.0)) and the acupressure group (49.5 (SD 0.8)). Participants highly valued the therapeutic, encounter and in particular the characteristics of empathy, positive regard, acceptance, non, judgmental responses and trust. Having someone to talk to, being less stressed/relaxed and contact, with the study staff were also perceived to be important.
  
  
  CONCLUSIONS
  Study participants perceive the therapeutic relationship and empathy as important qualities of the acupuncture or acupressure intervention as an adjunct therapy for the treatment of anorexia nervosa.
authors.affiliation: Centre for Complementary Medicine Research, University of Western Sydney, Australia. Electronic address: s.fogarty@uws.edu.au.
authors.forename: Sarah
authors.initials: S
authors.lastname: Fogarty
authors.forename: Caroline A
authors.initials: CA
authors.lastname: Smith
authors.forename: Stephen
authors.initials: S
authors.lastname: Touyz
authors.forename: Sloane
authors.initials: S
authors.lastname: Madden
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Buckett
authors.forename: Phillipa
authors.initials: P
authors.lastname: Hay
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods* / Q000523:psychology; D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D001315:Australia; D005260:Female; D006801:Humans; D008297:Male; D008405:Massage / Q000379:methods / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Acupuncture; Anorexia nervosa; Therapeutic relationship