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The Effect of Auriculotherapy on Situational Anxiety Trigged by Examinations: A Randomized Pilot Trial
Abstract
Background: Auriculotherapy may activate the parasympathetic nerve system and reduce anxiety levels. Short-term auriculotherapy’s effects and safety on university students’ anxiety levels was assessed prior to exams. Methods: A randomized, controlled pilot trial was conducted. The day before the exam, university students were randomly allocated to the auriculotherapy group (AA, n = 13) or the waiting-list group (WG, n = 13). Baseline measures were taken 4 weeks before the exam at Time point (TP 0); at 7.30 a.m. on the day before the exam (TP I); at 11 a.m. before auriculotherapy (TP II); 30 min after AA (TP III); and at 7.30 a.m. before the exam (TP IV). The outcomes were the State-Trait-Anxiety Inventory (STAI); quality of night-sleep, Visual Analogue scale (VAS) for anxiety, and salivary cortisol. Adverse events were also recorded. Results: A total of 26 students participated in this study and became more anxious as assessed by STAI in TPII (p = 0.002) and TPIV (p = 0.000) than TP0. AA reduced the STAI in TPIII (p = 0.045) and PIV (p = 0.001) and the VAS (p = 0.012) in TPIV. Cortisol was reduced in TPIII (p = 0.004), and the AA slept better (p = 0.014) at TPIV. Discomfort at the auricular site was reported in only one AA participant. Conclusions: Auriculotherapy appeared safe and effective in reducing anxiety levels before university exams.
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“Vieira et al. (32) found that auriculotherapy therapy could relieve university students’ anxiety before exams by activating the parasympathetic nervous system and reducing salivary cortisol levels.”
From Hypothalamic-pituitary-adrenal axis activity and its relationship to the autonomic nervous system in patients with psychogenic erectile dysfunction (2023) · cites this paper as [32]
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“Thus, the researcher should treat the salivary cortisol levels with caution since they will not behave linearly to serum levels in response to a challenge or under conditions that affect cortisol binding globulin levels, such as oral contraceptives [42] and menstrual cycle [43].”
BackgroundRisk factors associated with stress, anxiety, and depression among university undergraduate students
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Cited by
Xu, J., Chen, Y., Gu, L., Liu, X., Yang, J., Li, M., Rao, K., Dong, X., Yang, S., Huang, B., et al. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1103621 · Cited by 13
Metadata
- Authors
- Vieira, A., Sousa, P., Moura, A., Lopes, L., Silva, C., Robinson, N., Machado, J., & Moreira, A.
- Affiliations
- ICBAS, Institute of Biomedical Sciences, University of Porto, 4099-002 Porto, Portugal
- ESSSM, Superior Health School of Santa Maria, 4049-024 Porto, Portugal
- LSBA, Institute of Health and Social Care, London South Bank University, London SE1 0AA, UK
- ESDRM, Sport Sciences School of Rio Maior, 2040-413 Rio Maior, Portugal
- Venue
- Healthcare
- Publisher
- MDPI AG
- Published
- 2022-09-21
- Volume
- 10
- Issue
- 10
- Pages
- 1816
- ISSN
- 2227-9032
- Cited by
- 11
- References
- 5
- Language
- en
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