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E-ISSN : 2148-9696
Crescent Journal of
Medical and Biological Sciences
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 Pirnia1,2, 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

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Keywords : Acupuncture, Stimulus, Trismus, Addiction
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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.

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