Evidence map›Paper›PMID 41853078›Full record

ArticleFrontiers in psychiatry2026

Case Report: Psychological acupuncture for severe cynophobia with comorbid PTSD.

Zixuan Wang, Wenchao Dan, Siqing Wang, Shouchun Zhang, Guangzhong Zhang

Abstract readCase Reports
In one paragraph

Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zixuan WangDermatological Department, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
Wenchao DanDepartment of Acupuncture, Traditional Chinese Medicine, First Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Siqing WangDermatological Department, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
Shouchun ZhangBeijing Zhongren International Institute of Psychological Medicine, Beijing, China.
Guangzhong ZhangDermatological Department, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Post-traumatic stress disorder (PTSD) with comorbid specific phobia represents a challenging clinical condition, particularly when patients decline pharmacological or trauma-focused psychotherapeutic interventions due to fear of re-traumatization or intolerance to adverse effects. This report describes a unique case of severe cynophobia with comorbid PTSD successfully treated using psychological acupuncture, an integrative intervention combining guided trauma recall with fingertip acupoint tapping. Methods: A 63-year-old woman developed intense fear of dogs, intrusive nightmares, avoidance of outdoor activities, hypervigilance, and severe insomnia following a dog attack. The patient met DSM-5 diagnostic criteria for PTSD and specific phobia (cynophobia) and refused standard psychiatric treatments. Psychological acupuncture was administered in two 40-minute sessions over a two-week interval, incorporating relaxation training, guided trauma recall, and rhythmic fingertip tapping (4-5 Hz) on selected acupoints associated with emotional regulation. Clinical outcomes were assessed using the Subjective Units of Distress scale (SUDs), Insomnia Severity Index (ISI), and PTSD Checklist for DSM-5 (PCL-5). Results: Marked clinical improvement was observed following the intervention. The patient's SUDs score decreased from 10 to 3, ISI score from 23 to 7, and PCL-5 score from 54 to 20. Improvements in fear reactivity, sleep quality, and avoidance behavior occurred rapidly after treatment and were maintained at the 3-month follow-up. No adverse events were reported. Conclusion: This case suggests that psychological acupuncture may serve as a rapid, safe, and well-tolerated integrative therapeutic option for patients with trauma-related specific phobia and comorbid PTSD who decline conventional treatments. The findings highlight the potential role of combined cognitive-emotional activation and somatic modulation in alleviating trauma-related symptoms and support further investigation of this approach in controlled clinical studies.

Indexed as

case reportintegrative medicinemind-body therapypost-traumatic stress disorderpsychological acupuncturespecific phobia

Identifiers

PMID41853078
PMCPMC12992227

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.