Is acupuncture beneficial in depression: A meta-analysis of 8 randomized controlled trials?

Wang, Hao; Qian, Hong; Wang, Bai-song; Cui, Yong-Yao; Zhu, Liang; Rong, Zhengxing; Chen, Hongzhuan

doi:10.1016/j.jad.2008.04.020

Cited by 105 publications

(69 citation statements)

References 21 publications

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“…[17][18][19][20][21][22] In our study, we used BDI for the assessment of depression and for evaluation of the effi cacy of treatment. BDI forms are completed by patients themselves, making them easier to use; however, the scores were calculated by the doctors making bias less likely.…”

Section: Discussionmentioning

confidence: 99%

“…18 Other diagnostic and outcome measure tools used in different studies were RAND 36 Item Health Survey 1.0, PHQ-9, Diagnostic and Statistical Manual of Mental Disorders (DSM III or IV), International Classifi cation of Disease and Chinese Classifi cation of Mental Disorders. [17][18][19][20][21][22] In our study, we used BDI for the assessment of depression and for evaluation of the effi cacy of treatment. BDI forms are completed by patients themselves, making them easier to use; however, the scores were calculated by the doctors making bias less likely.…”

Section: Discussionmentioning

confidence: 99%

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Acupuncture for Depression and Myalgia in Patients with Hepatitis: An Observational Study

et al. 2010

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Background Depressive symptoms and myalgia are commonly seen in patients with chronic hepatitis B and chronic hepatitis C. Objective To investigate the effi cacy of acupuncture treatment on depressive symptoms and myalgia in patients with hepatitis. Methods Of 44 patients with hepatitis screened for depression and myalgia, 28 were enrolled and included in the study. The main outcome measure for depressive symptoms was Beck's Depression Inventory (BDI). For pain/myalgia, patients rated their pain on a scale from 0 to 10. Patients with a score greater than the cut-off point in either score were allocated to acupuncture treatment. The Chinese method of acupuncture was used. Treatment continued for 6 weeks. Results At baseline, 17/44 patients (39%) had a BDI score ≥17 and 24 (55%) had a pain score ≥5. A total of 28 patients were allocated to acupuncture treatment, forming three groups: group 1, 13 patients with high BDI and high myalgia scores; group 2, 11 patients with low BDI score but high myalgia score; group 3, 4 patients with high BDI score but low myalgia score. Adherence to treatment was good; all patients completed the sessions and there were no drop-outs. Signifi cant improvements in end-treatment BDI and in myalgia scores compared with baseline levels was found. Conclusion Acupuncture seems to be a promising treatment for patients with hepatitis. Further studies are warranted in large populations to establish the therapeutic role of acupuncture. INTRODUCTIONThe estimated numbers of patients with chronic hepatitis C (CHC) and B (CHB) viral infections in the world are 2.7 million and 350 million, respectively. 1 2 Depressive symptoms are common in these patient groups. Increased expression of specifi c proinfl ammatory cytokines has been shown to cause depressive symptoms in patients with hepatitis C virus. Additionally, treatment of the disease with interferon (IFN) may also cause or exacerbate depression.3 4 Reports suggest that depression in patients with CHB develops less frequently than in patients with CHC during treatment with IFN. However, a Turkish study found a Acupuncture for depression and myalgia in patients with hepatitis: an observational study high rate of psychiatric disorders and no signifi cant difference between the two groups. 5Psychotherapy and antidepressant drugs are known to be useful but high rates of dropout, lack of effect in some patients, intolerable adverse effects and relapse all reduce their effectiveness and patient compliance. [6][7][8] In consequence, patients with depression may seek alternative treatments.Acupuncture has long been used to treat emotional and psychological disorders, including anxiety, insomnia and depression. It may also be an alternative treatment of depressive symptoms in patients with CHB or CHC. In our patients with hepatitis, we have found that in addition to depression, myalgia is also common. Therefore, the objective of this study was to determine the prevalence of depressive symptoms and myalgia among patients with chronic hepatitis and ...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acupuncture for Depression and Myalgia in Patients with Hepatitis: An Observational Study

et al. 2010

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“…143 Acupuncture is a family of procedures involving the stimulation of anatomical points on the body through a variety of styles and techniques. Common styles include traditional Chinese, Japanese, Korean, Vietnamese, and French acupuncture, as well as specialized forms such as hand, auricular, and scalp acupuncture.…”

Section: Acupuncturementioning

confidence: 99%

“…145 Acupuncture gained popularity in the United States in 1971, when New York Times reporter James Reston wrote about his experience with acupuncture to ease his postsurgical pain; it is now one of the most popular complementary therapies in the West. 143 Acupuncture is based on the Traditional Chinese Medicine (TCM) concept that disease results from the disruption in the flow of energy, Qi (pronounced chee), along a series of points that connect bodily organs, meridians. Disease is thought to result when there is disharmony or imbalance in the body's energy system.…”

Section: Acupuncturementioning

confidence: 99%

Alternative Treatments in Pediatric Bipolar Disorder

Potter

Moses

Wozniak

2009

Child and Adolescent Psychiatric Clinics of North America

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“…According to traditional Chinese medicine, classical acupuncture practice is based on the concept of a vital force or energy called "Qi", flowing around the body through channels known as meridians [5], stimulation of acupuncture points located along meridians is considered to balance the opposing forces (Yin and Yang) ensuring energy flow and thus maintenance or restoration of health. Emerging research implies acupuncture is effective for some but not all conditions.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for Generalized Anxiety Disorder: A Systematic Review

Ma¹,

Xu²,

Wen³

et al. 2014

J Psychol Psychother

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Objective: Generalized Anxiety Disorder (GAD) is the most common anxiety disorder in primary care. The clinical studies on anxiety disorders have been commonly conducted; however the efficacy of acupuncture in treating GAD is uncertain. We therefore performed a systematic review to evaluate the evidence regarding acupuncture for GAD.Data sources: CBM, CAJ, CSJD, CNKI, Wan Fang, EMBASE, Pubmed/MEDLINE, OVID EBM Reviewers, Cochrane Library, Up-to-date, ACP journal club were searched through July 2013. Search terms included Condition = (Generalized Anxiety Disorder or Generalized Anxiety or GAD) And Intervention = (acupuncture* or acupressure or acupoint* or electro acupuncture* or electro-acupuncture*).Study selection: Included in this study were randomized controlled trials of participants have GAD diagnosed by operational criteria. Data extraction:Two review authors extracted data from each study independently. Information relating to study population, sample size, interventions, comparators, potential biases in the conduct of the trial, outcomes including adverse events, follow-up and methods of statistical analysis were abstracted from the original reports.Data synthesis: 3 RCTs (443 patients) were included. Overall the risk of bias in included studies was high. The included trials were extremely heterogeneous regarding acupuncture and control interventions. Therefore, pooling of data was not performed. We found equal benefits of acupuncture and medicationsfor HAMA or SAS in 2 trials. In another trail no difference was found in the baseline analysis with HAMA and SAS measurement between groups at the2nd, 4thweek time-point. Adverse events associated with acupuncture are rarely reported. Conclusion:Even though some methodological shortcomings influence the quality of the included studies, this review still suggests that acupuncture was an effective alternative therapy for generalized anxiety is safe.

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Is acupuncture beneficial in depression: A meta-analysis of 8 randomized controlled trials?

Cited by 105 publications

References 21 publications

Acupuncture for Depression and Myalgia in Patients with Hepatitis: An Observational Study

Acupuncture for Depression and Myalgia in Patients with Hepatitis: An Observational Study

Alternative Treatments in Pediatric Bipolar Disorder

Acupuncture for Generalized Anxiety Disorder: A Systematic Review

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