A Narrative Review on the Non-Pharmacologic Interventions in Post-Stroke Depression

Wijeratne, Tissa; Sales, Carmela; Wijeratne, Chanith

doi:10.2147/prbm.s310207

Cited by 16 publications

(13 citation statements)

References 103 publications

(129 reference statements)

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“…Key research themes encompass clinical studies on stroke complications like insomnia, [ 100 ] depression, [ 101 ] and hemiplegia. [ 102 ] Experimental studies gravitate towards the mechanism of action, spotlighting cerebral ischemia, ischemic stroke, and cognitive impairments, especially in 2022 (Fig. 9 ).…”

Section: Discussionmentioning

confidence: 99%

Trends and hotspots related to traditional and modern approaches on acupuncture for stroke: A bibliometric and visualization analysis

Chuang,

Chou,

Chien

et al. 2023

Medicine

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Background: Acupuncture role in stroke treatment and post-stroke rehabilitation has garnered significant attention. However, there is a noticeable gap in bibliometric studies on this topic. Additionally, the precision and comprehensive methodology of cluster analysis remain underexplored. This research sought to introduce an innovative cluster analysis technique (called follower-leading clustering algorithm, FLCA) to evaluate global publications and trends related to acupuncture for stroke in the recent decade. Methods: Publications pertaining to acupuncture for stroke from 2013 to 2022 were sourced from the Web of Science Core Collection. For the assessment of publication attributes—including contributing countries/regions (e.g., US states, provinces, and major cities in China) in comparison to others, institutions, departments, authors, journals, and keywords—we employed bibliometric visualization tools combined with the FLCA algorithm. The analysis findings, inclusive of present research status, prospective trends, and 3 influential articles, were presented through bibliometrics with visualizations. Results: We identified 1050 publications from 92 countries/regions. An initial gradual rise in publication numbers was observed until 2019, marking a pivotal juncture. Prominent contributors in research, based on criteria such as regions, institutions, departments, and authors, were Beijing (China), Beijing Univ Chinese Med (China), the Department of Rehabilitation Medicine, and Lidian Chen (Fujian). The journal “Evid.-based Complement Altern” emerged as the most productive. The FLCA algorithm was effectively employed for co-word and author collaboration analyses. Furthermore, we detail the prevailing research status, anticipated trends, and 3 standout articles via bibliometrics. Conclusion: Acupuncture for stroke presents a vast research avenue. It is imperative for scholars from various global regions and institutions to transcend academic boundaries to foster dialogue and cooperation. For forthcoming bibliometric investigations, the application of the FLCA algorithm for cluster analysis is advocated.

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Section: Discussionmentioning

confidence: 99%

Trends and hotspots related to traditional and modern approaches on acupuncture for stroke: A bibliometric and visualization analysis

Chuang,

Chou,

Chien

et al. 2023

Medicine

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“…[8] Acupuncture, as a traditional Chinese medical method, has achieved good clinical efficacy in treating PSD, [9][10][11][12] offering the benefits of convenience, cost-effectiveness, no side effects, and significant effectiveness. Acupuncture has the potential to ameliorate depressive symptoms in patients and rats with PSD through the modulation of neurotransmitters, [13] intestinal flora, [14] immune-inflammatory responses, [15] and the hypothalamic-pituitary-adrenal axis. [16] Scalp acupuncture (SA), one of the acupuncture techniques, combines traditional meridian and collateral theory with modern cerebral cortex functional positioning areas and has greater efficacy in the treatment of brain-derived diseases, simultaneously relieving the symptoms of depression and neurological deficits in patients.…”

Section: State Administration Of Traditional Chinese Medicine Nationa...mentioning

confidence: 99%

Efficacy and safety of scalp acupuncture for poststroke depression: A meta-analysis and systematic review

Jiang

et al. 2023

Medicine

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Background: Poststroke depression (PSD) is a common clinical poststroke complication that adversely affects cognitive and physical function rehabilitation. Scalp acupuncture (SA) can significantly improve somatic dysfunction and emotional disorder in stroke patients. This meta-analysis aims to evaluate the effectiveness and safety of SA in the treatment of PSD. Methods: We conducted a comprehensive search of multiple electronic databases, including PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge Internet, China Science and Technology Journal Database, Wan Fang Data Knowledge Service Platform, and China Biology Medicine databases until December 20, 2022, to identify randomized controlled trials investigating the efficacy of SA in the treatment of PSD. Two independent researchers screened the literature, extracted data, and assessed the risk of bias in the included studies based on the inclusion and exclusion criteria. We performed a meta-analysis of the eligible literature using RevMan 5.4.1 and Stata 15.0 software. Results: This study comprised a total of 14 randomized controlled trials, 10 of which used SA and 4 of which used SA in combination with electroacupuncture therapy. The results of the meta-analysis revealed that the effective rate of the SA group was significantly higher than that of the Western medicine group (relative risk = 1.09, 95% confidence interval (CI) [1.02, 1.16], P = .008). Moreover, compared to the Western medicine group, the SA group demonstrated significant improvements in Hamilton depression scale scores (mean difference = −2.29, 95% CI [−3.88, −0.70], P = .005) and neurological function deficit scores (mean difference = −3.06, 95% CI [−5.91, −0.21], P = .04). Additionally, the SA group has a lower incidence of adverse events than the western medicine group (relative risk = 0.12, 95% CI [0.05, 0.29], P < .00001). Conclusion: SA has superior efficacy and safety compared to Western medicine for PSD. These findings suggest that SA could be a promising alternative treatment for the assessed condition. Due to the limited number and quality of the included literature, the above conclusions must be confirmed by additional high-quality research.

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“…However, a majority of existing studies centers on exploring acupuncture’s impact on depression accompanied by other comorbidities or its combination with pharmacological treatments. Besides, there is an increasing number of studies focusing on complex treatment approaches aimed at improving efficacy, such as combining acupuncture with psychotherapy ( Dong et al, 2017 ), medication ( Li et al, 2018 ), music therapy ( Wijeratne et al, 2022 ), moxibustion ( Luo et al, 2022 ), acupoint injection ( Fan, 2019 ), or tuina therapy ( Meng et al, 2021 ). Manifestly, no research focuses solely on the efficacy of standalone manual acupuncture or electro-acupuncture in treating uncomplicated depression.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of acupuncture for depression: a systematic review and meta-analysis

Tan,

Duan,

Wen

2024

Front. Neurosci.

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IntroductionDepression is a pervasive mental health challenge with substantial global ramifications. Contemporary therapeutic strategies predominantly consist of psychological interventions and pharmacological treatments. Acupuncture, deeply rooted in ancient traditions and bolstered by a plethora of clinical trials, demonstrates considerable efficacy in depression. This study aims to elucidate the efficacy and safety of acupuncture as a standalone therapy for depression patients by reviewing randomized controlled trials that compare acupuncture treatment with conventional drug therapy.MethodsComprehensive searches were conducted across six databases in both Chinese and English: CNKI, Wanfang, VIP, Embase, Medline, and CENTRAL. The literature search spanned from 1 July 2013, to 1 July 2023. Two researchers independently carried out literature screening and data extraction. Review Manager 5.4 was utilized for data analysis and bias risk assessment. A total of 20 randomized controlled trials were included in the qualitative synthesis, involving 1,376 participants and 43 relevant acupoints.ResultsThe Meta-analysis results, based on the HAMD scale scores, revealed that acupuncture regimens (RR: −1.63; 95% CI: −2.49 to −0.76; P = 0.0002; I2 = 86%; n = 1,668) were significantly more effective compared to standalone medication. Moreover, efficacy metrics from the HAMD highlighted a substantial advantage of acupuncture (RR: 2.6; 95% CI: 1.6 to 4.23; P = 0.0001; I2 = 0; n = 614). Further assessments utilizing SERS and TESS demonstrated a lower incidence of side effects and adverse outcomes in the acupuncture group.ConclusionsAcupuncture, when compared to conventional pharmacotherapy, exhibits significant efficacy as a standalone treatment after four weeks of intervention, with fewer side effects and adverse reactions. However, further investigation is needed to determine the most effective acupoints and appropriate types of acupuncture techniques for treating depression.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier CRD42023443711.

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A Narrative Review on the Non-Pharmacologic Interventions in Post-Stroke Depression

Cited by 16 publications

References 103 publications

Trends and hotspots related to traditional and modern approaches on acupuncture for stroke: A bibliometric and visualization analysis

Trends and hotspots related to traditional and modern approaches on acupuncture for stroke: A bibliometric and visualization analysis

Efficacy and safety of scalp acupuncture for poststroke depression: A meta-analysis and systematic review

Efficacy of acupuncture for depression: a systematic review and meta-analysis

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