Clinical Study on Treatment of the Earthquake-caused Post-traumatic Stress Disorder by Cognitive-behavior Therapy and Acupoint Stimulation

Zhang, Ying; Feng, Bin; Xie, Jianping; Xu, Fenglian; Chen, Jiong

doi:10.1016/s0254-6272(11)60014-9

Cited by 40 publications

(62 citation statements)

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“…So we included only 1 RCT with full data [25] from the 6 RCTs [25, 35–39]. Consequently, 4 RCTs [18, 25–27] and 2 UCTs [28, 29] met our inclusion criteria. Figure 1 sums up the search results based on a four-phase flow diagram in Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement format [40].…”

Section: Resultsmentioning

confidence: 99%

Acupuncture for Posttraumatic Stress Disorder: A Systematic Review of Randomized Controlled Trials and Prospective Clinical Trials

Kim

Heo²,

Shin³

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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To evaluate the current evidence for effectiveness of acupuncture for posttraumatic stress disorder (PTSD) in the form of a systematic review, a systematic literature search was conducted in 23 electronic databases. Grey literature was also searched. The key search terms were “acupuncture” and “PTSD.” No language restrictions were imposed. We included all randomized or prospective clinical trials that evaluated acupuncture and its variants against a waitlist, sham acupuncture, conventional therapy control for PTSD, or without control. Four randomized controlled trials (RCTs) and 2 uncontrolled clinical trials (UCTs) out of 136 articles in total were systematically reviewed. One high-quality RCT reported that acupuncture was superior to waitlist control and therapeutic effects of acupuncture and cognitive-behavioral therapy (CBT) were similar based on the effect sizes. One RCT showed no statistical difference between acupuncture and selective serotonin reuptake inhibitors (SSRIs). One RCT reported a favorable effect of acupoint stimulation plus CBT against CBT alone. A meta-analysis of acupuncture plus moxibustion versus SSRI favored acupuncture plus moxibustion in three outcomes. This systematic review and meta-analysis suggest that the evidence of effectiveness of acupuncture for PTSD is encouraging but not cogent. Further qualified trials are needed to confirm whether acupuncture is effective for PTSD.

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Section: Resultsmentioning

confidence: 99%

Acupuncture for Posttraumatic Stress Disorder: A Systematic Review of Randomized Controlled Trials and Prospective Clinical Trials

Kim

Heo²,

Shin³

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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“…In the only comparison study involving acupoint stimulation and CBT, 91 subjects with PTSD following an earthquake in China were randomly assigned to CBT treatment alone or CBT with acupoint stimulation. Participants in both groups improved, but the improvement for those whose treatment included acupoint stimulation was significantly stronger (p < .01) than the improvement for those who received CBT alone (Zhang, Feng, Xie, Xu, & Chen, 2011). While the study did not meet this review's inclusion criteria because it used an electronic acupoint stimulator instead of tapping, it is mentioned here because it suggests that acupoint stimulation might improve outcomes when used in combination with established modalities.…”

Section: Evidence By Conditionmentioning

confidence: 97%

Acupoint Stimulation in Treating Psychological Disorders: Evidence of Efficacy

Feinstein

2012

Review of General Psychology

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Energy psychology is a clinical and self-help modality that combines verbal and physical procedures for effecting therapeutic change. While utilizing established clinical methods such as exposure and cognitive restructuring, the approach also incorporates concepts and techniques from non-Western healing systems. Its most frequently utilized protocols combine the stimulation of acupuncture points (by tapping on, holding, or massaging them) with the mental activation of a targeted psychological issue. Energy psychology has been controversial, in part due to its reliance on explanatory mechanisms that are outside of conventional clinical frameworks and in part because of claims by its early proponents-without adequate research support-of extraordinary speed and power in attaining positive clinical outcomes. This paper revisits some of the field's early claims, as well as current practices, and assesses them in the context of existing evidence. A literature search identified 51 peer-reviewed papers that report or investigate clinical outcomes following the tapping of acupuncture points to address psychological issues. The 18 randomized controlled trials in this sample were critically evaluated for design quality, leading to the conclusion that they consistently demonstrated strong effect sizes and other positive statistical results that far exceed chance after relatively few treatment sessions. Criteria for evidence-based treatments proposed by Division 12 of the American Psychological Association were also applied and found to be met for a number of conditions, including PTSD and depression. Neurological mechanisms that may be involved in these surprisingly strong findings are also considered.

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“…Hollifield found that acupuncture was as effective as CBT when compared to a waitlist control, 23 and Zhang found that acupoint stimulation combined with CBT was more effective than CBT alone. 25 Because these are slightly different modalities, further research is warranted. GRADE B .…”

Section: Resultsmentioning

confidence: 99%

Complementary and Alternative Medicine for Posttraumatic Stress Disorder Symptoms: A Systematic Review

Wahbeh

Senders

Neuendorf

et al. 2014

J Evid Based Complementary Altern Med

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Objectives To 1) characterize complementary and alternative medicine (CAM) studies for posttraumatic stress disorder symptoms (PTSD), 2) evaluate the quality of these studies, and 3) systematically grade the scientific evidence for individual CAM modalities for PTSD. Design Systematic Review. Eight data sources were searched. Selection criteria included any study design assessing PTSD outcomes and any CAM intervention. The body of evidence for each modality was assessed with the Natural Standard evidence-based, validated grading rationale.™ Results and Conclusions Thirty-three studies (n=1329) were reviewed. Scientific evidence of benefit for PTSD was Strong for repetitive transcranial magnetic stimulation and Good for acupuncture, hypnotherapy, meditation, and visualization. Evidence was Unclear or Conflicting for biofeedback, relaxation, Emotional Freedom and Thought Field therapies, yoga, and natural products. Considerations for clinical applications and future research recommendations are discussed.

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Clinical Study on Treatment of the Earthquake-caused Post-traumatic Stress Disorder by Cognitive-behavior Therapy and Acupoint Stimulation

Abstract: The acupoint stimulation is effective for the PTSD patients, with better results than that of cognitive-behavior therapy used alone.

Cited by 40 publications

References 1 publication

Acupuncture for Posttraumatic Stress Disorder: A Systematic Review of Randomized Controlled Trials and Prospective Clinical Trials

Acupuncture for Posttraumatic Stress Disorder: A Systematic Review of Randomized Controlled Trials and Prospective Clinical Trials

Acupoint Stimulation in Treating Psychological Disorders: Evidence of Efficacy

Complementary and Alternative Medicine for Posttraumatic Stress Disorder Symptoms: A Systematic Review

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