The effectiveness and safety of acupuncture therapy in depressive disorders: Systematic review and meta-analysis

Zhang, Zhang-Jin; Chen, Haiyong; Yip, Ka Chee; Ng, Roger; Wong, Vivian Taam

doi:10.1016/j.jad.2009.07.005

Cited by 167 publications

(148 citation statements)

References 23 publications

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“…It is possible that insomnia comorbid with depression responds better to our acupuncture regimen, which includes acupuncture points traditionally used for depression, for example, HT7, Yintang and GV20. 5 For subjects who were diagnosed with Heart-kidney non-interaction, the presence of comorbid depression produced significantly higher response rates than those without comorbid depression. We believe that a Western-TCM integrative approach may bring new insights to the understanding of insomnia and may be useful for selecting suitable patients for acupuncture.…”

Section: Discussionmentioning

confidence: 97%

An Integrative Chinese-Western Diagnostic Approach to Predict a Positive Response to Acupuncture

et al. 2017

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Section: Discussionmentioning

confidence: 97%

An Integrative Chinese-Western Diagnostic Approach to Predict a Positive Response to Acupuncture

et al. 2017

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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%

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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“…Sham acupuncture is often used as a control condition; however, there is no robust evidence that any specific acupoints are more relevant to depression than others, and as such, even sham treatment may produce benefits. 57 Small sample sizes, unclear randomization procedures, and heterogeneity of study protocols are other limitations.…”

Section: What Is Yoga? How Effective Is Yoga For the Treatment Of Mdd?mentioning

confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 5. Complementary and Alternative Medicine Treatments

Ravindran¹,

Balneaves²,

Faulkner³

et al. 2018

FOC

127

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Methods: Using the question-answer format, we conducted a systematic literature search focusing on systematic reviews and meta-analyses. Evidence was graded using CANMAT-defined criteria for level of evidence. Recommendations for lines of treatment were based on the quality of evidence and clinical expert consensus. ''Complementary and Alternative Medicine Treatments'' is the fifth of six sections of the 2016 guidelines. Results: Evidence-informed responses were developed for 12 questions for 2 broad categories of complementary and alternative medicine (CAM) interventions: 1) physical and meditative treatments (light therapy, sleep deprivation, exercise, yoga, and acupuncture) and 2) natural health products (St. John's wort, omega-3 fatty acids; S-adenosyl-L-methionine [SAM-e], dehydroepiandrosterone, folate, Crocus sativus, and others). Recommendations were based on available data on efficacy, tolerability, and safety. Conclusions: For MDD of mild to moderate severity, exercise, light therapy, St. John's wort, omega-3 fatty acids, SAM-e, and yoga are recommended as first-or second-line treatments. Adjunctive exercise and adjunctive St. John's wort are second-line recommendations for moderate to severe MDD. Other physical treatments and natural health products have less evidence

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The effectiveness and safety of acupuncture therapy in depressive disorders: Systematic review and meta-analysis

Cited by 167 publications

References 23 publications

An Integrative Chinese-Western Diagnostic Approach to Predict a Positive Response to Acupuncture

An Integrative Chinese-Western Diagnostic Approach to Predict a Positive Response to Acupuncture

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

Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 5. Complementary and Alternative Medicine Treatments

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