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Electroacupuncture and acupuncture in the treatment of anxiety - A double blinded randomized parallel clinical trial. Complement Ther Clin Pract 2022; 46:101541. [DOI: 10.1016/j.ctcp.2022.101541] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 01/27/2022] [Indexed: 12/25/2022]
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Tack L, Lefebvre T, Blieck V, Cool L, Pottel H, Eygen KV, Derijcke S, Vergauwe P, Schofield P, Chandler R, Lane P, Boterberg T, Debruyne PR. Acupuncture as a Complementary Therapy for Cancer Care: Acceptability and Preferences of Patients and Informal Caregivers. J Acupunct Meridian Stud 2021; 14:67-74. [DOI: 10.51507/j.jams.2021.14.2.67] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 02/11/2021] [Accepted: 02/21/2021] [Indexed: 11/03/2022] Open
Affiliation(s)
- Laura Tack
- Department of Medical Oncology, Kortrijk Cancer Centre, General Hospital Groeninge, Kortrijk, Belgium
- Department of Radiation Oncology, Ghent University Hospital, Ghent, Belgium
| | - Tessa Lefebvre
- Department of Medical Oncology, Kortrijk Cancer Centre, General Hospital Groeninge, Kortrijk, Belgium
- Department of Radiation Oncology, Ghent University Hospital, Ghent, Belgium
| | - Virginie Blieck
- College for Traditional Chinese Medicine & Karel de Grote University College, Antwerp, Belgium
| | - Lieselot Cool
- Department of Medical Oncology, Kortrijk Cancer Centre, General Hospital Groeninge, Kortrijk, Belgium
| | - Hans Pottel
- Department of Public Health and Primary Care at Kulak, Catholic University Leuven Kulak, Kortrijk, Belgium
| | - Koen Van Eygen
- Department of Haematology, Cancer Centre, General Hospital Groeninge, Kortrijk, Belgium
| | - Sofie Derijcke
- Department of Pneumology, General Hospital Groeninge, Kortrijk, Belgium
| | - Philippe Vergauwe
- Department of Gastro-Enterology, General Hospital Groeninge, Kortrijk, Belgium
| | | | - Rebecca Chandler
- Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Chelmsford, United Kingdom
| | - Pauline Lane
- Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Chelmsford, United Kingdom
| | - Tom Boterberg
- Department of Radiation Oncology, Ghent University Hospital, Ghent, Belgium
| | - Philip R. Debruyne
- Department of Medical Oncology, Kortrijk Cancer Centre, General Hospital Groeninge, Kortrijk, Belgium
- School of Life Sciences, Anglia Ruskin University, Cambridge, United Kingdom
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Yang XY, Yang NB, Huang FF, Ren S, Li ZJ. Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials. Ann Gen Psychiatry 2021; 20:9. [PMID: 33516258 PMCID: PMC7847562 DOI: 10.1186/s12991-021-00327-5] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Accepted: 01/07/2021] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND A number of studies have shown the positive effects of acupuncture on state anxiety. However, the efficacy of acupuncture in treating anxiety disorder remains unclear. This review and meta-analysis aimed to explore whether acupuncture has a positive effect on anxiety disorder. METHODS Randomised controlled trials (RCTs) published in English and Chinese were found through various electronic databases, including PubMed, Scopus, the Cochrane Central Register of Controlled Trials, Embase, and the Chinese databases WanFang data, VIP Chinese Sci tech periodical database, and China National Knowledge Infrastructure. The primary outcome variable was extent of anxiety symptoms. The secondary outcomes included side effects and dropout rate. Effect sizes were pooled by random-effects modelling using Rev Man 5.3. RESULTS Twenty RCTs were included in this systematic review and meta-analysis. All included studies were designed for patients with generalised anxiety disorder (GAD), and 18 studies were published in Chinese. Egger's test showed that the asymmetry of the funnel plot in all studies was not significant (t = - 0.34, p = 0.74). The meta-analysis of anxiety symptoms showed that acupuncture was more effective than the control condition, with a standard mean effect size of - 0.41 (95% CI - 0.50 to - 0.31; p < 0.001), and that acupuncture intervention showed good tolerance and safety in the treatment of anxiety disorder. CONCLUSION Our findings suggest that acupuncture therapy aimed at reducing anxiety in patients with GAD has certain beneficial effects compared to controls. More RCTs with high quality should be conducted to fully understand the role of acupuncture in the treatment of various types of anxiety disorder. The protocol of this review was registered at the Prospero International Prospective Register of Systematic Reviews (Registration ID: PROSPERO 2020CRD42020148536).
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Affiliation(s)
- Xiang-yun Yang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, No. 5 Ankang Hutong Deshengmen Wai, Xicheng District, Beijing, 100088 China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Ning-bo Yang
- First Affiliated Hospital of Henan University of Science and Technology, Luoyang, China
| | - Fang-fang Huang
- School of Basic Medical Sciences, Henan University of Science and Technology, Luoyang, China
| | - Shuai Ren
- Luoyang Fifth People’s Hospital, Luoyang, China
| | - Zhan-jiang Li
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, No. 5 Ankang Hutong Deshengmen Wai, Xicheng District, Beijing, 100088 China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
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Abstract
As the worldwide population ages, the prevalence of Alzheimer's disease (AD) increases. However, the results of promising medications have been unsatisfactory. Chinese acupuncture has a long history of treating dementia, but lack of evidence from well-designed randomized controlled trials that validate its efficacy and safety, as well as its lack of clear underlying mechanisms, contribute to its limited application in clinical practice. In recent years, brain imaging technologies, such as functional magnetic resonance imaging and positron emission tomography, have been used to assess brain responses to acupuncture in a dynamic, visual, and objective way. These techniques are frequently used to explore neurological mechanisms of responses to acupuncture in AD and provide neuroimaging evidence as well as starting points to elucidate the possible mechanisms. This review summarizes the existing brain imaging evidence that explains the effects of acupuncture for AD and analyzes brain responses to acupuncture at cognitive-related acupoints [Baihui (GV 20), Shenmen (HT 7), Zusanli (ST 36), Neiguan (PC 6), and Taixi (KI 3)] from perspectives of acupoint specificity and acupoint combinations. Key issues and directions to consider in future studies are also put forward. This review should deepen our understanding of how brain imaging studies can be used to explore the underlying mechanisms of acupuncture in AD.
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Abstract
AIMS Suppose you are the developer of a new therapy for a mental health problem or you have several years of experience working with such a therapy, and you would like to prove that it is effective. Randomised trials have become the gold standard to prove that interventions are effective, and they are used by treatment guidelines and policy makers to decide whether or not to adopt, implement or fund a therapy. METHODS You would want to do such a randomised trial to get your therapy disseminated, but in reality your clinical experience already showed you that the therapy works. How could you do a trial in order to optimise the chance of finding a positive effect? RESULTS Methods that can help include a strong allegiance towards the therapy, anything that increases expectations and hope in participants, making use of the weak spots of randomised trials (risk of bias), small sample sizes and waiting list control groups (but not comparisons with existing interventions). And if all that fails one can always not publish the outcomes and wait for positive trials. CONCLUSIONS Several methods are available to help you show that your therapy is effective, even when it is not.
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Mallory MJ, Do A, Bublitz SE, Veleber SJ, Bauer BA, Bhagra A. Puncturing the myths of acupuncture. JOURNAL OF INTEGRATIVE MEDICINE-JIM 2016; 14:311-4. [PMID: 27641603 DOI: 10.1016/s2095-4964(16)60269-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Acupuncture is a widely practiced system of medicine that has been in place for thousands of years. Consumer interest and use of acupuncture are becoming increasingly popular in the United States, as it is used to treat a multitude of symptoms and disease processes as well as to maintain health and prevent illness. A growing body of evidence increasingly validates the practice of acupuncture. Further developing scientific data will play an important role in the future of acupuncture and other complementary and alternative medicines in public health. Acupuncture is commonly used concurrently with conventional medicine. Although acupuncture is embraced by consumers and medical professionals, misconceptions abound. We have explored and dispelled ten misconceptions common to the practice of acupuncture, utilizing an evidence-based approach. As the trend of merging conventional medical care with acupuncture treatment grows, it is important to develop a conceptual model of integrative medicine. Using a scientific evidence approach will create a structure from which to begin and grow confidence among conventional medical providers. Acupuncture is a safe and effective modality when performed properly by trained professionals. Educating both the consumer and medical community is important to enable appropriate and evidence-based applications of acupuncture and integration with conventional medicine for high-quality patient care.
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Affiliation(s)
- Molly J Mallory
- Complementary and Integrative Medicine, Division General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA
| | - Alexander Do
- Complementary and Integrative Medicine, Division General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA
| | - Sara E Bublitz
- Complementary and Integrative Medicine, Division General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA
| | - Susan J Veleber
- Complementary and Integrative Medicine, Division General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA
| | - Brent A Bauer
- Complementary and Integrative Medicine, Division General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA
| | - Anjali Bhagra
- Complementary and Integrative Medicine, Division General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA
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Abstract
Insomnia is the forgotten partner to many medical problems, not least chronic pain where interference with sleep is a common complaint. However, the relationship is complex: lack of sleep can exacerbate pain through increase in proinflammatory cytokine production. Acupuncture is observed clinically to improve sleeping in chronic pain patients, but reviews are unable firmly to recommend acupuncture for insomnia as many trials are methodologically inadequate, despite most being acupuncture positive. However, there is strong evidence for relief in several chronic pain problems and improvement in these is likely also to restore normal sleeping. So, as the safety profile of acupuncture is excellent, it seems reasonable to utilize acupuncture in a nonpharmacological approach to combating insomnia, despite lack of formal evidence.
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Affiliation(s)
- Simon Hayhoe
- Formerly of: Pain Management Department, University Hospital, Turner Road, Colchester, CO4 5JL, UK
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Chen J, Barrett DW, He Y, Gonzalez-Lima F. Anxiolytic-like behavioural effects of head electroacupuncture in rats susceptible to stress. Acupunct Med 2016; 34:235-40. [PMID: 27126102 DOI: 10.1136/acupmed-2015-010978] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2016] [Indexed: 12/16/2022]
Abstract
AIM To evaluate the behavioural effects of head electroacupuncture (EA) using the Holtzman rat model, a genetic strain showing susceptibility to stress-evoked helplessness. METHODS Putative anxiolytic and antidepressant behavioural effects of head EA were investigated using the light-dark and forced swim tests, respectively. The open field test was used to investigate motor activity. A total of 28 rats were used in two experiments, each with two groups (n=7 rats each). Rats were restrained and randomised to handling only (control) or 2Hz EA on the midline head anteriorly (at Yintang) and posteriorly (at GV20) for 3 days (experiment 1) or 4 days (experiment 2). RESULTS One day of EA did not modify behaviour in any of the tests (p>0.1); however, 2 days of 2 Hz EA treatment to the head had anxiolytic-like effects, as indicated by an improvement in ambulatory time and average velocity in the light-dark test (experiment 2). Relative to the control group, the EA group demonstrated greater ambulatory time (37.0±3.7 vs 25.2±3.6 s, p<0.05) and lower average velocity (2.73±0.06 vs 3.08±0.13 cm/s, p<0.05). However, EA treatment had no significant effects on the open field and forced swim tests in either experiment. CONCLUSIONS Two days of EA treatment using 2 Hz pulsating electrical current at midline anterior and posterior acupuncture points on the head induces behavioural effects suggestive of anxiolysis.
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Affiliation(s)
- Jia Chen
- Department of Traditional Chinese Medicine, School of Medicine, Jinan University, Guangzhou, China
| | - Douglas W Barrett
- Department of Psychology and Institute for Neuroscience, University of Texas at Austin, Austin, Texas, USA
| | - Yuxin He
- AOMA Graduate School of Integrative Medicine, Austin, Texas, USA
| | - F Gonzalez-Lima
- Department of Psychology and Institute for Neuroscience, University of Texas at Austin, Austin, Texas, USA
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Shayestehfar M, Seif-Barghi T, Zarei S, Mehran A. Acupuncture Anxiolytic Effects on Physiological and Psychological Assessments for a Clinical Trial. SCIENTIFICA 2016; 2016:4016952. [PMID: 27127679 PMCID: PMC4834398 DOI: 10.1155/2016/4016952] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Accepted: 02/21/2016] [Indexed: 06/05/2023]
Abstract
In a randomized controlled trial we examined the effect of acupuncture on anxiety of the adolescent football players prior to the competition using psychological and physiological markers. A total of 45 athletes were equally allocated to either acupuncture group, sham group, or wait-list control group. Thereafter, all participants were asked to complete an anxiety questionnaire before and after the intervention. Their heart rate and skin conductance were also examined before and after the intervention. The results of ANOVA on posttest scores showed that acupuncture had a significant effect on cognitive anxiety (p = 0.001) and somatic anxiety (p < 0.001) but not on self-confidence (p > 0.05). Furthermore, the results showed that acupuncture significantly decreased the skin conductance in acupuncture group compared to sham group (p = 0.006) and wait-list control group (p < 0.001). In conclusion, the results suggested that acupuncture has the capacity to decrease cognitive anxiety and somatic anxiety prior to competition in adolescent athletes, while this was accompanied by significant physiological changes. This trial is registered with IRCT138904074264N1 (IRCT is a Primary Registry in the WHO Registry Network).
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Affiliation(s)
- Monir Shayestehfar
- Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
- Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Tohid Seif-Barghi
- Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Sahar Zarei
- Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Amir Mehran
- Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
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Shu S, Zhan M, You YL, Qian XL, Li CM, Zhou CL, Zhou S. Wrist-ankle acupuncture (WAA) for precompetition nervous syndrome: study protocol for a randomized controlled trial. Trials 2015; 16:396. [PMID: 26346433 PMCID: PMC4562199 DOI: 10.1186/s13063-015-0910-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2015] [Accepted: 08/13/2015] [Indexed: 11/10/2022] Open
Abstract
Background Precompetition nervous syndrome comprises an excessive nervous and anxiety response to the high-pressure environment preceding a sporting competition. The use of acupuncture as a treatment option for anxiety, and wrist-ankle acupuncture (WAA) specifically in this instance, has been identified as a growing trend within the Western world. In our previous study, we have confirmed the efficacy of WAA for pre-examination anxiety. In this paper, we present a randomized controlled single-blind trial evaluating the use of WAA for precompetition nervous syndrome, comparing it with the intervention of sham acupuncture. Methods/Design The study was designed as a randomized controlled single-blind trial to evaluate the effects of WAA for precompetition anxiety. The trial will be conducted in annual track and field events of Shanghai University of Sport. A total of 100 participants who meet inclusion criteria are randomly assigned by computerized randomization to receive WAA therapy or sham acupuncture. The group allocations and interventions are concealed to participants and statisticians. The Competition State Anxiety Scale (CSAI-2) is used as the primary outcome measure, while heart rate, blood pressure, respiratory frequency, tension syndrome curative effect evaluation and participants’ feeling of acupuncture questionnaire are applied as secondary outcome measures. Discussion The results of this trial will confirm whether WAA is effective to treat precompetition anxiety in annual track and field events. Trial registration Chinese Clinical Trial Registry (identifier: ChiCTR-TRC-13003931; registration date: 22 October 2013).
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Affiliation(s)
- Shi Shu
- Changhai Hospital of Traditional Chinese Medicine, Second Military Medical University, 168 Changhai Road, Yangpu District, Shanghai, 200433, China.
| | - Mei Zhan
- Changhai Hospital of Traditional Chinese Medicine, Second Military Medical University, 168 Changhai Road, Yangpu District, Shanghai, 200433, China.
| | - Yan-li You
- Changhai Hospital of Traditional Chinese Medicine, Second Military Medical University, 168 Changhai Road, Yangpu District, Shanghai, 200433, China.
| | - Xiao-lu Qian
- Changhai Hospital of Traditional Chinese Medicine, Second Military Medical University, 168 Changhai Road, Yangpu District, Shanghai, 200433, China.
| | - Chun-ming Li
- Changhai Hospital of Traditional Chinese Medicine, Second Military Medical University, 168 Changhai Road, Yangpu District, Shanghai, 200433, China.
| | - Cheng-lin Zhou
- Department of Sport Psychology, School of Kinesiology, Shanghai University of Sport, 399, Changhai Road, Yangpu District, Shanghai, 200433, China.
| | - Shuang Zhou
- Changhai Hospital of Traditional Chinese Medicine, Second Military Medical University, 168 Changhai Road, Yangpu District, Shanghai, 200433, China.
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Litscher G, Gaischek I, Litscher D. Abstracts and Commentaries on Key Articles in the Literature. Med Acupunct 2015. [DOI: 10.1089/acu.2015.29001.lit] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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