Effect of Acupuncture on Physical Symptoms and Quality of Life in Treatment-Resistant Major Depressive Disorder and Bipolar Disorder: a Single-Arm Longitudinal Study.

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Yuto Matsuura, Seiji Hongo, Hiroshi Taniguchi, Fumiko Yasuno, Tomomi Sakai
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引用次数: 1

Abstract

Background: Acupuncture is a non-pharmacological therapy used clinically for mood disorders. Relief of physical symptoms with acupuncture treatment may lead to relief of depressive symptoms and improvement of quality of life (QoL). Few studies have examined the effect of acupuncture on the physical symptoms and QoL of patients with mood disorders.

Objectives: To examine the effect of acupuncture on physical symptoms and QoL of patients with treatment-resistant major depressive disorder (MDD) and bipolar disorder (BD).

Methods: This prospective, single-arm, longitudinal study included patients with MDD and BD from an outpatient psychiatric clinic. Acupuncture was performed weekly for 12 weeks in combination with regular treatment, with fixed acupoints and individualized treatment for each patient. Psychiatric symptoms were evaluated using the Himorogi Self-Rating Depression Scale (HSDS) and Himorogi Self-Rating Anxiety Scale (HSAS). Physical symptoms such as physical pain, gastrointestinal symptoms, and sleep disorders were evaluated using the Japanese version of the Somatic Symptom Scale-8 (SSS-8) and Visual Analog Scale (VAS). QoL was evaluated using the 8-item Short-Form (SF-8) Health Survey.

Results: A total of 36 patients (15 MDD and 21 BD patients) were analyzed. After 12 weeks of acupuncture, HSDS and HSAS scores significantly decreased (p < 0.05). Physical symptoms evaluated using SSS-8 and VAS scores also significantly improved (p < 0.05). In particular, neck pain and insomnia improved at an early stage. Among the SF-8 subscales, scores of bodily pain, general health perception, role limitations due to emotional problems, and mental health significantly increased (p < 0.05).

Conclusion: Acupuncture may improve not only psychiatric symptoms but also physical symptoms and QoL in patients with treatment-resistant mood disorders. Further studies are required for confirmation of the preliminary data collected thus far.

针刺对难治性重度抑郁症和双相情感障碍患者身体症状和生活质量的影响:一项单臂纵向研究
背景:针灸是临床上用于治疗情绪障碍的一种非药物疗法。针灸治疗身体症状的缓解可能导致抑郁症状的缓解和生活质量的改善。针刺对情绪障碍患者身体症状和生活质量的影响研究较少。目的:探讨针刺对难治性重度抑郁障碍(MDD)和双相情感障碍(BD)患者躯体症状和生活质量的影响。方法:这项前瞻性、单臂、纵向研究纳入了来自门诊精神病诊所的重度抑郁症和双相障碍患者。每周一次针灸治疗,结合常规治疗,固定穴位,个体化治疗,连续12周。采用Himorogi抑郁自评量表(HSDS)和Himorogi焦虑自评量表(HSAS)对精神症状进行评估。躯体症状(如躯体疼痛、胃肠症状和睡眠障碍)采用日本版躯体症状量表-8 (SSS-8)和视觉模拟量表(VAS)进行评估。生活质量采用8项健康问卷(SF-8)进行评估。结果:共分析36例患者(MDD 15例,BD 21例)。针刺12周后,HSDS、HSAS评分均显著降低(p < 0.05)。使用SSS-8和VAS评分评估身体症状也显著改善(p < 0.05)。特别是颈部疼痛和失眠在早期就得到了改善。在SF-8量表中,身体疼痛、一般健康知觉、情绪问题导致的角色限制和心理健康得分显著增加(p < 0.05)。结论:针刺不仅能改善难治性心境障碍患者的精神症状,还能改善躯体症状和生活质量。需要进一步的研究来证实迄今收集到的初步数据。
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来源期刊
Journal of Acupuncture and Meridian Studies
Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.50
自引率
10.00%
发文量
35
审稿时长
12 weeks
期刊介绍: The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.
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