Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
권호 표지
DOI QR코드

DOI QR Code

A Systematic Review of Clinical Studies on the Effects of Acupuncture on Anxiety Disorders

불안장애에 대한 침 치료 임상 연구의 체계적 고찰

  • Kim, Kyeong-Ok (Department of Neuropsychiatry, College of Oriental Medicine, Dongsin University) ;
  • Kim, Cheon-Jung (Department of Neuropsychiatry, College of Oriental Medicine, Dongsin University) ;
  • Seo, Sang-Il (Department of Neuropsychiatry, College of Oriental Medicine, Dongsin University) ;
  • Kim, Nam-Yeol (Department of Neuropsychiatry, College of Oriental Medicine, Dongsin University) ;
  • Kim, Geun-Woo (Department of Neuropsychiatry, College of Oriental Medicine, Dongsin University)
  • 김경옥 (동신대학교 한의과대학 한방신경정신과학교실) ;
  • 김천중 (동신대학교 한의과대학 한방신경정신과학교실) ;
  • 서상일 (동신대학교 한의과대학 한방신경정신과학교실) ;
  • 김남열 (동신대학교 한의과대학 한방신경정신과학교실) ;
  • 김근우 (동신대학교 한의과대학 한방신경정신과학교실)
  • Received : 2017.09.02
  • Accepted : 2017.09.19
  • Published : 2017.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The aim of this study was to investigate the clinical studies which focus on acupuncture's effect on anxiety disorder. Methods: We selected clinical studies through six databases. We then examined the characteristics of the selected studies and conducted an assessment for Risk of Bias (ROB). Results: Seventeen randomized-controlled trials were selected to determine the effects of acupuncture on anxiety disorders. We found that the risk of bias in most studies was unclear. The intervention of 7 seventeen randomized-controlled trials (RCT) was basic acupuncture, 8 RCT involved electric acupuncture, 2 RCT consisted of acupuncture and Moxibustion. Four of the 7 basic acupuncture RCTs and 5 of the 8 electric acupuncture RCTs had a significant effect on anxiety factors for anxiety disorders. Conclusions: Acupuncture treatment for anxiety disorders was found to be effective compared to the controls, or there was no difference in effectiveness compared to the controls. However, the quality of the included studies was low, and there only were a small number of studies. Therefore, well-designed studies and a greater number of the studies are needed.

Keywords

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fifth ed. Seoul: Hakjisa. 2015:199-201.
  2. The Korean Society of Oriental Neuropsychiatry. Oriental Neuropsychiatry. Third ed. Seoul:Jipmoondang. 2016:191-5, 218-21.
  3. Korean Neuropsychiatric Association. Textbook of Neuropsychiatry. Seoul:Im is company. 2017:309-36, 357-66.
  4. Jinpyo H. The Survey of Mental Disorders in Korea in 2016. Ministry of Health and Welfare, Samsung Medical Center. 2016:24-6
  5. Lim JH, Seo BN, Lee SR, Jung IC. . Interim Report about The Comparative Clinical Study of Efficacy of Gamisoyosan (Jiaweixiaoyaosan) on Anxiety of Generalized Anxiety disorder. Journal. of Oriental Neuropsychiatry 2010;21(3):29-44.
  6. Yang SB, Kim YJ, Lee HM, Lee HJ, Cho SY, Park SU, Park JM, Ko CN. Case Report of Generalized Anxiety Disorder Treated with Guibiondamtang-gami. Journal of Int. Korean Med. 2016;37(2):361-7.
  7. Kim JH, Sue JH, Lee GE, Kim NK, Choi SY, Lyu YS, Kang HW. Development of Korean Medical Psychotherapy and Preliminary Clinical Trial for Post Traumatic Stress Disorder. Journal of Oriental Neuropsychiatry 2015;26(1):49-61. https://doi.org/10.7231/jon.2015.26.1.049
  8. Lee GE, We YM, Seong JW, Kim DY, Kang HW. A Clinical Report about a Patient Suffering from Social Phobia and Treated by Herbal Medicine with Neurofeedback. Journal of Oriental Neuropsychiatry 2014;25(2):153-64. https://doi.org/10.7231/jon.2014.25.2.153
  9. Choi BY, Jung IC, Lee SR. A Case of Cognitive and Behavioral Therapy and Oriental Medical Treatment On Social Phobia. Journal of Oriental Neuropsychiatry 2004;15(2):191-201.
  10. Yoo JH, Heo EJ, Kim NY, Lee YJ, Kim GW. Predictors of Clinical Efficacy of Oriental Medical Treatment in Patients with Panic Disorder. Journal of Oriental Neuropsychiatry 2015;26(3):293-306. https://doi.org/10.7231/jon.2015.26.3.293
  11. Lee SW, Lee YJ, Yoo SW, Lee RD, Park SJ. Case Series of Panic Disorder Patients Treated by Oriental Medical Treatments and EFT. Journal of Oriental Neuropsychiatry 2014;25(1):13-28. https://doi.org/10.7231/jon.2014.25.1.013
  12. Lee SY, Lyu SJ, Choi SY, Lyu YS, Kang HW. A Study on the Clinical Effects of Group Therapy for Panic Disorder Patients Based on Mindfulness & Li-Gyeung-Byun-Qi Therapy. Journal of Oriental Neuropsychiatry 2014;25(4):319-32. https://doi.org/10.7231/jon.2014.25.4.319
  13. Jang HJ, Jung HC, Sung WY, Kim JW, Jeong BJ. A Case of Combination Therapy of Cognitive-Behavioral Therapy and Oriental Medicine Treatment On Panic Disorder. Journal of Oriental Neuropsychiatry 2004;15(2):211-219.
  14. Oh KC. A Clinical report on Panic Disorder with Nausea treated by Shihosogantang-gami. The Journal of The Korea Institute of Oriental Medical Diagnostics. 2012;16(3):59-68.
  15. Han C, Kim JH, Ryu KJ, Ahn KS, Kwon SR. A Clinical Report on Symptom of Panic Disorder Improved by Chuna Manual Relaxation Therapy. The Journal of Korea CHUNA Manual Medicine for Spine and Nerves 2008;3(2):1-8
  16. National Evidence-based Healthcare Collaborating Agency. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. Seoul:NECA. 2011.
  17. Zhou X, Li Y, Zhu H, Chen L. Impacts of acupuncture at twelve meridians acupoints on brain waves of patients with general anxiety disorder. Chinese Acupuncture & Moxibustion. 2013;33(5):395-8.
  18. Engel, C. C., Cordova, E. H., Benedek, D. M., Liu, X., Gore, K. L., Goertz, C., Freed, M. C., Crawford, C., Jonas, W. B., Ursano, R. J.. Randomized effectiveness trial of a brief course of acupuncture for posttraumatic stress disorder. Med Care. 2014;52(12):57-64. https://doi.org/10.1097/MLR.0000000000000237
  19. Liu H, Luo W, Mei S, Yuan Q, Jin R. Clinical Observation on Acupuncture for Generalized Anxiety Disorder. Journal of Guangzhou University of Tradit ional Chinese Medicine. 2007;24(2):119-22.
  20. Sui A. Observation on Curative Effect of 38 Cases of Anxiety Treated by Paroxetine Combined with Acupuncture. Fujian Journal 24 of TCM June. 2010;41(3):24-6.
  21. Song W, Yan L, Zhou H. Clinical efficacy for electro-acupuncture and paroxetine in treatment of panic disorder. Journal of Pharmaceutical Practice. 2014;32(5):376-8.
  22. Zhao G, Liu M, Guo S, Zhang Y, Li Y, Xu W, Li Y, Zhao J, Chen Y, Chen Y, Sun Z. Effect of Electroacupuncture Baihui-Dazhui Acupoint on Posttraumatic Stress Disorder. Journal of Clinical Acupuncture and Moxibustion. 2014;30(5):31-3.
  23. Zhou P, Zhang Y, Tan Q. Effects of electric acupuncture combined with sertraline in the treatment of post-traumatic stress disorder. Sichuan Mental Health. 2015;28(6):504-7.
  24. Zhao G, Guo S, Zhang Y1, Liu M, Xu W, Li Y, Zhao J, Chen Y, Chen Y1, Li Y, Sun Z. Clinical Study on the Early Intervention of Electroacupuncture in Preventing Posttraumatic Stress Disorder. Shanghai J Acu-mox. 2014;33(4):314-6.
  25. Wang C, Liang J, Luo H, et al. Comparative Observation on Clinical Effects of Treatment of Comprehensive Anxiety Neurosis with Electric Acupuncture and Trazodone. Journal of Beijing University of TCM. 2003;10(2):37-9.
  26. Che L. Therapeutic effect of acupuncture on patients with generalized anxiety disorder. Medical Journal of Chinese People's Health. 2015;27(8):86-7.
  27. Zhao Yan, Zou W, Teng W, Dai X, Clinical Study of Tongdu Tiaoshen Acupuncture for the Treatment of Generalized Anxiety Disorder. Journal of Clinical Acupuncture and Moxibustion. 2014;30(11):24-6.
  28. Zheng Z, Zhu C. Clinical Study on Treatment of Anxiety Disorder with Acupuncturing. Jounal of Liaoning College of TCM. 2004;6(3):208.
  29. Fan C, Liang Z, Huang Y, Zhong T. A randomized controlled study of electroacupuncture combined with Paroxetine in treatment of patients with generalized anxiety disorderGuangdong Medical Journal. 2014;35(23):3742-4.
  30. Wang Z, Zhou P, Tan Q. Effect of electric acupuncture combined with paroxetine in treatment of patients with post-traumatic stress disorder. Journal of Psychiatry. 2015;28(5):326-8.
  31. Gao L, Zhou Y. Observations on the efficacy of mindcalming and brain-refreshing acupuncture and moxibustion for treating 42 anxiety patients. Shanghai J Acu-mox. 2006;25(5):26-7
  32. Liu J, Meng L, Yu X, Wu M. Sedative Qingnao Acupuncture to Treat Anxiety Disorders Randomized Controlled Study. Journal of Practical Traditional Chinese Internal Medicine. 2015;29(8):152-3.

Cited by

  1. 공황장애의 한의학적 치료에 대한 임상연구 동향 분석: 국내 증례보고를 중심으로 vol.25, pp.2, 2021, https://doi.org/10.25153/spkom.2021.25.2.005