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An observational study of acupuncture and complementary treatments for major depression: Case series from a preliminary study of proposed collaborative care model

BACKGROUND: Major depressive disorder is identified as a mood disorder characterized by episodically recurring and potentially life-threatening negative symptoms. It is currently important for study, as it involves high morbidity, mortality and prevalence, as well as unsatisfactory treatment results...

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Autores principales: Tamayo, Sara Maria, Wei, Tsu-Hsuan, Chen, Liang-yu, Ho, Wen-Chao, Ton, Gil, Lee, Yu-Chen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9446101/
https://www.ncbi.nlm.nih.gov/pubmed/36081817
http://dx.doi.org/10.1016/j.jtcme.2022.03.002
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author Tamayo, Sara Maria
Wei, Tsu-Hsuan
Chen, Liang-yu
Ho, Wen-Chao
Ton, Gil
Lee, Yu-Chen
author_facet Tamayo, Sara Maria
Wei, Tsu-Hsuan
Chen, Liang-yu
Ho, Wen-Chao
Ton, Gil
Lee, Yu-Chen
author_sort Tamayo, Sara Maria
collection PubMed
description BACKGROUND: Major depressive disorder is identified as a mood disorder characterized by episodically recurring and potentially life-threatening negative symptoms. It is currently important for study, as it involves high morbidity, mortality and prevalence, as well as unsatisfactory treatment results. AIM: Establish an outpatient model from an integrative approach promoting the diversified development of traditional Chinese and Western medicine cooperation, leading to a holistic intervention for patients with depression. EXPERIMENTAL PROCEDURE: Fifteen participants with moderate to severe depression were followed up for eight weeks in the Acupuncture Department of the China Medical University Hospital in Taichung, Taiwan, under a collaborative outpatient model that combined Western psychiatry and traditional Chinese medicine (TCM). Interdisciplinary Intervention included manual acupuncture twice a week (16 sessions), tai chi, yoga meditation, and nutritional assessment. Symptomatology was measured with primary outcomes (self-reporting via questionnaires) and secondary outcomes (heart rate variability [HRV] and blood samples to measure inflammation via high-sensitivity C-reactive protein [hs-CRP]). RESULTS: The response rate was 80% (12/15 participants), with a statistically and clinically significant decrease in depression severity according to the 21-question Hamilton depression rating scale (HDRS(21)) (p < 0.001), the Beck Depression Inventory (BDI) (p < 0.003), and quality of life (QoL) questionnaires (p < 0.002). We found body constitution heterogeneity in the participants with major depressive disorder (MDD), predominantly blood stagnation and Qi stagnation (in 70% of participants). CONCLUSION: An interdisciplinary outpatient treatment method of complementary therapies can be applied successfully with pharmacological treatment in clinical practice to reduce depression symptomatology. SECTION: Physical/Mental practices. TAXONOMY: Major Depressive Disorder, Collaborative healthcare Treatment, Observational study.
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spelling pubmed-94461012022-09-07 An observational study of acupuncture and complementary treatments for major depression: Case series from a preliminary study of proposed collaborative care model Tamayo, Sara Maria Wei, Tsu-Hsuan Chen, Liang-yu Ho, Wen-Chao Ton, Gil Lee, Yu-Chen J Tradit Complement Med Article BACKGROUND: Major depressive disorder is identified as a mood disorder characterized by episodically recurring and potentially life-threatening negative symptoms. It is currently important for study, as it involves high morbidity, mortality and prevalence, as well as unsatisfactory treatment results. AIM: Establish an outpatient model from an integrative approach promoting the diversified development of traditional Chinese and Western medicine cooperation, leading to a holistic intervention for patients with depression. EXPERIMENTAL PROCEDURE: Fifteen participants with moderate to severe depression were followed up for eight weeks in the Acupuncture Department of the China Medical University Hospital in Taichung, Taiwan, under a collaborative outpatient model that combined Western psychiatry and traditional Chinese medicine (TCM). Interdisciplinary Intervention included manual acupuncture twice a week (16 sessions), tai chi, yoga meditation, and nutritional assessment. Symptomatology was measured with primary outcomes (self-reporting via questionnaires) and secondary outcomes (heart rate variability [HRV] and blood samples to measure inflammation via high-sensitivity C-reactive protein [hs-CRP]). RESULTS: The response rate was 80% (12/15 participants), with a statistically and clinically significant decrease in depression severity according to the 21-question Hamilton depression rating scale (HDRS(21)) (p < 0.001), the Beck Depression Inventory (BDI) (p < 0.003), and quality of life (QoL) questionnaires (p < 0.002). We found body constitution heterogeneity in the participants with major depressive disorder (MDD), predominantly blood stagnation and Qi stagnation (in 70% of participants). CONCLUSION: An interdisciplinary outpatient treatment method of complementary therapies can be applied successfully with pharmacological treatment in clinical practice to reduce depression symptomatology. SECTION: Physical/Mental practices. TAXONOMY: Major Depressive Disorder, Collaborative healthcare Treatment, Observational study. Elsevier 2022-03-26 /pmc/articles/PMC9446101/ /pubmed/36081817 http://dx.doi.org/10.1016/j.jtcme.2022.03.002 Text en © 2022 Center for Food and Biomolecules, National Taiwan University. Production and hosting by Elsevier Taiwan LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Tamayo, Sara Maria
Wei, Tsu-Hsuan
Chen, Liang-yu
Ho, Wen-Chao
Ton, Gil
Lee, Yu-Chen
An observational study of acupuncture and complementary treatments for major depression: Case series from a preliminary study of proposed collaborative care model
title An observational study of acupuncture and complementary treatments for major depression: Case series from a preliminary study of proposed collaborative care model
title_full An observational study of acupuncture and complementary treatments for major depression: Case series from a preliminary study of proposed collaborative care model
title_fullStr An observational study of acupuncture and complementary treatments for major depression: Case series from a preliminary study of proposed collaborative care model
title_full_unstemmed An observational study of acupuncture and complementary treatments for major depression: Case series from a preliminary study of proposed collaborative care model
title_short An observational study of acupuncture and complementary treatments for major depression: Case series from a preliminary study of proposed collaborative care model
title_sort observational study of acupuncture and complementary treatments for major depression: case series from a preliminary study of proposed collaborative care model
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9446101/
https://www.ncbi.nlm.nih.gov/pubmed/36081817
http://dx.doi.org/10.1016/j.jtcme.2022.03.002
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