Acupuncture for treating chronic stable angina pectoris associated anxiety and depression: A systematic review and meta-analysis.

Acupuncture Therapy Angina, Stable / therapy Anxiety / etiology Anxiety Disorders Depression / therapy Humans
Acupuncture Anxiety Chronic stable angina pectoris Depression Meta-analysis Systematic review

Journal

Complementary therapies in clinical practice
ISSN: 1873-6947
Titre abrégé: Complement Ther Clin Pract
Pays: England
ID NLM: 101225531

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 12 09 2020
revised: 05 09 2021
accepted: 06 09 2021
pubmed: 14 9 2021
medline: 3 11 2021
entrez: 13 9 2021
Statut: ppublish

Résumé

Despite that acupuncture is effective in treating anxiety, depression and chronic stable angina pectoris (CSAP), it remains unclear whether acupuncture can treat CSAP, anxiety and depression simultaneously. This systematic review and meta-analysis aimed to investigate the efficacy of acupuncture on CSAP-associated anxiety and depression. Eight electronic databases were searched to identify eligible randomized controlled trials (RCTs) or controlled clinical trials (i.e. "acupuncture alone or combined with standard care" versus " sham acupuncture alone, sham acupuncture with standard care, or standard care alone") from their inception to January 2021, which included PubMed, Embase, Web of Science, the Cochrane Library, CBM, CNKI, VIP and Wanfang Database. Data were extracted and meta analyses were performed using the RevMan 5.3. Risk of bias (ROB) 2.0 was used for methodological quality assessment. GRADEprofiler 3.2.2 was used to rate the quality of evidence. Seven trials involving 893 subjects were included. Meta-analysis results showed that acupuncture combined with standard care was more effective in relieving anxiety and depression, reducing angina attack frequency, and angina pain intensity than sham acupuncture with standard care and standard care alone. In addition, the effect remained until 16 weeks after acupuncture. The safety of acupuncture for CSAP-associated anxiety and depression was also high. Nonetheless, the quality of evidence ranged from low to moderate. Acupuncture may be used as an adjunctive therapy to treat CSAP-associated anxiety and depression. However, more high-quality RCTs are required to confirm our findings.

Sections du résumé

BACKGROUND AND OBJECTIVE OBJECTIVE
Despite that acupuncture is effective in treating anxiety, depression and chronic stable angina pectoris (CSAP), it remains unclear whether acupuncture can treat CSAP, anxiety and depression simultaneously. This systematic review and meta-analysis aimed to investigate the efficacy of acupuncture on CSAP-associated anxiety and depression.
METHODS METHODS
Eight electronic databases were searched to identify eligible randomized controlled trials (RCTs) or controlled clinical trials (i.e. "acupuncture alone or combined with standard care" versus " sham acupuncture alone, sham acupuncture with standard care, or standard care alone") from their inception to January 2021, which included PubMed, Embase, Web of Science, the Cochrane Library, CBM, CNKI, VIP and Wanfang Database. Data were extracted and meta analyses were performed using the RevMan 5.3. Risk of bias (ROB) 2.0 was used for methodological quality assessment. GRADEprofiler 3.2.2 was used to rate the quality of evidence.
RESULTS RESULTS
Seven trials involving 893 subjects were included. Meta-analysis results showed that acupuncture combined with standard care was more effective in relieving anxiety and depression, reducing angina attack frequency, and angina pain intensity than sham acupuncture with standard care and standard care alone. In addition, the effect remained until 16 weeks after acupuncture. The safety of acupuncture for CSAP-associated anxiety and depression was also high. Nonetheless, the quality of evidence ranged from low to moderate.
CONCLUSION CONCLUSIONS
Acupuncture may be used as an adjunctive therapy to treat CSAP-associated anxiety and depression. However, more high-quality RCTs are required to confirm our findings.

Identifiants

DOI: 10.1016/j.ctcp.2021.101484 PMID: 34517216
pubmed: 34517216
pii: S1744-3881(21)00183-3
doi: 10.1016/j.ctcp.2021.101484
pii:
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Pagination

101484

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Mingqi Tu (M)

Department of Neurobiology and Acupuncture Research, The Third Clinical Medical College, Zhejiang Chinese Medical University, Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Hangzhou, 310053, China. Electronic address: 403712321@qq.com.

Yongliang Jiang (Y)

Department of Neurobiology and Acupuncture Research, The Third Clinical Medical College, Zhejiang Chinese Medical University, Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Hangzhou, 310053, China. Electronic address: jyl2182@126.com.

Jie Yu (J)

Department of Neurobiology and Acupuncture Research, The Third Clinical Medical College, Zhejiang Chinese Medical University, Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Hangzhou, 310053, China; Department of Acupuncture and Massage, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, China. Electronic address: 690474518@qq.com.

Hantong Hu (H)

The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China. Electronic address: 413351308@qq.com.

Binjun Liao (B)

Department of Neurobiology and Acupuncture Research, The Third Clinical Medical College, Zhejiang Chinese Medical University, Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Hangzhou, 310053, China. Electronic address: 290888167@qq.com.

Xiaofen He (X)

Department of Neurobiology and Acupuncture Research, The Third Clinical Medical College, Zhejiang Chinese Medical University, Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Hangzhou, 310053, China. Electronic address: zjhxf1986@163.com.

Jianqiao Fang (J)

Department of Neurobiology and Acupuncture Research, The Third Clinical Medical College, Zhejiang Chinese Medical University, Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Hangzhou, 310053, China. Electronic address: fangjianqiao7532@163.com.

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Classifications MeSH

questionsmedicales.fr › Thérapeutique › Thérapies complémentaires › Thérapie par acupuncture › Acupuncture for treating chronic stable angina...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur thoracique › Angine de poitrine › Angor stable › Acupuncture for treating chronic stable angina...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Anxiété › Acupuncture for treating chronic stable angina...
questionsmedicales.fr › Troubles mentaux › Troubles anxieux › Acupuncture for treating chronic stable angina...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Dépression › Acupuncture for treating chronic stable angina...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Acupuncture for treating chronic stable angina...