Academic Journal
Acupuncture for post-stroke depression: a systematic review and network meta-analysis
| العنوان: | Acupuncture for post-stroke depression: a systematic review and network meta-analysis |
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| المؤلفون: | Wai Lam Ching, Hui Juan Li, Jianwen Guo, Liang Yao, Janita Chau, Suzanne Lo, Chun Sum Yuen, Bacon Fung Leung Ng, Edwin Chau-Leung Yu, Zhaoxiang Bian, Alexander Y Lau, Linda LD Zhong |
| المصدر: | BMC Psychiatry, Vol 23, Iss 1, Pp 1-14 (2023) |
| بيانات النشر: | BMC |
| سنة النشر: | 2023 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Acupuncture, Post-stroke depression, Network meta-analysis, Psychiatry, RC435-571 |
| الوصف: | Background Patients with post-stroke depression (PSD) usually experience anxiety, hopelessness, and insomnia, which have a negative impact on their daily activities and post-stroke rehabilitation. Acupuncture (AC), as a minimally invasive technique, has become a popular choice for improving depression symptoms. However, it is still unclear which therapy is associated with the best outcomes for PSD. In this review, we aimed to explore the impact of AC in alleviating symptoms of PSD and to evaluate the difference in effectiveness between AC combined with pharmacotherapies and various non-pharmacotherapies. Methods Six databases and three clinical trials registration platforms were searched from inception to March 2023. Randomized clinical trial comparing needle-based AC with pharmacotherapy, and other non-pharmacotherapy or invalid group were included. Two independent reviewers identified eligible studies, and collected data using a pre-made form. A Bayesian network meta-analysis was conducted to assess and compare different techniques using RStudio 3.6.0 with the package ‘GEMTC’ V.0.8.1. The primary outcome was the efficacy for PSD assessed by scales measuring depressive symptoms. The secondary outcomes were effectiveness for neurological function and the quality of life. The ranking probabilities for all treatment interventions was performed using the Surface Under the Cumulative Ranking curve (SUCRA). The risk of bias was assessed by using the Revised Cochrane Risk of Bias tool 2. Results Sixty-two studies, involving 5308 participants published from 2003 to 2022, were included. The results showed that compared with western medicine (WM) (defined as pharmacotherapy for PSD), AC alone or with repetitive transcranial magnetic stimulation (RTMS), Traditional Chinese medicine (TCM) alone or with WM, were superior for alleviating depression symptoms. Compared to Usual Care, AC alone or plus other therapies could significantly decrease scores on the Hamilton Depression Rating scale. According to result of ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1471-244X |
| Relation: | https://doi.org/10.1186/s12888-023-04749-1; https://doaj.org/toc/1471-244X; https://doaj.org/article/bb456c9f42d14c6abb62a62c3ed77d1b |
| DOI: | 10.1186/s12888-023-04749-1 |
| الاتاحة: | https://doi.org/10.1186/s12888-023-04749-1 https://doaj.org/article/bb456c9f42d14c6abb62a62c3ed77d1b |
| رقم الانضمام: | edsbas.2AB79BDE |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 1471244X |
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| DOI: | 10.1186/s12888-023-04749-1 |