Effects of acupuncture on earthquake survivors with major psychiatric disorders and related symptoms: A scoping review of clinical studies

<h4>Background</h4> This scoping review aimed to determine the current research status of acupuncture for major psychiatric disorder (MPD) in earthquake survivors. <h4>Method</h4> We followed the scoping review process described previously. A literature search on 14 electroni...

Full description

Bibliographic Details
Main Authors: Chan-Young Kwon, Jungtae Leem, Da-Woon Kim, Hui-Ju Kwon, Hyun-Seo Park, Sang-Ho Kim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10249843/?tool=EBI
_version_ 1797806970782089216
author Chan-Young Kwon
Jungtae Leem
Da-Woon Kim
Hui-Ju Kwon
Hyun-Seo Park
Sang-Ho Kim
author_facet Chan-Young Kwon
Jungtae Leem
Da-Woon Kim
Hui-Ju Kwon
Hyun-Seo Park
Sang-Ho Kim
author_sort Chan-Young Kwon
collection DOAJ
description <h4>Background</h4> This scoping review aimed to determine the current research status of acupuncture for major psychiatric disorder (MPD) in earthquake survivors. <h4>Method</h4> We followed the scoping review process described previously. A literature search on 14 electronic databases was conducted from inception to November 29, 2022. Data from the included studies were collected and descriptively analyzed to address our research question. Extracted data were collated, synthesized, and summarized the according to the analytical framework of a scoping review. <h4>Result</h4> This scoping review included nine clinical studies: four randomized controlled trials (RCTs) and five before–after studies. The most frequent MPD type among the included acupuncture studies was posttraumatic stress disorder (PTSD; 6/9, 66.67%). The most frequent acupuncture type was scalp electro-acupuncture (4/9, 44.44%), followed by manual acupuncture and ear acupressure/ear acupuncture (3/9, 33.33%). Studies using scalp electro-acupuncture all used common acupoints, including GB20, GV20, GV24, and EX-HN1. In general, the treatment period lasted between 4 and 12 weeks. Validated assessment tools for PTSD severity and accompanying symptoms were used for patients with PTSD, while the corresponding evaluation tools were used for patients with other diagnoses or clinical symptoms. Acupuncture-related adverse events were generally mild and temporary, such as mild bleeding and hematoma, and syncope was a rare but potentially serious adverse event (1/48 patients and 1/864 sessions over a treatment period of 4 weeks). <h4>Conclusion</h4> Acupuncture studies for MPD after an earthquake mainly focused on PTSD. RCTs accounted for around half of the included studies. Scalp electro-acupuncture was the most common acupuncture type, and EX-HN1 and GV24 were the most important acupoints in the acupuncture procedures for MPD. The included studies mostly used validated symptom assessment tools, though some did not. Clinical studies in this field need to be further expanded regardless of the study type. <h4>Protocol registration</h4> https://osf.io/wfru7/.
first_indexed 2024-03-13T06:15:29Z
format Article
id doaj.art-5ab783998a404e0888d50f8f3ae11ef2
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-03-13T06:15:29Z
publishDate 2023-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-5ab783998a404e0888d50f8f3ae11ef22023-06-11T05:31:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01186Effects of acupuncture on earthquake survivors with major psychiatric disorders and related symptoms: A scoping review of clinical studiesChan-Young KwonJungtae LeemDa-Woon KimHui-Ju KwonHyun-Seo ParkSang-Ho Kim<h4>Background</h4> This scoping review aimed to determine the current research status of acupuncture for major psychiatric disorder (MPD) in earthquake survivors. <h4>Method</h4> We followed the scoping review process described previously. A literature search on 14 electronic databases was conducted from inception to November 29, 2022. Data from the included studies were collected and descriptively analyzed to address our research question. Extracted data were collated, synthesized, and summarized the according to the analytical framework of a scoping review. <h4>Result</h4> This scoping review included nine clinical studies: four randomized controlled trials (RCTs) and five before–after studies. The most frequent MPD type among the included acupuncture studies was posttraumatic stress disorder (PTSD; 6/9, 66.67%). The most frequent acupuncture type was scalp electro-acupuncture (4/9, 44.44%), followed by manual acupuncture and ear acupressure/ear acupuncture (3/9, 33.33%). Studies using scalp electro-acupuncture all used common acupoints, including GB20, GV20, GV24, and EX-HN1. In general, the treatment period lasted between 4 and 12 weeks. Validated assessment tools for PTSD severity and accompanying symptoms were used for patients with PTSD, while the corresponding evaluation tools were used for patients with other diagnoses or clinical symptoms. Acupuncture-related adverse events were generally mild and temporary, such as mild bleeding and hematoma, and syncope was a rare but potentially serious adverse event (1/48 patients and 1/864 sessions over a treatment period of 4 weeks). <h4>Conclusion</h4> Acupuncture studies for MPD after an earthquake mainly focused on PTSD. RCTs accounted for around half of the included studies. Scalp electro-acupuncture was the most common acupuncture type, and EX-HN1 and GV24 were the most important acupoints in the acupuncture procedures for MPD. The included studies mostly used validated symptom assessment tools, though some did not. Clinical studies in this field need to be further expanded regardless of the study type. <h4>Protocol registration</h4> https://osf.io/wfru7/.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10249843/?tool=EBI
spellingShingle Chan-Young Kwon
Jungtae Leem
Da-Woon Kim
Hui-Ju Kwon
Hyun-Seo Park
Sang-Ho Kim
Effects of acupuncture on earthquake survivors with major psychiatric disorders and related symptoms: A scoping review of clinical studies
PLoS ONE
title Effects of acupuncture on earthquake survivors with major psychiatric disorders and related symptoms: A scoping review of clinical studies
title_full Effects of acupuncture on earthquake survivors with major psychiatric disorders and related symptoms: A scoping review of clinical studies
title_fullStr Effects of acupuncture on earthquake survivors with major psychiatric disorders and related symptoms: A scoping review of clinical studies
title_full_unstemmed Effects of acupuncture on earthquake survivors with major psychiatric disorders and related symptoms: A scoping review of clinical studies
title_short Effects of acupuncture on earthquake survivors with major psychiatric disorders and related symptoms: A scoping review of clinical studies
title_sort effects of acupuncture on earthquake survivors with major psychiatric disorders and related symptoms a scoping review of clinical studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10249843/?tool=EBI
work_keys_str_mv AT chanyoungkwon effectsofacupunctureonearthquakesurvivorswithmajorpsychiatricdisordersandrelatedsymptomsascopingreviewofclinicalstudies
AT jungtaeleem effectsofacupunctureonearthquakesurvivorswithmajorpsychiatricdisordersandrelatedsymptomsascopingreviewofclinicalstudies
AT dawoonkim effectsofacupunctureonearthquakesurvivorswithmajorpsychiatricdisordersandrelatedsymptomsascopingreviewofclinicalstudies
AT huijukwon effectsofacupunctureonearthquakesurvivorswithmajorpsychiatricdisordersandrelatedsymptomsascopingreviewofclinicalstudies
AT hyunseopark effectsofacupunctureonearthquakesurvivorswithmajorpsychiatricdisordersandrelatedsymptomsascopingreviewofclinicalstudies
AT sanghokim effectsofacupunctureonearthquakesurvivorswithmajorpsychiatricdisordersandrelatedsymptomsascopingreviewofclinicalstudies