The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a study protocol for a randomized controlled trial

BackgroundMajor depressive disorder (MDD) has emerged as the fifth leading cause of years lived with disability, with a high prevalent, affecting nearly 4% of the global population. While available evidence suggests that intradermal acupuncture may enhance the effectiveness of antidepressants, wheth...

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Main Authors: Xiaoting Wu, Mingqi Tu, Nisang Chen, Jiajia Yang, Junyan Jin, Siying Qu, Sangsang Xiong, Zhijian Cao, Maosheng Xu, Shuangyi Pei, Hantong Hu, Yinyan Ge, Jianqiao Fang, Xiaomei Shao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1181947/full
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author Xiaoting Wu
Xiaoting Wu
Mingqi Tu
Mingqi Tu
Nisang Chen
Nisang Chen
Jiajia Yang
Junyan Jin
Junyan Jin
Siying Qu
Siying Qu
Sangsang Xiong
Sangsang Xiong
Zhijian Cao
Maosheng Xu
Shuangyi Pei
Hantong Hu
Yinyan Ge
Jianqiao Fang
Xiaomei Shao
Xiaomei Shao
author_facet Xiaoting Wu
Xiaoting Wu
Mingqi Tu
Mingqi Tu
Nisang Chen
Nisang Chen
Jiajia Yang
Junyan Jin
Junyan Jin
Siying Qu
Siying Qu
Sangsang Xiong
Sangsang Xiong
Zhijian Cao
Maosheng Xu
Shuangyi Pei
Hantong Hu
Yinyan Ge
Jianqiao Fang
Xiaomei Shao
Xiaomei Shao
author_sort Xiaoting Wu
collection DOAJ
description BackgroundMajor depressive disorder (MDD) has emerged as the fifth leading cause of years lived with disability, with a high prevalent, affecting nearly 4% of the global population. While available evidence suggests that intradermal acupuncture may enhance the effectiveness of antidepressants, whether its efficacy is a specific therapeutic effect or a placebo effect has not been reported. Moreover, the cerebral mechanism of intradermal acupuncture as a superficial acupuncture (usually subcutaneous needling to a depth of 1–2 mm) for MDD remains unclear.MethodsA total of 120 participants with MDD will be enrolled and randomized to the waiting list group, sham intradermal acupuncture group and active intradermal acupuncture group. All 3 groups will receive a 6-week intervention and a 4-week follow-up. The primary outcome will be measured by the Hamilton Depression Rating Scale-17 and the secondary outcome measures will be the Self-Rating depression scale and Pittsburgh sleep quality index. Assessments will be conducted at baseline, 3 weeks, 6 weeks, and during the follow-up period. In addition, 20 eligible participants in each group will be randomly selected to undergo head magnetic resonance imaging before and after the intervention to explore the effects of intradermal acupuncture on brain activity in MDD patients.DiscussionIf the intradermal acupuncture is beneficial, it is promising to be included in the routine treatment of MDD.Clinical Trial RegistrationClinicaltrials.gov, NCT05720637.
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spelling doaj.art-8e20fb0f456c4d8db7a6ab1a60361ecb2023-05-15T04:42:54ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-05-011410.3389/fpsyt.2023.11819471181947The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a study protocol for a randomized controlled trialXiaoting Wu0Xiaoting Wu1Mingqi Tu2Mingqi Tu3Nisang Chen4Nisang Chen5Jiajia Yang6Junyan Jin7Junyan Jin8Siying Qu9Siying Qu10Sangsang Xiong11Sangsang Xiong12Zhijian Cao13Maosheng Xu14Shuangyi Pei15Hantong Hu16Yinyan Ge17Jianqiao Fang18Xiaomei Shao19Xiaomei Shao20Key Laboratory for Research of Acupuncture Treatment and Transformation of Emotional Diseases, The Third Clinical Medical College, Zhejiang Chinese Medical University,, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaKey Laboratory for Research of Acupuncture Treatment and Transformation of Emotional Diseases, The Third Clinical Medical College, Zhejiang Chinese Medical University,, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaKey Laboratory for Research of Acupuncture Treatment and Transformation of Emotional Diseases, The Third Clinical Medical College, Zhejiang Chinese Medical University,, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaThe First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaKey Laboratory for Research of Acupuncture Treatment and Transformation of Emotional Diseases, The Third Clinical Medical College, Zhejiang Chinese Medical University,, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaKey Laboratory for Research of Acupuncture Treatment and Transformation of Emotional Diseases, The Third Clinical Medical College, Zhejiang Chinese Medical University,, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaKey Laboratory for Research of Acupuncture Treatment and Transformation of Emotional Diseases, The Third Clinical Medical College, Zhejiang Chinese Medical University,, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaThe First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaThe First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaKey Laboratory for Research of Acupuncture Treatment and Transformation of Emotional Diseases, The Third Clinical Medical College, Zhejiang Chinese Medical University,, Hangzhou, ChinaThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaBackgroundMajor depressive disorder (MDD) has emerged as the fifth leading cause of years lived with disability, with a high prevalent, affecting nearly 4% of the global population. While available evidence suggests that intradermal acupuncture may enhance the effectiveness of antidepressants, whether its efficacy is a specific therapeutic effect or a placebo effect has not been reported. Moreover, the cerebral mechanism of intradermal acupuncture as a superficial acupuncture (usually subcutaneous needling to a depth of 1–2 mm) for MDD remains unclear.MethodsA total of 120 participants with MDD will be enrolled and randomized to the waiting list group, sham intradermal acupuncture group and active intradermal acupuncture group. All 3 groups will receive a 6-week intervention and a 4-week follow-up. The primary outcome will be measured by the Hamilton Depression Rating Scale-17 and the secondary outcome measures will be the Self-Rating depression scale and Pittsburgh sleep quality index. Assessments will be conducted at baseline, 3 weeks, 6 weeks, and during the follow-up period. In addition, 20 eligible participants in each group will be randomly selected to undergo head magnetic resonance imaging before and after the intervention to explore the effects of intradermal acupuncture on brain activity in MDD patients.DiscussionIf the intradermal acupuncture is beneficial, it is promising to be included in the routine treatment of MDD.Clinical Trial RegistrationClinicaltrials.gov, NCT05720637.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1181947/fullmajor depressive disorderintradermal acupuncturecerebral mechanismmagnetic resonance imagingmagnetic resonance spectroscopyselective serotonin reuptake inhibitors
spellingShingle Xiaoting Wu
Xiaoting Wu
Mingqi Tu
Mingqi Tu
Nisang Chen
Nisang Chen
Jiajia Yang
Junyan Jin
Junyan Jin
Siying Qu
Siying Qu
Sangsang Xiong
Sangsang Xiong
Zhijian Cao
Maosheng Xu
Shuangyi Pei
Hantong Hu
Yinyan Ge
Jianqiao Fang
Xiaomei Shao
Xiaomei Shao
The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a study protocol for a randomized controlled trial
Frontiers in Psychiatry
major depressive disorder
intradermal acupuncture
cerebral mechanism
magnetic resonance imaging
magnetic resonance spectroscopy
selective serotonin reuptake inhibitors
title The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a study protocol for a randomized controlled trial
title_full The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a study protocol for a randomized controlled trial
title_fullStr The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a study protocol for a randomized controlled trial
title_full_unstemmed The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a study protocol for a randomized controlled trial
title_short The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a study protocol for a randomized controlled trial
title_sort efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder a study protocol for a randomized controlled trial
topic major depressive disorder
intradermal acupuncture
cerebral mechanism
magnetic resonance imaging
magnetic resonance spectroscopy
selective serotonin reuptake inhibitors
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1181947/full
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