Acupuncture for Treating Attention Deficit Hyperactivity Disorder in Children: A Systematic Review and Meta-Analysis
<i>Background and Objectives</i>: Attention-deficit hyperactivity disorder (ADHD) is a common childhood disorder characterized by inattention, hyperactivity, and impulsivity. However, it is uncertain whether the use of acupuncture (AT) in children with ADHD is supported by the current ev...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-02-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/59/2/392 |
| _version_ | 1797619403837145088 |
|---|---|
| author | Lin Ang Jung Tae Kim Kibong Kim Hye Won Lee Jun-Yong Choi Eunseop Kim Myeong Soo Lee |
| author_facet | Lin Ang Jung Tae Kim Kibong Kim Hye Won Lee Jun-Yong Choi Eunseop Kim Myeong Soo Lee |
| author_sort | Lin Ang |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Attention-deficit hyperactivity disorder (ADHD) is a common childhood disorder characterized by inattention, hyperactivity, and impulsivity. However, it is uncertain whether the use of acupuncture (AT) in children with ADHD is supported by the current evidence. This review aims to provide updated evidence of the effectiveness of acupuncture in children with ADHD. <i>Methods</i>: Nine databases were searched from their inception to 28 July 2022. Two authors independently screened potentially eligible studies. The quality assessment of the selected studies was performed using Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2). The characteristics of the included studies were presented in a tabular form, and a meta-analysis was performed on the treatment effects of AT on ADHD symptoms. <i>Results</i>: Fourteen studies involving 1185 patients evaluating the efficacy of AT for ADHD treatment were included in this review. Compared to conventional medicine alone, the meta-analysis indicated that AT as an add-on to conventional medicine has a positive effect on improving conduct problems, learning problems, hyperactivity–impulsivity, and hyperactivity symptoms in ADHD patients. Similarly, AT alone was found to improve learning problems, hyperactivity–impulsivity, and hyperactivity symptoms in ADHD patients and exhibited better total treatment efficacy than conventional medicine alone. No major adverse events were reported. The risk of bias of the included studies was generally concerning. <i>Conclusions</i>: Evidence on the effectiveness of AT for ADHD patients is currently too limited to provide recommendations for its usage. More studies with the proper methodology are needed for the validation of AT interventions in treating children with ADHD. |
| first_indexed | 2024-03-11T08:27:46Z |
| format | Article |
| id | doaj.art-c902a8a055464962b1df309c43fe0380 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T08:27:46Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-c902a8a055464962b1df309c43fe03802023-11-16T22:01:10ZengMDPI AGMedicina1010-660X1648-91442023-02-0159239210.3390/medicina59020392Acupuncture for Treating Attention Deficit Hyperactivity Disorder in Children: A Systematic Review and Meta-AnalysisLin Ang0Jung Tae Kim1Kibong Kim2Hye Won Lee3Jun-Yong Choi4Eunseop Kim5Myeong Soo Lee6KM Science Research Division, Korea Institute of Oriental Medicine, Daejeon 34054, Republic of KoreaDepartment of Korean Pediatrics, School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of KoreaDepartment of Korean Pediatrics, School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of KoreaKM Convergence Research Division, Korea Institute of Oriental Medicine, Daejeon 34054, Republic of KoreaDepartment of Korean Internal Medicine, School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of KoreaYou and Green Korean Medicine Clinic, Daejeon 34113, Republic of KoreaKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon 34054, Republic of Korea<i>Background and Objectives</i>: Attention-deficit hyperactivity disorder (ADHD) is a common childhood disorder characterized by inattention, hyperactivity, and impulsivity. However, it is uncertain whether the use of acupuncture (AT) in children with ADHD is supported by the current evidence. This review aims to provide updated evidence of the effectiveness of acupuncture in children with ADHD. <i>Methods</i>: Nine databases were searched from their inception to 28 July 2022. Two authors independently screened potentially eligible studies. The quality assessment of the selected studies was performed using Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2). The characteristics of the included studies were presented in a tabular form, and a meta-analysis was performed on the treatment effects of AT on ADHD symptoms. <i>Results</i>: Fourteen studies involving 1185 patients evaluating the efficacy of AT for ADHD treatment were included in this review. Compared to conventional medicine alone, the meta-analysis indicated that AT as an add-on to conventional medicine has a positive effect on improving conduct problems, learning problems, hyperactivity–impulsivity, and hyperactivity symptoms in ADHD patients. Similarly, AT alone was found to improve learning problems, hyperactivity–impulsivity, and hyperactivity symptoms in ADHD patients and exhibited better total treatment efficacy than conventional medicine alone. No major adverse events were reported. The risk of bias of the included studies was generally concerning. <i>Conclusions</i>: Evidence on the effectiveness of AT for ADHD patients is currently too limited to provide recommendations for its usage. More studies with the proper methodology are needed for the validation of AT interventions in treating children with ADHD.https://www.mdpi.com/1648-9144/59/2/392ADHDacupuncturecomplementary medicineintegrative medicinesystematic review |
| spellingShingle | Lin Ang Jung Tae Kim Kibong Kim Hye Won Lee Jun-Yong Choi Eunseop Kim Myeong Soo Lee Acupuncture for Treating Attention Deficit Hyperactivity Disorder in Children: A Systematic Review and Meta-Analysis Medicina ADHD acupuncture complementary medicine integrative medicine systematic review |
| title | Acupuncture for Treating Attention Deficit Hyperactivity Disorder in Children: A Systematic Review and Meta-Analysis |
| title_full | Acupuncture for Treating Attention Deficit Hyperactivity Disorder in Children: A Systematic Review and Meta-Analysis |
| title_fullStr | Acupuncture for Treating Attention Deficit Hyperactivity Disorder in Children: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Acupuncture for Treating Attention Deficit Hyperactivity Disorder in Children: A Systematic Review and Meta-Analysis |
| title_short | Acupuncture for Treating Attention Deficit Hyperactivity Disorder in Children: A Systematic Review and Meta-Analysis |
| title_sort | acupuncture for treating attention deficit hyperactivity disorder in children a systematic review and meta analysis |
| topic | ADHD acupuncture complementary medicine integrative medicine systematic review |
| url | https://www.mdpi.com/1648-9144/59/2/392 |
| work_keys_str_mv | AT linang acupuncturefortreatingattentiondeficithyperactivitydisorderinchildrenasystematicreviewandmetaanalysis AT jungtaekim acupuncturefortreatingattentiondeficithyperactivitydisorderinchildrenasystematicreviewandmetaanalysis AT kibongkim acupuncturefortreatingattentiondeficithyperactivitydisorderinchildrenasystematicreviewandmetaanalysis AT hyewonlee acupuncturefortreatingattentiondeficithyperactivitydisorderinchildrenasystematicreviewandmetaanalysis AT junyongchoi acupuncturefortreatingattentiondeficithyperactivitydisorderinchildrenasystematicreviewandmetaanalysis AT eunseopkim acupuncturefortreatingattentiondeficithyperactivitydisorderinchildrenasystematicreviewandmetaanalysis AT myeongsoolee acupuncturefortreatingattentiondeficithyperactivitydisorderinchildrenasystematicreviewandmetaanalysis |