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

This scoping review aimed to determine the current research status of acupuncture for major psychiatric disorder (MPD) in earthquake survivors. We followed the scoping review process described previously. A literature search on 14 electronic databases was conducted from inception to November 29, 202...

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Bibliographic Details
Published in:PloS one 2023-06, Vol.18 (6), p.e0286671-e0286671
Main Authors: Kwon, Chan-Young, Leem, Jungtae, Kim, Da-Woon, Kwon, Hui-Ju, Park, Hyun-Seo, Kim, Sang-Ho
Format: Article
Language:English
Subjects:
Acupuncture
Adverse events
Anxiety disorders
Biology and Life Sciences
Care and treatment
Clinical trials
Complications and side effects
Diagnosis
Drug dosages
Ear
Earthquakes
Hematoma
Intervention
Medicine
Medicine and Health Sciences
Mental depression
Mental disorders
Mental illness
Patient outcomes
Patients
Post traumatic stress disorder
Posttraumatic stress disorder
Psychological aspects
Psychological stress
Research and Analysis Methods
Research design
Research methodology
Scalp
Seismic activity
Signs and symptoms
South Korea
Syncope
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Summary:This scoping review aimed to determine the current research status of acupuncture for major psychiatric disorder (MPD) in earthquake survivors. 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. 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). 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. https://osf.io/wfru7/.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0286671