The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
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Research Trends of Randomized Controlled Trials on Traditional Korean Medicine Treatment for Postpartum Depression

산후 우울증의 한방 치료에 대한 무작위대조군연구 중심의 연구 동향

  • Choi, Seok-Young (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Park, Kyoung-Sun (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Hwang, Deok-Sang (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Jin-Moo (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Chang-Hoon (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Jang, Jun-Bock (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University)
  • 최석영 (경희대학교 대학원 임상한의학과) ;
  • 박경선 (경희대학교 한의과대학 부인과교실) ;
  • 황덕상 (경희대학교 한의과대학 부인과교실) ;
  • 이진무 (경희대학교 한의과대학 부인과교실) ;
  • 이창훈 (경희대학교 한의과대학 부인과교실) ;
  • 장준복 (경희대학교 한의과대학 부인과교실)
  • Received : 2018.06.23
  • Accepted : 2018.08.22
  • Published : 2018.08.24
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Abstract

Objectives: The purpose of this study was to analyze the research trends of randomized controlled trials on Traditional Korean Medicine treatment for postpartum depression in women. Methods: In order to investigate the effect of Traditional Korean Medicine on postpartum depression, randomized controlled trials on postpartum depression were searched using domestic and foreign search engines and a total of 11 studies were selected. Results: 1. There were 6 studies comparing Traditional Korean Medicine treatment methods with western medicine: fluoxetine hydrochloride (4), paroxetine (1), and mirazapine (1). 2. There were 5 studies comparing methods of Traditional Korean Medicine or sham acupuncture: 1 study evaluated the efficacy of Balance Acupuncture and Guipi Decoction, 1 study compared the effects of conventional acupuncture and Dispersing Liver Regulating Spirit Acupuncture, 1 study evaluated the efficacy of acupuncture and Heat-sensitive Moxibustion, 1 study compared the effects of conventional acupuncture and Musical Electroacupuncture, and 1 study compared the effects of conventional acupuncture and non-invasive sham acupuncture. 3. Postpartum depression is closely related to Heart and Liver, and there were many studies using acupoints Taichong (LR3) and Shenmen (HE7). Cranial acupoints Baihui (DU20) and Yintang (EX-HN3) were also frequently used. 4. Xiaoyaosan and Guipi Decoction were used in herbal medicine treatment for postpartum depression. 5. Novel treatment methods such as Heat-sensitive Moxibustion and Musical Electroacupuncture were used to treat postpartum depression. Conclusion: Traditional Korean Medicine treatment is a good treatment option for postpartum depression. Further systematic studies are needed to establish the basis for Traditional Korean Medicine treatment for postpartum depression.

Keywords

References

  1. Howard LM, et al. Nonpsychotic mental disorders in the perinatal period. Lancet. 2014;384:1775-88. https://doi.org/10.1016/S0140-6736(14)61276-9
  2. O'Hara MW, Swain AM. Rates and risk of postpartum depression:a meta analysis. Int Rev Psychiatry. 1996;8:37-54. https://doi.org/10.3109/09540269609037816
  3. Wisner KL, et al. Symptomatology of affective and psychotic illnesses related to childbearing. J Affect Disord. 1994;30(2):77-87. https://doi.org/10.1016/0165-0327(94)90034-5
  4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed.: DSM-5. Arlington, VA:American Psychiatric Publishing. 2013:186-7.
  5. Stuart-Parrigon K, Stuart S. Perinatal depression: an update and overview. Curr Psychiatry Rep. 2014;16(9):468. https://doi.org/10.1007/s11920-014-0468-6
  6. Murray L. The impact on the child of maternal psychiatric disorders occurring after childbirth. Curr Obstet Gynecol. 1995;5(2):75-80. https://doi.org/10.1016/S0957-5847(05)80004-6
  7. Chung KF, et al. Randomized non-invasive sham-controlled pilot trial of electroacupuncture for postpartum depression. J Affect Disord. 2012;142(1-3):115-21. https://doi.org/10.1016/j.jad.2012.04.008
  8. Kim MJ, et al. A Review Study on the Treatment of Postpartum Depression in Traditional Chinese Medicine. J Korean Neuropsychiatry. 2014;25(2):179-89.
  9. Chen J, et al. Acupuncture Treatment of Postpartum Depression: Efficacy Evaluation. Chinese J Inf TCM. 2010;17(7):77-8.
  10. Dong JP, Gao Y. Cranial Acupoint Penetration Method Combined with Conventional Acupuncture for 30 Cases of Postpartum Depression. Heilongjiang TCM. 2014;43(5):54-5.
  11. Yu SJ, et al. Therapeutic Efficacy of Acupuncture at the Thirteen Ghost Points for Postpartum Depression and Its Effect on the Quality of Life. Shanghai J Acu-mox. 2015;34(1):14-6.
  12. Zhu HY. Effect of Dan Zhi Xiaoyao San Combined with Acupuncture on Postpartum Depression. J Qilu Nurs. 2011;17(23):124.
  13. Gong LP. Synergic Effect of Electroacupuncture Treatment on Postpartum Depression. Med J Chinese Peoples Health. 2010;22(23):3045.
  14. Wang HZ, et al. Electroacupuncture Combined with Mirzapine for Postpartum Depression: A Report of 30 Cases. Shaanxi TCM. 2010;31(6):728-9.
  15. Sun L, Zhang CX. Clinical Observation on 156 Cases of Postpartum Depression Treated with Balance Acupuncture and Guipi Decoction. J Gansu Univ Chinese Med. 2017;34(4):87-9.
  16. Li GQ, et al. Clinical Observation on Treating Postpartum Depression with Dispersing Liver and Regulating Spirit Acupuncture. Chinese J Integr Med Cardiovasc and Cerebrovasc Dis. 2017;15(13):1629-30.
  17. Wang LL, et al. Clinical Observation of 36 Cases of Postpartum Depression Treated by Acupuncture and Heatsensitive Moxibustion. Practical Chinese and West Med Clin. 2012;12(6):39-40.
  18. Zhang B, et al. Clinical Observation of Treating Postpartum Depression by Musical Electroacupuncture Combined with Wuzang Yumu Acupoints. Clinical J Acu-mox. 2016;32(11):44-6.
  19. Park YJ, et al. The Predictors of Postpartum Depression. J Korean Acad of Nurs. 2004;34(5):722-8. https://doi.org/10.4040/jkan.2004.34.5.722
  20. Hamilton M. A rating scale for depression. J Neurology, Neurosurgery & Psychiatry. 1960:23(1):56-62. https://doi.org/10.1136/jnnp.23.1.56
  21. Bae KM, et al. Literature analysis with the recent trend of researches concerning the postpartum depression and Sanhupung. J Korean Obstet Gynecol. 2009;22(2):172-88.
  22. Dennis CE. Treatment of postpartum depression, Part 1: A critical review of biological interventions. J Clin Psychiatry. 2004;65(9):1242-51. https://doi.org/10.4088/JCP.v65n0914
  23. Kim YH. Neurobiology of Antidepressant Treatment Depression. Neurobiol. 1995;1(2):174-80.
  24. di Scale TL, Wisner KL. Antidepressant Medication Use during Breastfeeding. Clin Obstet Gynecol. 2009;52(3):483-97. https://doi.org/10.1097/GRF.0b013e3181b52bd6
  25. Lee TK, Lee JH. Consideration of Postnatal Management. J Korean Obstet Gynecol. 2000;13(1):519-31.
  26. Lee GJ. A Literature Study on Depressive Syndrome. East West Med. 1995;20(1):46-55.
  27. Kim SY, et al. A Clinical Study on the Social Environmental Factors of Postpartum blues and depression. J Korean Neuropsychiatry. 2001;12(2):27-35.
  28. Hong WS. Huangdineijing. Seoul:Eastern Medicine Research Publishing Co. 1981:176.
  29. Zhang JB. Kyungakjeonseo. Seoul: Daeseongmunhwasa. 1988:417-20.
  30. Zhang L. Zhang's Treatise on General Medicine. Shanghai:Shanghai Science Technology Publishing Co. 1990:105-7.