Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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A Review on Clinical Research Trends in the Treatment of Tai Chi for Depression

우울에 대한 태극권 치료의 해외 임상연구 동향

  • Kim, Ju-Young (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Hong, Min-Ho (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Koo, Byung-Su (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Kim, Geun-Woo (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University)
  • 김주영 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 홍민호 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 구병수 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 김근우 (동국대학교 한의과대학 한방신경정신과학교실)
  • Received : 2019.11.26
  • Accepted : 2019.12.19
  • Published : 2019.12.31
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Abstract

Objectives: The purpose of this study was to review the research trends in the treatment of tai chi on depression. Methods: We searched articles in Pubmed and the China National Knowledge Infrastructure (CNKI) July 2009~June 2019. Selected studies were evaluated by the Jadad scale. Results: Fifteen controlled clinical trials were selected. The GDS (Geriatric Depression Scale) and SDS (Self-rating Depression Scale) were most frequently used as diagnostic criteria. The GDS was also the most commonly used outcome measurement. From the Jadad scale of 15 articles, the quality of the studies was low, overall. Conclusions: According to this study, it seems that tai chi treatment for depressive disorder is an effective and safe intervention. Thus, based on this study, more clinical research on diverse forms of treatments for depressive disorder should be performed in Korean medicine in the near future.

Keywords

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders Fifth edition. Seoul. Hakjisa. 2015:199-247, 289-300.
  2. 2016 The Survey of Mental Disorders in Korea. Ministry of Health and Welfare, Samsung Medical Center. 2016.
  3. Depression and other common mental disorders: global health estimates. World Health Organization. 2017.
  4. Park SC, Sung SH, Han KM, Won ES, Lee HY, Paik JW, Jeon HJ, Lee MS, Shim SH, Ko YH, Lee KJ, Han CS, Ham BJ, Choi JN, Lee HY, Hwang TY, Oh KS, Park YC, Lee MS, Hahn SW. Evidence-Based Korean Pharmacological Treatment Guideline for Depression, Revised Edition (I) : Initial Choice of Antidepressant Treatment. Journal of Korean Neuropsychiatric Association. 2013;52(4):253-62. https://doi.org/10.4306/jknpa.2013.52.4.253
  5. Park YM, Kim W, Wang HR, Woo YS, Seo JS, Jeong JN, Shim SH, Lee JG, Jon DI, Min KJ, Bahk WM. Korean Medication Algorithm for Depressive Disorder 2017 (IV) : The Subtypes of Depression. Mood and Emotion. 2017;15(1):27-33.
  6. Kim YS, Cho JJ. Pharmacotherapy of Depression in Primary Care. Korean Journal of Family Practice. 2012;2(1):24-9.
  7. Woo YS, Bahk WM. Current Clinical Practice : Treatment of depression. The Korean Journal of Medicine. 2006;70(2):239-42.
  8. Baek IH, Kim BJ, Park KH. The Effect of Circuit Class Training on the Synthesis of Central Serotonin in People with Post-stroke Depression. Journal of the korean society of physical medicine. 2012;7(4):451-8. https://doi.org/10.13066/kspm.2012.7.4.451
  9. Wang WC, Zhang AL, Rasmussen B, Lin LW, Dunning T, Kang SW, Park BJ, Lo SK. The effect of Tai Chi on psychosocial well-being: a systematic review of randomized controlled trials. Journal of Acupuncture & Meridian Studies. 2009;2(3):171-81. https://doi.org/10.1016/S2005-2901(09)60052-2
  10. Choi DW, Sohng KY. The Effects of Tai Chi Exercise on Depression, Quality of Life and Self-efficacy in Patients with Parkinson's Disease. Journal of Korean Academy of Fundamentals of Nursing. 2008;15(4):467-74.
  11. Cho GY, Paek YJ, Kim YH. Effects of Tai Chi Exercise Program for Health Promotion in Middle Aged Women with Osteoarthritis. Korean Journal of Health Promotion. 2013;13(4):148-55.
  12. Son JT, Hwang HY. Comparison of Subjective Symptoms, Physical Fitness, Depression and Self-efficacy before and after Tai Chi in Patients with Rheumatoid Arthritis: Based on 3 Years' Data. Journal of muscle and joint health. 2018;25(3):230-9.
  13. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: Is blinding necessary. Controlled Clinical Trials. 1996;17(1):1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  14. Zhang EM. Research on the Effects of 24-style Taijiquan on Depression of Middle-aged and Elderly Patients with Diabetes. A thesis on a master's degree at Beijing Sport University. 2014.
  15. Xie HH. The Influence of Taijiquan on Depression and Heart Rate Variability of Middle-Aged and Elderly People. A thesis on a master's degree at Shanghai University of Sport. 2011.
  16. Zhang J, Qin S, Zhou Y, Meng L, Su H, Zhao S. A randomized controlled trial of mindfulness-based Tai Chi Chuan for subthreshold depression adolescents. europsychiatric disease and treatment. 2018;10(14):2313-21.
  17. Schitter AM, Nedeljkovic M, Ausfeld-Hafter B, Fleckenstein J. Changes in self-reported symptoms of depression and physical well-being in healthy individuals following a Taiji beginner course - Results of a randomized controlled trial. Brain and behavior. 2016;6(4):e00429. https://doi.org/10.1002/brb3.429
  18. Cheng ST, Chow PK, Yu EC, Chan AC. Leisure activities alleviate depressive symptoms in nursing home residents with very mild or mild dementia. The American Journal of Geriatric Psychiatry. 2012;20(10):904-8. https://doi.org/10.1097/jgp.0b013e3182423988
  19. Lavretsky H, Alstein LL, Olmstead RE, Ercoli LM, Riparetti-Brown M, Cyr NS, Irwin MR. Complementary use of tai chi chih augments escitalopram treatment of geriatric depression: a randomized controlled trial. American Journal of Geriatric Psychiatry. 2011;19(10):839-50. https://doi.org/10.1097/JGP.0b013e31820ee9ef
  20. Liao SJ, Tan MP, Chong MC, Chua YP. The Impact of Combined Music and Tai Chi on Depressive Symptoms Among Community-Dwelling Older Persons: A Cluster Randomized Controlled Trial. Issues in mental health nursing. 2018;39(5):398-402. https://doi.org/10.1080/01612840.2017.1417519
  21. Liu J, Xie H, Liu M, Wang Z, Zou L, Yeung AS, Hui SS, Yang Q. The Effects of Tai Chi on Heart Rate Variability in Older Chinese Individuals with Depression. International journal of environmental research and public health. 2018;15(12):2771. https://doi.org/10.3390/ijerph15122771
  22. Liu X, Vitetta L, Kostner K, Crompton D, Williams G, Brown WJ, Lopez A, Xue CC, Oei TP, Byrne G, Martin JH, Whiteford H. The effects of tai chi in centrally obese adults with depression symptoms. Evidence-Based Complementary and Alternative Medicine. 2015;2015:879712. https://doi.org/10.1155/2015/879712
  23. Shilpa S, Lawrence P. R, James W. H, Margaret M, Elizabeth L, Claudia A. G, Michele N, Angela J, Joyce G, Stephanie C, Trimaine B. Adjunctive Tai Chi in Geriatric Depression With Comorbid Arthritis: A Randomized, Controlled Trial. The American Journal of Geriatric Psychiatry. 2014;22(3):S135-6.
  24. Zhao GZ, Cheng RC, Jie CC, Sun QW, Chen RM, Yan BC, Lu MC. Study on the influence of shadowboxing on mild depression among middle-aged and senior people. Chinese Journal of Convalescent Medicine. 2015;24(5):452-4.
  25. Fan YY, Zhang HM, Chang LY. The effect of Tai Chi exercise on the state of anxiety and depression and sleep quality in hemodialysis patients. Chinese Journal of Blood Purification. 2016;15(4):241-3.
  26. Wang JZ, Peng YJ, Zhang ZX. Research of the Effect of Taijiquan Sport in the Treatment of Early Parkinson's Patients with Depression. The Journal of Medical Theory and Practice. 2016;29(19):3309-11.
  27. Li XF, Wan FT, Du XX. Experimental Study on Tai Chi's Treatment of Medical Students' Depression. Sichuan Sports Science. 2017;36(4):59-62.
  28. Wu YH, Chen OY, Luo YY, Jin RC, He SW. Application of Tai Ji Quan and Eight Duan Jin in improving anxiety and depression of patients with coronary heart disease. Chinese Nursing Research. 2016;30(11):4050-2.
  29. Cui H, Wang Q, Pedersen M, Wang Q, Lv S, James D, Larkey L. The safety of tai chi: A meta-analysis of adverse events in randomized controlled trials. Contemporary Clinical Trials. 2019;82:85-92. https://doi.org/10.1016/j.cct.2019.06.004
  30. Lee JG, Seo MK, Park SW, Baek JH, Kim YH. Understanding the Molecular Biology in the Pathogenesis of Depression. Korean Journal of Psychopharmacology. 2012;23(4):147-54.
  31. Chang SM, Sohn JH, Lee JY, Choi JH, Cho SJ, Jeon HJ, Hahm BJ, Lee DH, Cho MJ. Characteristics of Diagnostic Criteria for Depression in Korea. Journal of Korean Neuropsychiatric Association. 2007;46(5):447-52.
  32. Lee JS, Bae SO, An YM, Park DB, Noh KS, Shin HK, Woo HW, Lee HS, Han SI, Kim YS. Validity and Reliability of the Korean Version of the Hamilton Depression Rating Scale (K-HDRS). Journal of Korean Neuropsychiatric Association. 2005;44(4):456-65.
  33. Montgomery SA, Asberg M. A new depression scale designed to be sensitive to change. The British Journal of Psychiatry. 1979;134(4):382-9. https://doi.org/10.1192/bjp.134.4.382
  34. Chung YC, Rhee MK, Lee TH, Park SH, Sohn CH, Hong SK, Lee BK, Chang PL, Yoon AR. A Standardization Study of Beck Depression Inventory 1 - Korean Version (K-BDI) : Reliability and Factor Analysis. The Korean Journal of Psychopathology. 1995;4(1):77-95.
  35. Jung IK, Kwak DI, Cho SH, Lee HS. A Preliminary Study on Standardization of Korean Form of Geriatric Depression Scale(KGDS). Journal of Korean Neuropsychiatric Association. 1998;37(2):340-51.
  36. Kim CH, Shin HC, Park YW, Ou SW, Cho BL, Youn YH, Song SW. Validity of Zung's self - rating depression scale : Detection of depression in primary care. Korean Journal of Family Medicine. 2000;21(10):1317-29.
  37. Shin SC, Kim MK, Yun KS, Kim JH, Lee MS, Moon SJ, Lee MJ, Lee HY, Yoo KJ. The Center for Epidemiologic Studies-Depression Scale(CES-D) : Its Use in Korea. Journal of Korean Neuropsychiatric Association. 1991;30(4):752-67.
  38. Eisenberger NI, Inagaki TK, Mashal NM, Irwin MR. Inflammation and social experience: an inflammatory challenge induces feelings of social disconnection in addition to depressed mood. Brain, Behavior, and Immunity. 2010;24(4):558-63. https://doi.org/10.1016/j.bbi.2009.12.009
  39. Meyers CA. Mood and cognitive disorders in cancer patients receiving cytokine therapy. Advances in Experimental Medicine and Biology. 1999;461:75-81. https://doi.org/10.1007/978-0-585-37970-8_5
  40. Dantzer R, Aubert A, Bluthe RM, Gheusi G, CremonaS, Laye S, Konsman JP, Parnet P, Kelley KW. Mechanisms of the behavioural effects of cytokines. Adv Exp Med Biol 1999;461:83-105. https://doi.org/10.1007/978-0-585-37970-8_6
  41. Leonard BE. Changes in the immune system in depression and dementia: causal or co-incidental effects?. International Journal of Developmental Neuroscience. 2001;19(3):305-12. https://doi.org/10.1016/S0736-5748(01)00014-4
  42. Leonard BE. HPA and immune axes in stress: involvement of the serotonergic system. Neuroimmunomodulation. 2006;13(5-6):268-76. https://doi.org/10.1159/000104854
  43. Maes M, Scharpe S, Meltzer HY, Bosmans E, Suy E, Calabrese J, Cosyns P. Relationships between interleukin-6 activity, acute phase proteins, and function of the hypothalamic-pituitary-adrenal axis in severe depression. Psychiatry Research. 1993;49(1):11-27. https://doi.org/10.1016/0165-1781(93)90027-E
  44. Guillemin GJ, Kerr SJ, Pemberton LA, Smith DG, Smythe GA, Armati PJ, Brew BJ. IFN-beta1b induces kynurenine pathway metabolism in human macrophages: potential implications for multiple sclerosis treatment. Journal of Interferon & Cytokine Research. 2001;21(12):1097-101. https://doi.org/10.1089/107999001317205231
  45. Neveu PJ, Castanon N. Is there evidence for an effect of antidepressant drugs on immune function?. Advances in Experimental Medicine and Biology. 1999;461:267-81. https://doi.org/10.1007/978-0-585-37970-8_15
  46. Kim YK. Cytokines and Depression. Korean Journal of Biological Psychiatry. 2008;15(3):175-85.
  47. Agelink MW, Boz C, Ullrich H, Andrich J. Relationship between major depression and heart rate variability. Clinical consequences and implications for antidepressant treatment. Psychiatry Research. 2002;113(1-2):139-49. https://doi.org/10.1016/S0165-1781(02)00225-1
  48. Nahshoni E, Aravot D, Aizenberg D, Sigler M, Zalsman G, Strasberg B, Imbar S, Adler E, Weizman A. Heart rate variability in patients with major depression. Psychosomatics. 2004;45(2):129-34. https://doi.org/10.1176/appi.psy.45.2.129
  49. Choo CS, Lee SH, Kim H, Lee KJ, Nam M, Chung YC. Heart rate variability of Korean generalized anxiety disorder patients. Korean Journal of Biological Psychiatry. 2005;12(1):13-9.
  50. Lee HJ, Park HJ, Chae YB, Yin CS, Baik YS, Park MW, Lee HJ. A Study on Medicine Qigong in Mawangdui Dao Yin Tu. Korean Journal of Acupuncture. 2009;26(1):1-25.