Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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Effectiveness of Acupuncture for Pain and Depressive Symptoms in Fibromyalgia: Systematic Review and Meta-Analysis

섬유근통의 통증 및 우울증상에 대한 침치료의 효과성: 체계적 문헌고찰 및 메타분석

  • Hyunwoo Lee (Department of Neuropsychiatry, Graduate School, Kyung Hee University) ;
  • Chan Park (Department of Neuropsychiatry, Graduate School, Kyung Hee University) ;
  • Tae Hoon Bang (Department of Neuropsychiatry, Graduate School, Kyung Hee University) ;
  • Hyung Min Ji (Department of Neuropsychiatry, Graduate School, Kyung Hee University) ;
  • Jong-Woo Kim (Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University) ;
  • Sun-Yong Chung (Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University)
  • 이현우 (경희대학교 대학원 한방신경정신과) ;
  • 박찬 (경희대학교 대학원 한방신경정신과) ;
  • 방태훈 (경희대학교 대학원 한방신경정신과) ;
  • 지형민 (경희대학교 대학원 한방신경정신과) ;
  • 김종우 (경희대학교 한의과대학 한방신경정신과학교실) ;
  • 정선용 (경희대학교 한의과대학 한방신경정신과학교실)
  • Received : 2023.06.12
  • Accepted : 2023.06.23
  • Published : 2023.06.30
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Abstract

Objectives: To review studies evaluating effects of acupuncture on pain and depressive symptoms in fibromyalgia. Methods: Quantitative evidences (RCTs) were systematically reviewed. Literature were searched for a combination of fibromyalgia and depression (The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, medline (via PubMed), Kmbase, KISS, ScienceON, OASIS, CiNii, CNKI). Quantitative research findings were critically appraised by Cochrane risk of bias (RoB) tool and pooled. Meta-analysis was then conducted using Review Manager (RevMan) 5.4. Results: Eighteen studies were selected. American College of Rheumatology (ACR) classification criteria for Fibromyalgia Syndrome was most frequently used as diagnostic criteria for fibromyalgia. As for outcome measurement, Hamilton Rating Scale for Depression (HAMD), Visual Analog Scale (VAS), and Total Effective Rate (TER) were used most commonly. Meta-analysis of ten studies revealed that both Depression and VAS scores of the Acupuncture+Western Medicine group were significantly lower than those of Western Medicine group (Depression: SMD, -0.94, 95% CI, -1.17 to -0.70; VAS: MD, -1.51, 95% CI, -1.83 to -1.19). Also, TERs of both Acupuncture group and Acupuncture+Western Acupuncture+Western Medicine group were significantly higher than those of the Western Medicine group (OR: 2.38, 95% CI: 1.29 to 4.41; and OR: 7.40, 95% CI: 3.41 to 16.07). There was no significant difference in Depression or VAS score between the Acupuncture Group and the Western Medicine Group. Conclusions: Acupuncture might be an effective option for pain and depressive symptoms of fibromyalgia when it is combined with Western Medicine treatment. For more accurate results, more types of Korean medicine treatment should be conducted.

Keywords

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