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Acupuncture for generalized anxiety disorder: a study protocol for a randomized controlled trial
Xiayun Zhou1,2, Guoao Shi1,2, Ruiming Chen1,2
1The Seventh Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Shenzhen, Guangdong Province, China.
Summary
Acupuncture may offer a safe, non-pharmacological treatment for generalized anxiety disorder (GAD). This study investigates its effects on brain plasticity and anxiety symptoms, comparing it to sham acupuncture.
Area of Science:
- Neuroscience
- Psychiatry
- Integrative Medicine
Background:
- Generalized anxiety disorder (GAD) prevalence increased during the COVID-19 pandemic.
- Acupuncture presents a safe, effective, and non-addictive therapeutic option for GAD.
Purpose of the Study:
- To explore the mechanism of brain plasticity in GAD patients.
- To evaluate the effectiveness and reliability of acupuncture for GAD.
- To assess differences in cerebral cortical excitability between GAD patients and healthy individuals.
Main Methods:
- A randomized clinical trial protocol involving 66 GAD patients and 20 healthy controls.
- Transcranial magnetic stimulation (TMS) to measure cortical excitability (MEPs, CSP, RMT).
- Assessment of Hamilton Anxiety Scale (HAMA) scores and blood biomarkers (GABA, 5-HT, BDNF).
Main Results:
- The study protocol is the first to compare cerebral cortical excitability in GAD patients versus healthy subjects.
- It will assess clinical efficacy and reliability of acupuncture intervention for GAD.
- Secondary outcomes include changes in neurotransmitters and neurotrophic factors.
Conclusions:
- This research aims to identify acupuncture as a viable non-pharmacological treatment for GAD.
- Findings may elucidate the neurobiological underpinnings of GAD and acupuncture's therapeutic effects.
- The study seeks to provide evidence for acupuncture's role in managing anxiety disorders.
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