针治疗焦虑:随机对照试验的系统审查和元分析
Andrew Jang1, Maren Wenninger2, Hyangsook Lee3
1Jaseng Hospital of Korean Medicine at the Jaseng Medical Academy, Seoul, Republic of Korea.
Journal of clinical psychology
|December 29, 2025
概括
针有效地减少了短期的焦虑. 虽然与假针相比,效果仍然存在,但对常规护理的长期疗效需要更多的研究. 这种疗法对焦虑是安全和有前途的.
科学领域:
- 综合医学是一个整体的医学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 焦虑症是普遍存在的,影响全球数百万人.
- 目前的治疗方法有局限性和副作用.
- 针是一种传统疗法,具有潜在的抗焦虑作用.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT) 关于针治疗焦虑的疗效.
- 综合证据,比较手动针 (MA) 与假针 (SA) 以及常规护理/等待名单控制 (UC/WLC).
主要方法:
- 搜索了六个数据库,查找到2025年1月22日发布的RCT.
- 包括有焦虑并发症的研究,评估焦虑作为主要结果.
- 使用随机效应模型计算标准化平均差异 (SMD) 并评估偏差风险.
主要成果:
- 20个RCT (1462名参与者) 显示MA显著减少治疗后的焦虑与SA (SMD=-1.06) 和UC/WLC (SMD=-1.35) 相比.
- 随访时与SA (SMD=-0.78) 相比,效应持续,但UC/WLC (SMD=-0.60) 没有.
- 大多数研究的偏差风险低;报告了79个轻度不良事件,没有严重事件.
结论:
- 手动针对于短期的焦虑减轻是有效的.
- 与假针相比,观察到持续的效果,但不是通常的护理.
- 针是一种安全的,最小的侵入性治疗焦虑的选择,需要进一步研究长期疗效和标准化方法.
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