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    Effectiveness of Acupuncture Used for the Management of Postpartum Depression: A Systematic Review and Meta-Analysis

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    Author
    Li, W.
    Yin, P.
    Lao, L.
    Date
    2019
    Journal
    BioMed Research International
    Publisher
    Hindawi Limited
    Type
    article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1155/2019/6597503
    Abstract
    Previous studies have demonstrated that acupuncture was an effective alternative for treating major depressive disorders. However, the use of acupuncture for the treatment of postpartum depression remains controversial. This review summarizes the most significant studies in the area of acupuncture treatment for postpartum depression and provides a detailed overview of the efficacy of acupuncture for the treatment of postpartum depression. Methods. We undertook a systematic review of publicly available electronic databases to identify studies that evaluated acupuncture for the treatment of postpartum depression. Our meta-analysis selected randomized controlled trials (RCTs) and quasi-RCTs that reported on the treatment effect of acupuncture on postpartum depression. Results. Eight prospective trials reporting data on postpartum depression were included in our meta-analysis. The results demonstrated that acupuncture treatment could significantly reduce HAMD scores (SMD: -1.08; 95%CI: -2.11 to -0.05; P=0.040). However, with regard to EPDS, clinical response, and serum estradiol levels, pooled analysis suggested no beneficial effects of acupuncture for postpartum women in EPDS (RR: 1.23; 95%CI: 0.90 to 1.67; P=0.195); clinical response (RR: 1.00; 95%CI: 0.89 to 1.12; P=0.969); and the levels of serum estradiol (SMD: 1.96; 95%CI: -0.01 to 3.93; P=0.051). Limitations. First, there was relatively high heterogeneity among the studies, except for clinical response. In order to identify the sources of heterogeneity, we divided the studies into subgroups by way of controls. However, heterogeneity still existed, which suggested that it arose from participants rather than controls. Second, the sample size of the studies was small, causing the power of summary results to be low. This may result in over- or underestimating the interpretation of the results. Third, our analysis used pooled data, which restricted us from performing a more detailed analysis. Conclusions. Our meta-analysis suggested that acupuncture treatment may reduce HAMD scores, while no significant effects on EPDS, clinical response, and serum estradiol levels were observed. Copyright 2019 Wei Li et al.
    Sponsors
    The study was partly supported by a grant awarded by the National Natural Science Foundation of China (No. 81704145), Shanghai Municipal Commission of Health and Family Planning (No. 201640026), and Shanghai Hospital Development Center (No. SHDC12016124).
    Keyword
    Acupuncture Therapy
    Depression, Postpartum
    Systematic Review
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064001382&doi=10.1155%2f2019%2f6597503&partnerID=40&md5=d3de7278df013ba6f9b7e6fd40688035; http://hdl.handle.net/10713/10250
    ae974a485f413a2113503eed53cd6c53
    10.1155/2019/6597503
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