Acupuncture for anxiety

Evidence Summaries

Level of Evidence = D

Acupuncture might possibly have some beneficial effects in the treatment of patients with anxiety as compared with sham acupuncture, but the evidence is inconclusive.

A systematic review 1 including 10 RCTs (n=1,010) and 2 non-randomised trials (n=124) was abstracted in DARE. Studies evaluated traditional or Western acupuncture (ear acupuncture, electroacupuncture and acupressure treatments). The only RCT (n=56) studying patients with generalised anxiety that used a sham acupuncture control reported a significantly improved Clinical Global Impression score, clinical improvement at 10 weeks and an increased percentage of responders in the acupuncture group compared with the control group, but the majority of patients had minor depression rather than anxiety. Two RCTs (n=39 and n=296) that compared acupuncture with drug treatments reported no significant difference between treatments. One RCT (n=240) reported a significantly greater 'cure rate' in patients allocated to acupuncture plus electromyographic biofeedback (EMG BFB) than in those allocated to EMG BFB alone. When studying patients with situational anxiety (6 RCTs), all 4 RCTs that compared acupuncture with sham acupuncture (n=249) reported some positive outcomes with acupuncture interventions compared with controls. One RCT (n=90) reported no significant difference in anxiety between patients treated with acupuncture, diazepam and progressive relaxation.

Comment: The quality of evidence is downgraded by study quality (inadequate allocation concealment), by inconsistency (heterogeneity in patient populations, interventions and outcomes) and imprecise results (limited study size for each comparison).

References

1. Pilkington K, Kirkwood G, Rampes H, Cummings M, Richardson J. Acupuncture for anxiety and anxiety disorders - a systematic literature review. Acupunct Med 2007 Jun;25(1-2):1-10.  [PMID:17641561]


Copyright © 2017 Duodecim Medical Publications Limited.
Acupuncture for anxiety is a sample topic from the Evidence-Based Medicine Guidelines.

To view other topics, please or purchase a subscription.

Evidence Central is an integrated web and mobile solution that helps clinicians quickly answer etiology, diagnosis, treatment, and prognosis questions using the latest evidence-based research. Learn more.

Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Acupuncture for anxiety ID - 454784 BT - Evidence-Based Medicine Guidelines UR - https://evidence.unboundmedicine.com/evidence/view/EBMG/454784/all/Acupuncture_for_anxiety PB - Duodecim Medical Publications Limited DB - Evidence Central DP - Unbound Medicine ER -