Verbesserung der Ergebnisse bei Depressionen von Hämodialysepatienten durch Akupunktur: Eine randomisierte kontrollierte Studie
Abstract
Objective
To evaluate the efficacy and safety of acupuncture as a supplementary treatment for mild to moderate depression in hemodialysis patients.
Method
This multicenter, randomized, controlled, single-masked trial included 64 hemodialysis patients aged 18–75 divided into two groups. One group received genuine acupuncture, while the other received sham acupuncture over 12 weeks. The primary outcome measure was Hamilton Depression Scale (HAMD) scores; an inclusion criterion was HAMD scores of 10–23. Secondary outcomes included life quality improvements and changes in biochemical markers, such as serum albumin and hemoglobin levels. To assess the predictive effects of acupuncture treatment and biochemical parameters on depressive symptoms, a multivariable linear regression analysis was conducted.
Results
Following acupuncture treatment, HAMD scores significantly decreased, quality of life scores improved, and biochemical indicators (serum albumin, hemoglobin, transferrin, and total protein levels) showed some improvement, indicating the effectiveness of acupuncture in alleviating depressive symptoms and enhancing overall health in hemodialysis patients. Multivariable regression analysis showed that acupuncture treatment (P = 0.004) and serum albumin levels (P = 0.03) were significant predictors of improvement in depressive symptoms, with an adjusted R2 of 0.45, indicating that the model explained 45 % of the variance in symptom improvement. Other biochemical indicators, such as hemoglobin, transferrin, and total protein, did not show significant predictive effects (P > 0.05). No serious adverse events were observed during the treatment.
Conclusion
Acupuncture is a safe and effective adjunct therapy for alleviating mild to moderate depression in hemodialysis patients. Acupuncture treatment and certain biochemical indicators (such as serum albumin) have significant predictive value for improving depressive symptoms.
Autoren
Xijing Yu, Shuisheng Hua, Engyu Jin, Rong Guo, Hui Huang
Journal
Acta Psychologica
Link: https://www.sciencedirect.com/science/article/pii/S0001691825000411
DOI: https://doi.org/10.1016/j.actpsy.2025.104728
Verwendete Punkte:
- Dickdarm 4
- Leber 3
- Magen 36
- Milz-Pankreas 6