By Rosa N. Schnyer, John J. B. Allen PhD, Sabrina K. Hitt PhD, Rachel Manber PhD, Ted J. Kaptchuk OMD, Michael E. Thase MD
This pioneering publication unites either western and conventional chinese language drugs to offer a step by step method for comparing and treating melancholy with acupuncture. utilizing research-oriented trials, it addresses basic matters in acupuncture learn and gives guidance for the layout of acupuncture remedy reviews.
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Additional resources for Acupuncture in the Treatment of Depression: A Manual for Practice and Research
1. 1 A comparison of the symptoms of Western-defined depression and patterns of disharmony defined by Chinese medicine DSM·IV symptoms Yin features· Yang features b Qi stagnation Shen disturbance Depressed mood Depressed mood with lethargy and weakness, lower libido, decreased motivation Depressed mood with irritability, uneasiness, anxiety, violent outbursts of anger, aggression Depressed mood with emotional liability, periodic outbursts of anger, frustration, erratic physical complaints, migratory pains, distension of breast and abdomen, sighing Depressed mood characterized by flat affect Diminished interest or pleasure Diminished interest or pleasure Fatigue or loss of energy Fatigue or loss of energy Appetite disturbance Appetite disturbance characterized by loss of appetite with weak digestion; tendency towards loose stools or diarrhea Appetite disturbance characterized by excessive appetite, bitter taste in the mouth, thirst Sleep disturbance Hypersomnia Dream-disturbed sleep; nightmares Insomnia with difficultyfalling or staying asleep, or waking up early Psychomotor agitation or retardation Decreased energy level, slow body movements, no desire to move or talk Inability to sit still, pacing,agitation, nervousness, wiriness Incessant, nervous talking.
When the allegiance of investigators and the differences between treatments are taken into account, the effectiveness of psychotherapy and pharmacotherapy is equivalent (Robinson et al 1990, Steinbrueck et aI1983). The results of the NIMH Collaborative Depression study, the largest and most well-controlled psychotherapy study conducted to date, support this notion. The NIMH study utilized investigators who were committed to each type of therapy compared and found little evidence for significant differences between therapies (Elkin et al 1989).
3 summarizes each type of medication, side effects, and mechanism of action. Electroconvulsive Therapy (EeT) ECT is usually administered to inpatients in a series of treatments. Treatment frequency is approximately twice a week. Many people demonstrate marked improvement after six to eight sessions, but some need more. Electrodes are placed either on both sides of the head or at the front and back of the skull on one side of the head. ECT remains an effective treatment according to several studies (Consensus Conference 1985), although the mechanism through which it works is still unknown (Sackheim 1989).
Acupuncture in the Treatment of Depression: A Manual for Practice and Research by Rosa N. Schnyer, John J. B. Allen PhD, Sabrina K. Hitt PhD, Rachel Manber PhD, Ted J. Kaptchuk OMD, Michael E. Thase MD