Evidence map›Paper›PMID 39648209›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2025

The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a multicenter randomized controlled trial.

Xiaoting Wu, Mingqi Tu, Zelin Yu, Zhijian Cao, Siying Qu, Nisang Chen, Junyan Jin, Sangsang Xiong, Jiajia Yang, Shuangyi Pei and 8 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06946888 (Effects of Acupressure on Nurses' Psychological Distress, Anxiety, Depression, Job Stress, Occupational Burnout, and Resilience), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06946888 nacompletednot on this map

Effects of Acupressure on Nurses' Psychological Distress, Anxiety, Depression, Job Stress, Occupational Burnout, and Resilience

TypeinterventionalSponsorKaohsiung Veterans General Hospital.Ran2024 to 2024Enrolled160ConditionsPsychological Distress, Anxiety, Depression, NursesArmsAcupressure
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Xiaoting Wu *Department of Acupuncture, The Third Clinical Medical College, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Mingqi Tu *Department of Acupuncture, The Third Clinical Medical College, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Zelin YuDepartment of Acupuncture, The Third Clinical Medical College, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Zhijian CaoDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Siying QuDepartment of Acupuncture, The Third Clinical Medical College, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Nisang ChenDepartment of Acupuncture, The Third Clinical Medical College, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Junyan JinDepartment of Acupuncture, The Third Clinical Medical College, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Sangsang XiongDepartment of Acupuncture, The Third Clinical Medical College, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Jiajia YangDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Shuangyi PeiDepartment of Psychiatry, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Maosheng XuDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Jia WangDepartment of Psychiatry, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Yan ShiDepartment of Acupuncture, The Affiliated Hangzhou First People's Hospital, Hangzhou, China.
Lishu GaoDepartment of Psychiatry, The Affiliated Hangzhou First People's Hospital, Hangzhou, China.
Jian XieDepartment of Psychiatry, The Affiliated Hangzhou First People's Hospital, Hangzhou, China.
Xinwei LiDepartment of Acupuncture, Tongde Hospital of Zhejiang Province, Hangzhou, China.
Jianqiao FangDepartment of Acupuncture, The Third Clinical Medical College, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China. fangjianqiao7532@163.com.
Xiaomei ShaoDepartment of Acupuncture, The Third Clinical Medical College, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China. shaoxiaomei@zcmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

New combinations or alternative therapies for major depressive disorder (MDD) are necessary. Intradermal acupuncture (IA) shows promise but requires further investigation regarding its efficacy, safety, and mechanisms. Conducted across 3 centers from November 2022 to January 2024, our randomized controlled trial included 120 participants with moderate to severe MDD, divided into the selective serotonin reuptake inhibitors (SSRIs), SSRIs plus sham IA (SSRIs + SIA), and SSRIs plus active IA (SSRIs + AIA) groups. Acupuncture groups received 10 sessions over 6 weeks at Shenmen (HT7), Neiguan (PC6), Sanyinjiao (SP6) and Taichong (LR3) bilaterally, followed by a 4-week follow-up. The primary outcome was changes in Hamilton Depression Rating Scale-17 (HAMD-17) scores at week 6. Furthermore, healthy controls (HCs) and MDD patients underwent magnetic resonance imaging (MRI) scans for functional connectivity (FC) analysis. After 6 weeks of treatment, the SSRIs + AIA group showed a greater reduction in HAMD-17 score than the SSRIs + SIA group (MD, -4.9 [CI, -7.6 to -2.2], P < 0.001) and SSRIs group (MD, -5.1 [CI, -7.8 to -2.3], P < 0.001). No serious adverse events occurred. SSRIs + AIA resulted in lower incidences of palpitations (vs.SSRIs + SIA: OR, 0.1% [CI, 0.0-1.0%]; vs. SSRIs: OR, 0.1% [CI, 0.0-0.7%]; P < 0.05), somnolence (vs.SSRIs + SIA: OR, 0.1% [CI, 0.0-0.9%]; vs.SSRIs: OR, 0.1% [CI, 0.0-0.7%]; P < 0.05), and nausea (vs.SSRIs + SIA: OR, 0.1% [CI, 0.0-1.0%]; vs. SSRIs: OR, 0.1% [CI, 0.0-0.9%]; P < 0.05). MDD patients showed abnormal FCs, and IA enhanced FCs between striatum and frontal_inf_tri, and striatum and cerebellum in the MRI study. Overall, IA as adjunctive therapy provides clinical efficacy and safety for MDD, and it may exert antidepressant effects by modulating striatal FCs.

Indexed as

Acupuncture TherapyBrainMajor Depressive DisorderAcupuncture PointsAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedSelective Serotonin Reuptake InhibitorsTreatment OutcomeSelective Serotonin Reuptake Inhibitors

Identifiers

PMID39648209
PMCPMC12089605

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.