Effect of auricular Shenmen point pressure on anxiety symptoms of elderly patients with anxiety disorder in community

LU Xiao-feng; WU Hao; LI Xin-xin; CHEN Si-lu; XUE Lian-xue; YANG Ying-huan

doi:10.16766/j.cnki.issn.1674-4152.002863

Volume 21 Issue 2

Feb. 2023

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2023 > 21(2): 275-278

LU Xiao-feng, WU Hao, LI Xin-xin, CHEN Si-lu, XUE Lian-xue, YANG Ying-huan. Effect of auricular Shenmen point pressure on anxiety symptoms of elderly patients with anxiety disorder in community[J]. Chinese Journal of General Practice, 2023, 21(2): 275-278. doi: 10.16766/j.cnki.issn.1674-4152.002863

Citation:

LU Xiao-feng, WU Hao, LI Xin-xin, CHEN Si-lu, XUE Lian-xue, YANG Ying-huan. Effect of auricular Shenmen point pressure on anxiety symptoms of elderly patients with anxiety disorder in community[J]. Chinese Journal of General Practice, 2023, 21(2): 275-278. doi: 10.16766/j.cnki.issn.1674-4152.002863

Citation:

LU Xiao-feng, WU Hao, LI Xin-xin, CHEN Si-lu, XUE Lian-xue, YANG Ying-huan. Effect of auricular Shenmen point pressure on anxiety symptoms of elderly patients with anxiety disorder in community[J]. Chinese Journal of General Practice, 2023, 21(2): 275-278. doi: 10.16766/j.cnki.issn.1674-4152.002863

PDF( 437 KB)

Effect of auricular Shenmen point pressure on anxiety symptoms of elderly patients with anxiety disorder in community

doi: 10.16766/j.cnki.issn.1674-4152.002863

LU Xiao-feng^{1, 2, 3}
, WU Hao⁴
, LI Xin-xin^{1, 2, 3}
, CHEN Si-lu^{1, 2, 3}
, XUE Lian-xue^{1, 2, 3}
, YANG Ying-huan^{1, 2, 3
,
,}

1.
Affiliated Mental Health Center, East China Normal University, Shanghai 200335, China

Funds:

CNKW2018Y24

2019002

Received Date: 2022-03-07
Available Online: 2023-04-20

Abstract

Abstract

Objective This study aims to explore the effect of auricular Shenmen point pressure on generalised anxiety disorder (GAD) and the improvement of frontal lobe function in elderly people in community. Methods Between September 2020 and June 2021 in Jing' an district of Shanghai West Nanjing Road community health service centre and Changning district of Shanghai Mental Health Centre, 90 elderly patients with GAD were recruited and randomly divided into auricular point pressure (AP) group (n=47) and control group (n=43) by random number table. The AP group accepted the 8-week seed point pressure at the ear Shenmen acupoint. The Hamilton Anxiety Scale (HAMA) and Geriatric Anxiety Inventory (GAI) were used before and after intervention, respectively. Frontal assessment battery (FAB) was evaluated in the assessment of frontal lobe. Results No significant differences in demographic data, anxiety symptoms and frontal lobe function were found between AP and control groups at baseline (all P>0.05). After 8-week intervention, the HAMA and GAI scores in the AP group were significantly lower than the control group [(15.41±6.79) points vs. (24.32±4.96) points, (7.97±2.71) points vs. (11.99±2.87) points, both P < 0.05], while the FAB scores significantly increased [(10.79±3.41) points vs. (3.61±2.32) points, P < 0.05] compared with those in the control group. The decreasing score of HAMA was negatively correlated with the increasing score of FAB (r=-0.205, P=0.006). The decrease in the HAMA somatic dimension score was positively correlated with the increase in the GAI score (r=0.472, P < 0.001). Conclusion Auricular point pressure at Shenmen point can significantly improve anxiety symptoms in elderly patients with GAD in community, and its mechanism of action may be related to improvement of frontal lobe function.
- Auricular point pressure,
- Anxiety,
- Somatisation symptoms,
- Frontal lobe function

FullText(HTML)

References(20)

References

[1]	HUANG Y Q, WANG Y, WANG H, et al. Prevalence of mental disorders in China: a cross-sectional epidemiological study[J]. Lancet Psychiat, 2019, 6(3): 211-224. doi: 10.1016/S2215-0366(18)30511-X
[2]	王春燕, 张学平. 焦点解决模式对老年焦虑障碍共病高血压患者的心理护理作用[J]. 中华全科医学, 2020, 18(10): 1779-1782. doi: 10.16766/j.cnki.issn.1674-4152.001617 WANG C Y, ZHANG X P. Psychological nursing effect of the solution-focused model on elderly patients with hypertension and generalized anxiety disorder[J]. Chinese Journal of General Practice, 2020, 18(10): 1779-1782. doi: 10.16766/j.cnki.issn.1674-4152.001617
[3]	范曼丽, 魏裕涛, 魏佳娜, 等. 基于数据挖掘的针灸治疗焦虑症经穴运用规律分析[J]. 中国中医基础医学杂志, 2019, 25(3): 357-360. doi: 10.19945/j.cnki.issn.1006-3250.2019.03.022 FAN M L, WEI Y T, WEI J N, et al. Law of meridian and acupoint selection in acupuncture treatment for anxiety based on data-mining method[J]. Chinese Journal of Basic Medicine in Traditional Chinese Medicine, 2019, 25(3): 357-360. doi: 10.19945/j.cnki.issn.1006-3250.2019.03.022
[4]	陈默, 梁碧. 耳穴贴压疗法辅助治疗肝火扰心型亚健康失眠的临床研究[J]. 中国基层医药, 2021, 28(3): 335-339. doi: 10.3760/cma.j.issn.1008-6706.2021.03.004 CHEN M, LIANG B. Clinical study on auricular plaster therapy in the auxiliary treatment of insomnia caused by liver fire disturbance in a sub-healthy population[J]. Chinese Journal of Primary Medicine and Pharmacy, 2021, 28(3): 335-339. doi: 10.3760/cma.j.issn.1008-6706.2021.03.004
[5]	GOH W Y, CHAN D, ALI N B, et al. Frontal assessment battery in early cognitive impairment: psychometric property and factor structure[J]. J Nutr Health Aging, 2019, 23(10): 966-972. doi: 10.1007/s12603-019-1248-0
[6]	美国精神医学学会. 精神障碍诊断与统计手册(第五版)[M]. 北京: 北京大学出版社, 2016. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition)[M]. Beijing: Peking University Press, 2016.
[7]	ZIMMERMAN M, MARTIN J, CLARK H, et al. Measuring anxiety in depressed patients: a comparison of the Hamilton anxiety rating scale and the DSM-5 Anxious Distress Specifier Interview[J]. J Psychiatr Res, 2017, 93: 59-63. doi: 10.1016/j.jpsychires.2017.05.014
[8]	MOLDE H, NORDHUS I H, TORSHEIM T, et al. A cross-national analysis of the psychometric properties of the geriatric anxiety inventory[J]. J Gerontol B Psychol Sci Soc Sci, 2020, 75(7): 1475-1483. doi: 10.1093/geronb/gbz002
[9]	程锦, 程文炜, 刘晓芳, 等. 层次结构数据的分析方法及SPSS实现[J]. 中华老年医学杂志, 2020, 39(10): 1236-1240. doi: 10.3760/cma.j.issn.0254-9026.2020.10.030 CHENG J, CHENG W W, LIU X F, et al. Analyzing methods of hierarchically structured data and its implementation in SPSS Statistics[J]. Chinese Journal of Geriatrics, 2020, 39(10): 1236-1240. doi: 10.3760/cma.j.issn.0254-9026.2020.10.030
[10]	RAIJ T, NUMMENMAA A, MARIN M F, et al. Prefrontal cortex stimulation enhances fear extinction memory in humans[J]. Biol Psychiatry, 2018, 84(2): 129-137. doi: 10.1016/j.biopsych.2017.10.022
[11]	赵奎, 张梅刃, 曾啸, 等. 耳穴压豆疗法对老年髋部骨折患者术后谵妄、睡眠时间及焦虑水平的影响[J]. 现代生物医学进展, 2021, 21(12): 2386-2390. doi: 10.13241/j.cnki.pmb.2021.12.041 ZHAO K, ZHANG M R, CENG X, et al. Effect of auricular acupoint pressing therapy on postoperative delirium, sleep time and anxiety level of elderly patients with hip fracture[J]. Progress in Modern Biomedicine, 2021, 21(12): 2386-2390. doi: 10.13241/j.cnki.pmb.2021.12.041
[12]	潘子彦, 黄峰, 许荣梅. 心理疏导法并耳穴刺激治疗老年焦虑症的疗效[J]. 中国老年学杂志, 2017, 37(22): 5666-5667. doi: 10.3969/j.issn.1005-9202.2017.22.083 PAN Z Y, HUANG F, XU R M. Psychotherapy and auricular stimulation in the treatment of senile anxiety[J]. Chinese Journal of Gerontology, 2017, 37(22): 5666-5667. doi: 10.3969/j.issn.1005-9202.2017.22.083
[13]	杨丽华, 段培蓓, 侯庆梅, 等. 耳穴贴压干预成年患者焦虑的Meta分析[J]. 中华现代护理杂志, 2019, 25(26): 3337-3342. doi: 10.3760/cma.j.issn.1674-2907.2019.26.008 YANG L H, DUAN P B, HOU Q M, et al. Meta-analysis of auricular-plaster therapy intervening with anxiety in adults[J]. Chinese Journal of Modern Nursing, 2019, 25(26): 3337-3342. doi: 10.3760/cma.j.issn.1674-2907.2019.26.008
[14]	袁丹丹, 周静, 吴宁宁, 等. 个体化心理辅导联合耳穴压豆对产褥期产妇焦虑和抑郁的干预效果[J]. 中华全科医学, 2021, 19(9): 1539-1541, 1568. doi: 10.16766/j.cnki.issn.1674-4152.002106 YUAN D D, ZHOU J, WU N N, et al. Intervention effect of individualised psychological counselling combined with ear acupoint pressing on anxiety and depression during puerperium[J]. Chinese Journal of General Practice, 2021, 19(9): 1539-1541, 1568. doi: 10.16766/j.cnki.issn.1674-4152.002106
[15]	BUTT M F, ALBUSODA A, FARMER A D, et al. The anatomical basis for transcutaneous auricular vagus nerve stimulation[J]. J Anat, 2020, 236(4): 588-611. doi: 10.1111/joa.13122
[16]	MATHEW E, TABET M N, ROBERTSON N M, et al. Vagus nerve stimulation produces immediate dose-dependent anxiolytic effect in rats[J]. J Affect Disord, 2020, 265: 552-557. doi: 10.1016/j.jad.2019.11.090
[17]	NOBLE L J, CHUAH A, CALLAHAN K K, et al. Peripheral effects of vagus nerve stimulation on anxiety and extinction of conditioned fear in rats[J]. Learn Mem, 2019, 26(7): 245-251. doi: 10.1101/lm.048447.118
[18]	BADRAN B W, DOWDLE L T, MITHOEFER O J, et al. Neurophysiologic effects of transcutaneous auricular vagus nerve stimulation (taVNS) via electrical stimulation of the tragus: a concurrent taVNS/fMRI study and review[J]. Brain Stimul, 2018, 11(3): 492-500. doi: 10.1016/j.brs.2017.12.009
[19]	CUI H R, ZHANG B, LI W, et al. Insula shows abnormal task-evoked and resting-state activity in first-episode drug-nave generalized anxiety disorder[J]. Depress Anxiety, 2020, 37(7): 632-644. doi: 10.1002/da.23009
[20]	CARLINO E, PIEDIMONTE A, BENEDETTI F. Nature of the placebo and nocebo effect in relation to functional neurologic disorders[J]. Handb Clin Neurol, 2016, 139: 597-606.

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(3)

Get Citation

PDF

XML

Article Metrics

Article views (250) PDF downloads(2)

Effect of auricular Shenmen point pressure on anxiety symptoms of elderly patients with anxiety disorder in community

doi: 10.16766/j.cnki.issn.1674-4152.002863

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Effect of auricular Shenmen point pressure on anxiety symptoms of elderly patients with anxiety disorder in community

doi: 10.16766/j.cnki.issn.1674-4152.002863

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content