The effectiveness of acupressure therapy on anxiety: a scoping review protocol

Stephanie Y. Wang, Zac Morse

Abstract

Background: Anxiety disorders are highly prevalent and are considered the most common psychiatric condition globally. Acupressure is a non-invasive alternative to acupuncture and has demonstrated effectiveness in managing psychosomatic disorders. However, due to high disparities within existing clinical research, it is difficult to recommend the optimum acupressure practice for anxiety management. This manuscript details the protocol for scoping the available evidence, mapping key concepts, and identifying gaps for future research.

Methods: This protocol is designed following the preferred reporting items for systemic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) and the Joanna Briggs institute (JBI) manual for evidence synthesis guidelines. Six electronic databases (MEDLINE, CINAHL, AMED, PsycINFO, dentistry and oral science source, and Scopus) and two other search engines (Google and Google Scholar) will be searched for all relevant primary and secondary studies, grey literature, and other sources concerning the type of acupressure interventions and the effectiveness of acupressure on anxiety. The sources retrieved will be independently assessed by two reviewers utilising the eligibility criteria defined by the population concept and context (PCC) framework. A PRISMA-ScR flowchart will be applied to track the number of identified, included, and excluded sources. Extracted data and variables will be presented in a data extraction table. Narrative explanations will accompany the synthesised results.

Conclusions: The review’s findings can assist in identifying priorities for future research and provide recommendations for optimal protocols for clinical implementation.

Keywords

Acupuncture, Acupoint, Anxiety disorders, Auricular acupressure, Pressure points, Psychophysiological disorders

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References

Remes O, Brayne C, Van Der Linde R, Lafortune L. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain Behavior. 2016;6(7):e00497.

Roy-Byrne P. Treatment-refractory anxiety; definition, risk factors, and treatment challenges. Dialogues Clin Neurosci. 2015;17(2):191-206.

Eaton WW, Bienvenu OJ, Miloyan B. Specific phobias. The Lancet Psychiatry. 2018;5(8):678-86.

Jorm AF, Christensen H, Griffiths KM, Parslow RA, Rodgers B, Blewitt KA. Effectiveness of complementary and self‐help treatments for anxiety disorders. Med J Australia. 2004;181(S7).

Kasper S. Anxiety disorders: under-diagnosed and insufficiently treated. Int J Psychiatry Clin Practice. 2006;10(1):3-9.

Bystritsky A, Khalsa SS, Cameron ME, Schiffman J. Current diagnosis and treatment of anxiety disorders. Pharmacy Therap. 2013;38(1):30.

Wardenaar KJ, Lim CC, Al-Hamzawi AO, Alonso J, Andrade LH, Benjet Cd et al. The cross-national epidemiology of specific phobia in the World Mental Health Surveys. Psychologic Med. 2017;47(10):1744-60.

Martin P. The epidemiology of anxiety disorders: a review. Dialogues Clin Neurosci. 2003;5(3):281-98.

Marciniak MD, Lage MJ, Dunayevich E, Russell JM, Bowman L, Landbloom RP et al. The cost of treating anxiety: the medical and demographic correlates that impact total medical costs. Depression Anxiety. 2005;21(4):178-84.

Bandealy SS, Sheth NC, Matuella SK, Chaikind JR, Oliva IA, Philip SR et al. Mind-body interventions for anxiety disorders: a review of the evidence base for mental health practitioners. FOCUS. 2021;19(2):173-83.

Arikian SR, Gorman JM. A review of the diagnosis, pharmacologic treatment, and economic aspects of anxiety disorders. Primary Care Companion to J Clin Psychiatry. 2001;3(3):110.

Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet. 2013;382(9904):1575-86.

Xiong P, Liu M, Liu B, Hall BJ. Trends in the incidence and DALYs of anxiety disorders at the global, regional, and national levels: Estimates from the global burden of disease study 2019. J Affective Disord. 2022;297:83-93.

Wells J. Prevalence and severity across aggregated disorders. Te Rau Hinengaro: The New Zealand Mental Health and Wellbeing Survey Wellington: Ministry of Health, forthcoming. 2006.

Ministry of Health. Briefing to the Incoming Minister of Health, 2017: The New Zealand Health and Disability System: Organisation: Ministry of Health. 2017.

Nathan PE, Gorman JM. A guide to treatments that work: Oxford University Press. 2015.

Bandelow B, Reitt M, Röver C, Michaelis S, Görlich Y, Wedekind D. Efficacy of treatments for anxiety disorders: a meta-analysis. Int Clin Psychopharmacol. 2015;30(4):183-92.

Smith CA, Shewamene Z, Galbally M, Schmied V, Dahlen H. The effect of complementary medicines and therapies on maternal anxiety and depression in pregnancy: a systematic review and meta-analysis. J Affective Disord. 2019;245:428-39.

Yang XY, Yang NB, Huang FF, Ren S, Li ZJ. Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials. Ann General Psychiatry. 2021;20(1).

Au DW, Tsang HW, Ling PP, Leung CH, Ip P, Cheung W. Effects of acupressure on anxiety: a systematic review and meta-analysis. Acupuncture Med. 2015;33(5):353-9.

Harris P. Acupressure: a review of the literature. Complementary Therap Med. 1997;5(3):156-61.

Beal MW. Acupuncture and oriental body work: Traditional and biomedical concepts in holistic care: History and basic concepts. Holistic Nursing Pract. 2000;14(3):69-78.

Moyer CA, Seefeldt L, Mann ES, Jackley LM. Does massage therapy reduce cortisol? A comprehensive quantitative review. J Bodywork Movement Therapies. 2011;15(1):3-14.

Lin J, Chen T, He J, Chung RC, Ma H, Tsang H. Impacts of acupressure treatment on depression: A systematic review and meta-analysis. World J Psychiatry. 2022;12(1):169-86.

Lee EJ, Frazier SK. The efficacy of acupressure for symptom management: a systematic review. J Pain Symptom Management. 2011;42(4):589-603.

Bazarganipour F, Taghavi SA, Allan H, Beheshti F, Khalili A, Miri F et al. The effect of applying pressure to the LIV3 and LI4 on the symptoms of premenstrual syndrome: A randomized clinical trial. Complementary Therap Med. 2017;31:65-70.

Cho Y, Joo J, Kim S, Sok S. Effects of meridian acupressure on stress, fatigue, anxiety, and self-efficacy of shiftwork nurses in South Korea. Int J Environmental Res Public Health. 2021;18(8).

Song HJ, Seo HJ, Lee H, Son H, Choi SM, Lee S. Effect of self-acupressure for symptom management: a systematic review. Complementary Therap Med. 2015;23(1):68-78.

Agarwal A, Ranjan R, Dhiraaj S, Lakra A, Kumar M, Singh U. Acupressure for prevention of pre‐operative anxiety: a prospective, randomised, placebo controlled study. Anaesthesia. 2005;60(10):978-81.

Beikmoradi A, Najafi F, Roshanaei G, Pour Esmaeil Z, Khatibian M, Ahmadi A. Acupressure and anxiety in cancer patients. Iranian Red Crescent Med J. 2015;17(3):e25919.

Chen SR, Hou WH, Lai JN, Kwong JSW, Lin PC. Effects of acupressure on anxiety: A systematic review and meta-analysis. J Integrative Complementary Med. 2022;28(1):25-35.

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Internal Med. 2018;169(7):467-73.

Aromataris E, Munn Z. JBI manual for evidence synthesis. JBI: Adelaide, Australia. 2020.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.