This blog is to share the latest research and development of acupuncture and raise the awareness of alternative treatments for your conditions, and is for information only.

Wednesday 27 January 2016

How does acupuncture alleviate major depressive disorder?

Major depressive disorder is a recurrent and debilitating mental disorder. Acupuncture is very effective to alleviate the symptoms of major depressive disorder, by increasing the level of serotonin in the brain, according to a report recently published in the journal Neuroscience Letter.

It is reported that major depressive disorder affects about 7% of the population over age of 18 in the United State, according to the National Institute of Mental Health. Psychological, physiological and social symptoms of the disorder persist for weeks and are bad enough to interfere with work, social life and family life. Although the exact cause of major depressive order is unclear it is believed that decreased level of serotonin, a neurotransmitter, in the brain area hippocampus is closely linked to the disorder. Up to 80% of patients with major depressive disorder were reported to be treated with selective serotonin reuptake inhibitors. Although the drugs produced temporary symptomatic relief, severe side effects occurred with long-term use. Although acupuncture is used to treat the disorder its mechanism of action is not known.

Scientists in China recently conducted a study to explore the potential mechanism of acupuncture treatment on major depressive disorder. The study was performed on major depressive disorder model. Electro-acupuncture stimulation was applied at acupoints ST36 bilaterally and CV4 for 20 min once daily for 14 consecutive days. Outcome included behavioural and biochemical assessments tested before and after acupuncture. Data showed that depressive behaviour was significantly improved by acupuncture compared untreated group. Biochemical studies showed that the concentration of serotonin in the hippocampus was markedly elevated following acupuncture stimulation.

The study suggested that acupuncture stimulation at acupoint ST36 and CV4 increased the level of serotonin in the brain leading to the symptomatic relieve in depressive model.

Reference:
JJ Le et al., Electroacupuncture regulate hypothalamic-pituitary-adrenal axis and enhance hippocampal serotonin system in a rat model of depression. Neurosci Lett. 2016 Jan 7. pii: S0304-3940(16)30004-0.  http://www.ncbi.nlm.nih.gov/pubmed/26773866

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