Evidence map›Paper›PMID 24849077›Full record

Trial reportPloS one2014

The effect of daily self-measurement of pressure pain sensitivity followed by acupressure on depression and quality of life versus treatment as usual in ischemic heart disease: a randomized clinical trial.

Natasha Bergmann, Søren Ballegaard, Per Bech, Ake Hjalmarson, Jesper Krogh, Finn Gyntelberg, Jens Faber

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01513824 (Stress, Ongoing Self Monitoring and Ischemic Heart Disease Rehabilitation, a Randomized Controlled Trial), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
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.

NCT01513824 nacompletednot on this map

Stress, Ongoing Self Monitoring and Ischemic Heart Disease Rehabilitation, a Randomized Controlled Trial (SongHeart)

TypeinterventionalSponsorHerlev HospitalRan2011 to 2014Enrolled216ConditionsBiofeed Back Guided Stress Management, Ischemic Heart DiseaseArmspressure pain sensitivity measure followed bu acupressure
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Acupuncture for depression.The Cochrane database of systematic reviews · 2018
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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

7 authors at 5 institutions in 2 countries.

Natasha BergmannHerlev University Hospital, Department of Endocrinology, Herlev, Denmark.
Søren BallegaardUll Care A/S, Hellerup, Denmark.
Per BechPsychiatric Research Unit, Psychiatric Centre North Zealand, Hillerød, Denmark.
Ake HjalmarsonDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Jesper KroghHerlev University Hospital, Department of Endocrinology, Herlev, Denmark.
Finn GyntelbergThe National Research Centre for the Working Environment, Copenhagen, Denmark.
Jens FaberHerlev University Hospital, Department of Endocrinology, Herlev, Denmark; Faculty of Health Sciences, Copenhagen University, Copenhagen, Denmark.
Herlev Hospital · DKCenter for Clinical & Basic Research · DKNational Research Centre for the Working Environment · DKRegion Zealand · DKSahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepressive symptoms and reduced quality of life (QOL) are parts of the chronic stress syndrome and predictive of adverse outcome in patients with ischemic heart disease (IHD). Chronic stress is associated with increased sensitivity for pain, which can be measured by algometry as Pressure Pain Sensitivity (PPS) on the sternum.

aimTo evaluate if stress focus by self-measurement of PPS, followed by stress reducing actions including acupressure, can decrease depressive symptoms and increase psychological well-being in people with stable IHD.

designObserver blinded randomized clinical trial over 3 months of either intervention or treatment as usual (TAU). STATISTICAL ANALYSIS: Intention to treat.

methodsTwo hundred and thirteen participants with IHD were included: 106 to active treatment and 107 to TAU. Drop-out: 20 and 12, respectively. The active intervention included self-measurement of PPS twice daily followed by acupressure as mandatory action, aiming at a reduction in PPS. Primary endpoint: change in depressive symptoms as measured by Major depression inventory (MDI). Other endpoints: changes in PPS, Well-being (WHO-5) and mental and physical QOL (SF-36).

resultsAt 3 months PPS decreased 28%, to 58, in active and 11%, to 72, in TAU, p<0.001. MDI decreased 22%, to 6.5, in active group vs. 12%, to 8.3 in TAU, p = 0.040. WHO-5 increased to 71.0 and 64.8, active group and TAU, p = 0.015. SF-36 mental score sum increased to 55.3 and 53.3, active and TAU, p = 0.08.

conclusionsPPS measurements followed by acupressure reduce PPS, depressive symptoms and increase QOL in patients with stable IHD.

trial registrationClinicalTrials.gov NCT01513824.

Indexed as

Self CareActivities of Daily LivingAcupressureAgedFemaleHumansMajor Depressive DisorderMaleMiddle AgedMyocardial IschemiaPainPain PerceptionQuality of LifeStress, Physiological

Identifiers

PMID24849077
PMCPMC4029626
OpenAlexW2001455601

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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 OpenQuestion graph.