Evidence map›Paper›PMID 27812501›Full record

Trial reportNeuroImage. Clinical2016

Repeated acupuncture treatments modulate amygdala resting state functional connectivity of depressive patients.

Xiaoyun Wang, Zengjian Wang, Jian Liu, Jun Chen, Xian Liu, Guangning Nie, Joon-Seok Byun, Yilin Liang, Joel Park, Ruiwang Huang and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in NeuroImage. Clinical, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  3. The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a multicenter randomized controlled trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
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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

13 authors at 5 institutions in 3 countries.

Xiaoyun WangTraditional Chinese Medicine Hospital of Guangdong province, Guangzhou 510120, China.
Zengjian WangCenter for the Study of Applied Psychology, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou 510631, China; Psychiatry Department, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Jian LiuTraditional Chinese Medicine Hospital of Guangdong province, Guangzhou 510120, China.
Jun ChenTraditional Chinese Medicine Hospital of Guangdong province, Guangzhou 510120, China.
Xian LiuTraditional Chinese Medicine Hospital of Guangdong province, Guangzhou 510120, China.
Guangning NieTraditional Chinese Medicine Hospital of Guangdong province, Guangzhou 510120, China.
Joon-Seok ByunDepartment of Internal Medicine, College of Korean Medicine, Daegu Haany University, 165 Sang-dong, Suseong-gu, Daegu 706-828, Republic of Korea.
Yilin LiangPsychiatry Department, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA; Wellesley College, Wellesley, MA, USA.
Joel ParkPsychiatry Department, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Ruiwang HuangCenter for the Study of Applied Psychology, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou 510631, China.
Ming LiuCenter for the Study of Applied Psychology, Key Laboratory of Mental Health and Cognitive Science of Guangdong Province, School of Psychology, South China Normal University, Guangzhou 510631, China.
Bo LiuTraditional Chinese Medicine Hospital of Guangdong province, Guangzhou 510120, China.
Jian KongPsychiatry Department, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Guangdong Provincial Hospital of Traditional Chinese Medicine · CNSouth China Normal University · CNHarvard University · USDaegu Haany University · KRMassachusetts General Hospital · US

Funding

The Role of Context Effect in Acupuncture Treatment of Low Back/J.KongP01AT006663 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L, ROSEN, BRUCE R · 2011 to 2017
$10.0M
Neuromodulation of placebo and nocebo effectsR01AT008563 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2015 to 2019
$3.9M
The Neurobiology of Placebo and Nocebo Effects: A Brain Imaging StudyR01AT006364 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2011 to 2015
$3.6M
Mechanistic Studies on video guided acupuncture imagery treatment of painR61AT009310 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2016 to 2017
$845k
Neural dynamics of directly and indirectly conditioned placebo/nocebo effectR21AT008707 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2016 to 2017
$479k
NCCIH NIH HHS P01 AT006663NCCIH NIH HHS R01 AT006364NCCIH NIH HHS R01 AT008563NCCIH NIH HHS R21 AT008707NCCIH NIH HHS R61 AT009310
6 · The paper itself

Abstract

As a widely-applied alternative therapy, acupuncture is gaining popularity in Western society. One challenge that remains, however, is incorporating it into mainstream medicine. One solution is to combine acupuncture with other conventional, mainstream treatments. In this study, we investigated the combination effect of acupuncture and the antidepressant fluoxetine, as well as its underlying mechanism using resting state functional connectivity (rsFC) in patients with major depressive disorders. Forty-six female depressed patients were randomized into a verum acupuncture plus fluoxetine or a sham acupuncture plus fluoxetine group for eight weeks. Resting-state fMRI data was collected before the first and last treatments. Results showed that compared with those in the sham acupuncture treatment, verum acupuncture treatment patients showed 1) greater clinical improvement as indicated by Montgomery-Åsberg Depression Rating Scale (MADRS) and Self-Rating Depression Scale (SDS) scores; 2) increased rsFC between the left amygdala and subgenual anterior cingulate cortex (sgACC)/preguenual anterior cingulate cortex (pgACC); 3) increased rsFC between the right amygdala and left parahippocampus (Para)/putamen (Pu). The strength of the amygdala-sgACC/pgACC rsFC was positively associated with corresponding clinical improvement (as indicated by a negative correlation with MADRS and SDS scores). Our findings demonstrate the additive effect of acupuncture to antidepressant treatment and suggest that this effect may be achieved through the limbic system, especially the amygdala and the ACC.

Indexed as

Acupuncture TherapyAdultAmygdalaAntidepressive Agents, Second-GenerationBrainBrain MappingCombined Modality TherapyFemaleFluoxetineHumansMagnetic Resonance ImagingMajor Depressive DisorderMiddle AgedNeural PathwaysPsychiatric Status Rating ScalesTreatment OutcomeAntidepressive Agents, Second-GenerationFluoxetineAcupunctureAmygdalaCombination effectDepressionFluoxetineLimbic systemResting-state functional connectivity

Identifiers

PMID27812501
PMCPMC5079358
OpenAlexW2485471030

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.