Evidence map›Paper›PMID 37005070›Full record

Trial reportPsychogeriatrics : the official journal of the Japanese Psychogeriatric Society2023

Traditional Chinese medicine Jia Wei Gui Pi Tang improves behavioural and psychological symptoms of dementia and favourable positive emotions in patients.

Tatsuya Nogami, Koh Iwasaki, Hideo Kimura, Toru Higashi, Makoto Arai, James P Butler, Masahiko Fujii, Hidetada Sasaki

Open access · hybridAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
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

8 authors at 6 institutions in 2 countries.

Tatsuya NogamiDepartment of Kampo Medicine, Tokai University School of Medicine, Isehara City, Japan.ORCID https://orcid.org/0000-0002-9724-4356
Koh IwasakiAyumino Clinic, Ishinomaki City, Japan.
Hideo KimuraDepartment of Kampo Medicine, Sakurajyuji Hospital, Fukuoka City, Japan.
Toru HigashiDepartment of Psychiatry, Ainohanazono Hospital, Ibaragi City, Japan.
Makoto AraiDepartment of Kampo Medicine, Tokai University School of Medicine, Isehara City, Japan.
James P ButlerDepartment of Environmental Health, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.
Masahiko FujiiSendai-Tomizawa Hospital, Sendai City, Japan.
Hidetada SasakiSendai-Tomizawa Hospital, Sendai City, Japan.ORCID https://orcid.org/0000-0002-7528-8198
Sendai City Hospital · JPTokai University · JPBrigham and Women's Hospital · USIshinomaki Senshu University · JPKomagino Hospital · JPUji Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBehavioural and psychological symptoms of dementia (BPSD) are challenging to manage, leading to caregiver burden and often to subsequent transfer of patients to a nursing home or psychiatric hospital for treatment. Eliciting favourable positive emotions should be an important goal in the treatment of negative emotions associated with BPSD. To date, no data have indicated that antipsychotic medications can improve positive emotions. BPSD are known to be associated with anxiety in patients with dementia. The traditional Chinese medicine Jia Wei Gui Pi Tang is officially indicated and approved for anxiety treatment in Japan.

methodsHere, we performed a multicentre, randomised, observer-blind control study of the effect of Jia Wei Gui Pi Tang on BPSD in Alzheimer's disease (AD) patients. Patients with AD or AD with cerebral vascular disease were randomly divided into the Jia Wei Gui Pi Tang treatment group and the control group that received no traditional Chinese medicine. BPSD were scored using the Neuropsychiatric Inventory Nursing Home Version (NPI-NH) and by favourable positive emotions using the Delightful Emotional Index (DEI).

resultsA total of 63 participants (18 male and 45 female; mean age: 83.3 ± 6.0 years) were included in the study. Changes in NPI-NH scores differed significantly between the two groups (one-way analysis of variance, P < 0.001). Within the treatment group, there was a significant improvement in the NPI-NH score from 29.8 ± 17.3 at baseline to 13.2 ± 9.4 at the endpoint (paired t-test, P < 0.001), whereas there was no statistically significant change in the control group. Changes in DEI scores differed significantly between the two groups. Within the treatment group, there was a significant improvement in the DEI score from 24.3 ± 23.0 at baseline to 32.5 ± 21.2 at the endpoint (paired t-test, P = 0.001), whereas there was no statistically significant change in the control group.

conclusionThe traditional Chinese medicine Jia Wei Gui Pi Tang significantly improved both BPSD and positive emotions.

Indexed as

Alzheimer DiseaseDementiaAgedAged, 80 and overEmotionsFemaleHumansMaleMedicine, Chinese TraditionalNursing Homesanxietybehavioural and psychological symptoms of dementia (BPSD)favourable positive emotionsJia Wei Gui Pi TangKampotraditional Chinese medicine

Identifiers

PMID37005070
PMCPMC11577992
OpenAlexW4362507075

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.