Objective

2

To analyze the effects of

Shugan Tiaoshen

(regulating liver and harmonizing spirit) intradermal needling protocol on the attentional networks of patients with subthreshold depression using the attention network test (ANT).

Methods

2

Eighty patients with subthreshold depression were randomly divided into an intradermal needling group (40 cases) and a sham needling group (40 cases

2 cases dropped out)

with an additional 43 healthy subjects as a normal group. The intradermal needling group received intradermal needling treatment

while the sham needling group received sham intradermal needling

with the needle tip not penetrating the skin. The bilateral Xinshu (BL 15)

Ganshu (BL 18)

Shentang (BL 44) as well as auricular points Xin (CO

15

) and Gan (CO

12

) were selected alternately. Treatments were administered twice a week for a total of 6 weeks

in the two groups. The patient health questionnaire-9 (PHQ-9) and generalized anxiety disorder (GAD-7) scores were observed before treatment

after 3 weeks of treatment

after treatment

and at 1 month after the end of treatment (follow-up)

and the ANT of the two groups of patients with subthreshold depression before and after treatment as well as the normal group of healthy subjects was compared.

Results

2

The PHQ-9 and GAD-7 scores of the patients with subthreshold depression were decreased after 3 weeks of treatment

after treatment

and in follow-up in the two groups (

P

<

0.05)

the differences in PHQ-9 and GAD-7 scores before and after treatment were greater in the intradermal needling group than those in the sham needling group (

P

<

0.01). Before treatment

the executive control network reaction time of the subthreshold depression group (the intradermal needling group and the sham needling group) was higher than that of the normal group (

P

<

0.05). Compared before treatment

the executive control network reaction time of the patients in the intradermal needling group and the sham needling group was decreased after treatment (

P

<

0.05)

and the alerting network reaction time of the intradermal needling group was increased after treatment (

P

<

0.05); the difference in alerting network reaction time before and after treatment was greater in the intradermal needling group than that of the sham needling group (

P

<

0.01).

Conclusion

2

Regulating liver and harmonizing spirit intradermal needling protocol could effectively improve depressive and anxious symptoms in patients with subthreshold depression

and enhance the efficiency of the alerting network.