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Effect of Chaihu plus Longgu Muli decoction plus five-element music therapy in the treatment of cancer-related depression

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Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Background

Ninety percent of tumour patients have negative emotions during or after anti-tumour treatment, resulting in depression. Western medicine antidepressants have many adverse reactions. Patients often discontinue antidepressants due to intolerance.

Aim

This study aims to observe the clinical effect of Chaihu plus Longgu Muli decoction with five-element music therapy in treating cancer-related mild and moderate depression.

Methods

A total of 120 patients with depression in the Oncology Department of Tangshan Hospital of Traditional Chinese Medicine, Hebei Province, from July 2017 to March 2019, were selected and randomly divided into the control and study groups (60 cases each) by the random number table method. The study group was treated with Chaihu plus Longgu Muli decoction with five-element music therapy for depression. The control group was treated with escitalopram tablets. After three courses of treatment, the degree of depression, clinical efficacy, quality of life, serum norepinephrine (NE) and 5-hydroxytryptamine (5-HT) levels were observed.

Results

After treatment, the HAMD-24 (Hamilton Depression 24) scale scores of the study group (13.93 ± 6.32) were lower than the control group (19.04 ± 7.46), and the difference was statistically significant (x2 = 4.048, p = 0.008). The total effective rate of the study group (93.33%) was higher than the control group (73.33%), and the difference was statistically significant (x2 = 7.260, p = 0.000). After treatment, according to the QLQ-C30 (quality of life questionnaire) scale, the functional score of the study group was higher than the control group (p < 0.05), and the symptom score of the study group was lower than the control group (p < 0.05). After treatment, the serum NE and 5-HT levels in the study group were higher than the control group, and the difference was statistically significant (p < 0.05) (NE: 221.81 ± 31.14 vs 198.91 ± 29.97, t = 4.078, p = 0.000; 5-HT: 141.41 ± 20.35 vs 125.32 ± 14.58, t = 5.781, p = 0.000).

Conclusion

Chaihu plus Longgu Muli decoction with five-element music therapy can effectively alleviate patients’ cancer-related depression and improve their quality of life, which is worthy of promotion.

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Data availability

All data generated or analyzed during this study are included in this published article.

Abbreviations

HT:

5- Hydroxytryptamine

HAMD-24:

Hamilton Depression-24

NE:

Norepinephrine

KPS:

Karnofsky

QLQ-C30:

Quality of life scale

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Funding

A mandatory project of Hebei Provincial Administration of Traditional Chinese Medicine "Clinical efficacy evaluation of Chaihu plus Longgumuli Decoction combined with Five Elements Music Therapy in the treatment of tumor-related depression" (2018325).

This study was supported by Beijing-Tianjin-Hebei Traditional Chinese Medicine Coordinated Development of Oncology Key Specialty Alliance Special Fund.

Author information

Author notes

  1. Yingqi An and Zilin Liu contributed equally to the article.

Authors and Affiliations

  1. The Fifth Hospital of Tangshan City, Tangshan, Hebei, 063000, China

    Yingqi An

  2. Shandong University, Jinan, Shandong, 250100, China

    Zilin Liu

  3. School of Traditional Chinese Medicine, North China University of Technology, Tangshan, Hebei, 063000, China

    Shiya Wang

  4. Department of Oncology, Tangshan Hospital of Traditional Chinese Medicine, Tangshan, Hebei, 063000, China

    Qingxian Wang, Chaoyong Zhang, Limin Zhang, Ying Xu, Yuansen Ge, Meiyuan Zheng, Songming Zhang, Honggang Zheng & Qian Yu

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  1. Yingqi An
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  3. Shiya Wang
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  12. Qian Yu
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Contributions

Conceptualization: Shiya Wang, Qingxian Wang.

Funding acquisition: Shiya Wang.

Data collection: Chaoyong Zhang, Limin Zhang, Ying Xu, Yuansen Ge,

Supervision: Qingxian Wang.

Analysis and interpretation of the data: Meiyuan Zheng, Songming Zhang, Honggang Zheng, Qian Yu;

Statistical analysis: Yingqi An, Zilin Liu, Qingxian Wang; 

Writing−original draft: Shiya Wang, Qingxian Wang.

Writing−review and editing: Yingqi An, Zilin Liu.

Approval of the final manuscript: all authors.

Corresponding author

Correspondence to Qingxian Wang.

Ethics declarations

Ethics approval and consent to participate

This study was conducted in accordance with the Declaration of Helsinki and approved by the ethics committee of Tangshan Hospital of traditional Chinese Medicine.

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Not applicable.

Competing interests

All of the authors had no any personal, financial, commercial, or academic conflicts of interest separately.

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Cite this article

An, Y., Liu, Z., Wang, S. et al. Effect of Chaihu plus Longgu Muli decoction plus five-element music therapy in the treatment of cancer-related depression. Support Care Cancer 30, 7955–7962 (2022). https://doi.org/10.1007/s00520-022-07172-6

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  • DOI: https://doi.org/10.1007/s00520-022-07172-6

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