Group therapy for Chinese medicine stagnation syndrome (鬱證) - A randomized controlled trial

Abstract

The Chinese medicine diagnosis of stagnation syndrome (鬱證) is characterized by mind and body obstruction symptoms such as emotions suppression and blockage in physical functioning. Its emphasis on the connection between somatic symptoms and emotional repression makes it a strategic and culturally relevant entry point for engaging and working with Chinese adults in distress. Stagnation syndrome is fairly common, with a point-prevalence at 6.2% according to our previous epidemiological study in Hong Kong. Our previous studies have also developed and piloted a 6-session group therapy for stagnation syndrome with body-mind-spirit intervention approach as the theoretical framework. The current randomized controlled trial aims to further rigorously evaluate the efficacy of the new intervention. Totally 126 participants were recruited and randomly assigned to either intervention or control group. Outcomes are measured at 3 time points and evaluated by 1) clinical assessment; 2) self-report scales; and 3) salivary cortisol level. This group intervention will not only has significant bearing on treatment of stagnation syndrome, but also may suggest a revolutionary development in Chinese medicine practice, which is to integrate the group therapy modality and the involvement of mental health professionals. This research is funded by GRF with reference no. 748013.