TCM Daoyin for Anxiety/Depression: Psychological Effects and Biological Mechanisms
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: TCM Daoyin exercise.
- Who it may be relevant to
- Registry conditions: Anxiety Symptom, Depression Symptom. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
TCM Daoyin for Anxiety and Depression Symptoms: Psychological Effects and Biological Mechanisms
Overview
This 12-week single-arm clinical trial investigates the effects of Traditional Chinese Medicine (TCM) Daoyin exercise on anxiety and depression symptoms in 20 participants, followed by a 12-week observational follow-up period. The primary outcome is the change in Hamilton Anxiety Rating Scale (HAMA-14) and Hamilton Depression Rating Scale (HAMD-17) scores at 12 weeks. A secondary outcome will assess these scores at 24 weeks to evaluate sustained effects. Additional secondary outcomes include the Depression, Anxiety, and Stress Scale (DASS-21) and Pittsburgh Sleep Quality Index (PSQI) to further assess changes in mood and sleep quality at the same time points. Exploratory analyses will examine inflammatory markers, immune cell subsets, serum metabolomics, and gut microbiota at baseline, 12 weeks, and 24 weeks to identify potential biological correlates. During the follow-up period, participants will record their actual exercise engagement, allowing investigators to explore long-term associations. Findings may provide insights for future mechanistic studies on TCM's role in mental health.
Detailed description
Anxiety and depression are among the most prevalent mental health conditions and are commonly associated with inflammation, immune dysregulation, and metabolic disturbances. Traditional Chinese Medicine (TCM) interventions, such as Daoyin exercise-a form of guided movement and breathing-have historically been used to promote mental well-being. However, their biological mechanisms remain inadequately understood.
This 12-week, single-arm clinical trial aims to evaluate the effects of a structured Daoyin exercise program on subclinical anxiety and depression symptoms in 20 adult participants. After completing the 12-week intervention, participants will enter a 12-week observational follow-up period, during which they may choose to continue or discontinue the practice at their discretion. Actual exercise engagement during the follow-up will be self-recorded using daily logs.
The primary outcome is the change in Hamilton Anxiety Rating Scale (HAMA-14) and Hamilton Depression Rating Scale (HAMD-17) scores from baseline to 12 weeks. A secondary outcome will assess the persistence of these effects at 24 weeks. Additional psychological assessments include the Depression, Anxiety, and Stress Scale (DASS-21) and the Pittsburgh Sleep Quality Index (PSQI), evaluated at baseline, 12 weeks, and 24 weeks to assess broader changes in mood and sleep quality.
Exploratory outcomes will investigate potential biological mechanisms by measuring:
* Inflammatory markers (e.g., interleukin-10 \[IL-10\], interleukin-6 \[IL-6\], tumor necrosis factor-alpha \[TNF-α\]) via serum ELISA * Immune cell subsets (e.g., cluster of differentiation 3-positive \[CD3+\], cluster of differentiation 4-positive \[CD4+\], cluster of differentiation 8-positive \[CD8+\] T cells) via flow cytometry * Serum metabolomics using liquid chromatography-mass spectrometry (LC-MS) to identify metabolic changes potentially related to the effects of Daoyin exercise on anxiety and depression * Gut microbiota composition using high-throughput sequencing techniques
Samples will be collected at baseline, 12 weeks, and 24 weeks. These data will help identify physiological pathways potentially linked to improvements in anxiety and depression symptoms.
Participants will be included based on clinician assessment and confirmed subclinical symptoms, with HAMA-14 scores between 14-29 and HAMD-17 scores between 7-14, without meeting ICD-10 diagnostic criteria for anxiety or depressive disorders. All psychological and biological evaluations will occur at three time points: baseline, post-intervention (12 weeks), and follow-up (24 weeks).
The results may offer preliminary evidence for integrating Daoyin exercise into mental health self-management strategies and provide a foundation for future research into TCM's biological mechanisms.
Interventions
- Behavioral TCM Daoyin exercise
Participants will receive a 12-week, group-based TCM Daoyin intervention consisting of two 90-minute sessions per week (total: 24 sessions), led by qualified physicians. Each session integrates movement regulation, breath regulation, and mind regulation, aiming to alleviate anxiety and depression symptoms. Each session includes a 10-minute warm-up and a 10-minute cool-down. Compliance and Analysis: Per-protocol analysis will include participants who attend ≥80% of sessions (≥19/24 sessions). S
Primary outcome measures
- 14-item Hamilton Anxiety Rating Scale (HAMA-14) [Time frame: Change from Baseline at 12 weeks]
- 17-item Hamilton Depression Rating Scale (HAMD-17) [Time frame: Change from Baseline at 12 weeks]
Secondary outcome measures (10)
- 14-item Hamilton Anxiety Rating Scale (HAMA-14) [Time frame: Change from 12 weeks to 24 weeks]
- 14-item Hamilton Anxiety Rating Scale (HAMA-14) [Time frame: Change from Baseline to 24 weeks]
- 17-item Hamilton Depression Rating Scale (HAMD-17) [Time frame: Change from 12 weeks to 24 weeks]
- 17-item Hamilton Depression Rating Scale (HAMD-17) [Time frame: Change from Baseline to 24 weeks]
- The Depression, Anxiety, and Stress Scale-21 (DASS-21) [Time frame: Change from Baseline at 6 weeks, 12 weeks, 18 weeks, and 24 weeks.]
- Pittsburgh Sleep Quality Index (PSQI) [Time frame: Change from Baseline at 6 weeks, 12 weeks, 18 weeks, and 24 weeks.]
- Changes in Inflammatory Markers [Time frame: Change from Baseline at 12 weeks and 24 weeks]
- Changes in Immune Cell Subsets [Time frame: Change from Baseline at 12 weeks and 24 weeks]
- Changes in Serum Metabolomics [Time frame: Change from Baseline at 12 weeks and 24 weeks]
- Changes in Gut Microbiota [Time frame: Change from Baseline at 12 weeks and 24 weeks]
Eligibility criteria
Inclusion criteria
- Primary symptoms of anxiety and depression, with a Hamilton Anxiety Rating Scale (HAMA-14) score between 14 and 29 and a Hamilton Depression Rating Scale (HAMD-17) score between 7 and 14.
- No prior use of psychotropic medication, or at least six months since discontinuation.
- Aged 18 to 65 years (male or female).
- Clear consciousness and normal cognitive function, with the ability to communicate effectively, read, express thoughts, and engage in daily activities independently.
- Willing and able to comply with blood and stool sample collection.
- Voluntary participation, with signed informed consent provided before enrollment.
Exclusion criteria
- Diagnosed anxiety disorder or depressive disorder based on ICD-10 criteria.
- Bipolar disorder, psychotic disorders (e.g., schizophrenia), or organic mental disorders (e.g., Alzheimer's disease).
- History of alcohol or substance use disorder within the past year, current psychiatric medication use, or high suicide risk.
- Severe or unstable medical conditions, including immune or endocrine disorders or other serious illnesses.
- Physical or psychological limitations preventing participation in the TCM Daoyin intervention.
- Pregnant or breastfeeding women.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
China · 1 center
- Shanghai Qigong Research Institute — Shanghai
Identifiers
NCT: NCT06921512 · 24KFL060