Body-mind-spirit group therapy for TCM stagnation syndrome (鬱證): a RCT with self-report and physiological measures

Chinese medicine diagnosis stagnation syndrome is characterized by mind-body obstruction-like symptoms such as suppression of emotions and blockages in physical functioning. Its emphasis on mind-body connection makes it a non-stigmatizing, socially legitimate entry point for engaging and working with adults in distress. Stagnation syndrome is fairly common, with a point-prevalence at 6.2% revealed in our previous epidemiological study. Our previous studies have also operationalized stagnation as a construct useful to all mental health practitioners, and developed and piloted a 6-session group therapy for stagnation syndrome grounded on a body-mind-spirit health intervention model. The current randomized controlled trial aims to further rigorously evaluate the efficacy of the finalized, manualized intervention. Totally 126 participants were recruited and randomly assigned to either treatment or control group. Outcomes are measured at pre, post and 2 months after intervention, and evaluated by clinical assessment, self-report scales and salivary cortisol level. Repeated measures ANOVA reveals significant superiority of treatment over control groups, with net effect size at around 0.8 to 1.0 in primary outcomes. The findings provide evidence supporting the efficacy of the body-mind-spirit group therapy, which actualizes the holistic tradition of Chinese medicine in modern health practice