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Anxiety SymptomNCT06921512

TCM Daoyin for Anxiety/Depression: Psychological Effects and Biological Mechanisms

A study testing TCM Daoyin exercise in people with Anxiety Symptom and Depression Symptom, run by Shanghai University of Traditional Chinese Medicine at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Anxiety Symptom, Depression Symptom
What is being tested?
TCM Daoyin exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteChina
Study dates
10 Apr 2025to 30 Sep 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

  • 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.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Ying Lu, Master contact

021-64394141

luyingtcm@163.com

Yanyan Shang, Master contact

021-64394141

shqgywk@163.com

China1 site, 1 recruiting
  • Shanghai Qigong Research Institute

    Shanghai, 200030

    Ying Lu, Master, luwing_happy@163.com

    Yanyan Shang, Master, shqgywk@163.com

    Recruiting

Other trials in China

About this study

Official title: TCM Daoyin for Anxiety and Depression Symptoms: Psychological Effects and Biological Mechanisms

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.

Read the 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.

Being tested
TCM Daoyin exercise
Keywords
Anxiety, Depression
Medical subject headings
Anxiety Disorders, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TCM Daoyin exerciseBehavioural

    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). Safety analyses will be conducted on all enrolled participants (n=20) following the intention-to-treat (ITT) principle.

Study groups in NCT06921512
Study groupRoleWhat they receive
TCM Daoyin Exercise GroupExperimentalParticipants will receive a 12-week TCM Daoyin training program led by qualified physicians. Structured group sessions will incorporate movement regulation, breath regulation, and mind regulation to alleviate anxiety and depression symptoms.
Receives: Behavioral: TCM Daoyin exercise

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 14-item Hamilton Anxiety Rating Scale (HAMA-14)

    The 14-item Hamilton Anxiety Rating Scale (HAMA-14) is a clinician-rated assessment (structured interview) of patients' anxiety symptoms. The scale evaluates symptoms experienced over the past 7 days, with higher cumulative scores indicating more severe anxiety.

    Each item is rated on a 5-point scale from 0 (no symptoms) to 4 (very severe symptoms). The total score ranges from 0 to 56, with severity levels categorized as follows:

    • ≥29: Severe anxiety disorder
    • 21-28: Marked anxiety disorder
    • 14-20: Anxiety disorder
    • 8-13: Suspected anxiety disorder
    • ≤7: No anxiety disorder

    Measured: Change from Baseline at 12 weeks

  2. 17-item Hamilton Depression Rating Scale (HAMD-17)

    The 17-item Hamilton Depression Rating Scale (HAMD-17) is a clinician-rated assessment (structured interview) of patients' depressive symptoms. The scale assesses symptoms over the past 7 days, with higher cumulative scores indicating more severe depression.

    Each item is rated on a 5-point scale from 0 (no symptoms) to 4 (very severe symptoms). The total score ranges from 0 to 52, with severity levels categorized as follows:

    • ≥25: Severe depression disorder
    • 18-24: Moderate depression
    • 13-17: Mild depression disorder
    • 8-12: Suspected depression disorder
    • ≤7: No depression disorder

    Measured: Change from Baseline at 12 weeks

Secondary outcomes (10)
  1. 14-item Hamilton Anxiety Rating Scale (HAMA-14)

    The 14-item Hamilton Anxiety Rating Scale (HAMA-14) is a clinician-rated assessment (structured interview) of patients' anxiety symptoms. The scale evaluates symptoms experienced over the past 7 days, with higher cumulative scores indicating more severe anxiety.

    Each item is rated on a 5-point scale from 0 (no symptoms) to 4 (very severe symptoms). The total score ranges from 0 to 56, with severity levels categorized as follows:

    • ≥29: Severe anxiety disorder
    • 21-28: Marked anxiety disorder
    • 14-20: Anxiety disorder
    • 8-13: Suspected anxiety disorder
    • ≤7: No anxiety disorder

    Measured: Change from 12 weeks to 24 weeks

  2. 14-item Hamilton Anxiety Rating Scale (HAMA-14)

    The 14-item Hamilton Anxiety Rating Scale (HAMA-14) is a clinician-rated assessment (structured interview) of patients' anxiety symptoms. The scale evaluates symptoms experienced over the past 7 days, with higher cumulative scores indicating more severe anxiety.

    Each item is rated on a 5-point scale from 0 (no symptoms) to 4 (very severe symptoms). The total score ranges from 0 to 56, with severity levels categorized as follows:

    • ≥29: Severe anxiety disorder
    • 21-28: Marked anxiety disorder
    • 14-20: Anxiety disorder
    • 8-13: Suspected anxiety disorder
    • ≤7: No anxiety disorder

    Measured: Change from Baseline to 24 weeks

  3. 17-item Hamilton Depression Rating Scale (HAMD-17)

    The 17-item Hamilton Depression Rating Scale (HAMD-17) is a clinician-rated assessment (structured interview) of patients' depressive symptoms. The scale assesses symptoms over the past 7 days, with higher cumulative scores indicating more severe depression.

    Each item is rated on a 5-point scale from 0 (no symptoms) to 4 (very severe symptoms). The total score ranges from 0 to 52, with severity levels categorized as follows:

    • ≥25: Severe depression disorder
    • 18-24: Moderate depression
    • 13-17: Mild depression disorder
    • 8-12: Suspected depression disorder
    • ≤7: No depression disorder

    Measured: Change from 12 weeks to 24 weeks

  4. 17-item Hamilton Depression Rating Scale (HAMD-17)

    The 17-item Hamilton Depression Rating Scale (HAMD-17) is a clinician-rated assessment (structured interview) of patients' depressive symptoms. The scale assesses symptoms over the past 7 days, with higher cumulative scores indicating more severe depression.

    Each item is rated on a 5-point scale from 0 (no symptoms) to 4 (very severe symptoms). The total score ranges from 0 to 52, with severity levels categorized as follows:

    • ≥25: Severe depression disorder
    • 18-24: Moderate depression
    • 13-17: Mild depression disorder
    • 8-12: Suspected depression disorder
    • ≤7: No depression disorder

    Measured: Change from Baseline to 24 weeks

  5. The Depression, Anxiety, and Stress Scale-21 (DASS-21)

    The DASS-21 is a self-reported assessment used to measure the severity of depression, anxiety, and stress symptoms experienced by individuals over the past week. Higher cumulative scores on each subscale indicate more severe symptoms of depression, anxiety, or stress. The DASS-21 includes three subscales, each with 7 items: one for depression, one for anxiety, and one for stress. Each item is rated on a 4-point scale ranging from 0 (did not apply to me at all) to 3 (applied to me very much, or most of the time).

    Subscale scores are calculated by summing the responses to the seven items in each subscale and multiplying the total by 2. The following cutoff values are used to categorize symptom severity:

    • Depression: A score greater than 9 indicates mild to severe depression.
    • Anxiety: A score greater than 7 indicates mild to severe anxiety.
    • Stress: A score greater than 14 indicates mild to severe stress.

    Measured: Change from Baseline at 6 weeks, 12 weeks, 18 weeks, and 24 weeks.

  6. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI consists of 19 self-rated items and 5 items rated by a roommate or bed partner. The 19th self-rated item and the 5 items rated by others are not included in the scoring. The remaining 18 self-rated items are grouped into 7 components: subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. Each component is scored from 0 to 3, with higher scores indicating worse sleep quality. The total score is the sum of the 7 components, with a range of 0 to 21. It is used to assess the participant's subjective sleep quality over the past month, where higher scores indicate poorer sleep quality.

    Measured: Change from Baseline at 6 weeks, 12 weeks, 18 weeks, and 24 weeks.

  7. Changes in Inflammatory Markers

    Changes in inflammatory markers (e.g., interleukin-10 [IL-10], interleukin-6 [IL-6], tumor necrosis factor-alpha [TNF-α]) from baseline to 12 weeks and 24 weeks to explore the potential biological mechanisms underlying the effects of Daoyin exercise on anxiety and depression.

    Measured: Change from Baseline at 12 weeks and 24 weeks

  8. Changes in Immune Cell Subsets

    Changes in 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) from baseline to 12 weeks and 24 weeks to explore the potential biological mechanisms underlying the effects of Daoyin exercise on anxiety and depression.

    Measured: Change from Baseline at 12 weeks and 24 weeks

  9. Changes in Serum Metabolomics

    Changes in serum metabolomics from baseline to 12 weeks and 24 weeks to explore the potential biological mechanisms underlying the effects of Daoyin exercise on anxiety and depression.

    Measured: Change from Baseline at 12 weeks and 24 weeks

  10. Changes in Gut Microbiota

    Changes in gut microbiota from baseline to 12 weeks and 24 weeks to explore the potential biological mechanisms underlying the effects of Daoyin exercise on anxiety and depression.

    Measured: Change from Baseline at 12 weeks and 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Apr 2025
  2. Study start10 Apr 2025
  3. Primary completion30 Mar 2027 (estimated)
  4. Study completion30 Sep 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
This is a single-arm trial with 20 participants undergoing a 12-week TCM Daoyin exercise intervention (2 sessions per week), followed by a 12-week observational follow-up period. Primary outcomes (HAMA-14 and HAMD-17 scores) and exploratory biomarkers (inflammatory markers, immune cell subsets, and serum metabolomics) will be assessed at baseline, 12 weeks, and 24 weeks. No control group is included.
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06921512
Sponsor's protocol ID
24KFL060
Status last verified
Apr 2026
First submitted
31 Mar 2025
Last updated
29 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing TCM Daoyin exercise in people with Anxiety Symptom and Depression Symptom, run by Shanghai University of Traditional Chinese Medicine at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Ying Lu, Master (021-64394141, luyingtcm@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

14-item Hamilton Anxiety Rating Scale (HAMA-14) (time frame: Change from Baseline at 12 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Apr 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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