Meta-analysis of Xiaoyao formula as an adjuvant therapy for treating postpartum depression

BackgroundXiaoyao Powder/Pill, as a classical Chinese herbal formula, has been widely used for treating depression. This meta-analysis aims to evaluate the effectiveness of Xiaoyao formula (XYF) as an adjuvant therapy for treating postpartum depression.MethodsWe searched studies indexed in internati...

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Main Authors: Jing Liu, Anna Rong, Fei Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1558505/full
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author Jing Liu
Anna Rong
Fei Wang
author_facet Jing Liu
Anna Rong
Fei Wang
author_sort Jing Liu
collection DOAJ
description BackgroundXiaoyao Powder/Pill, as a classical Chinese herbal formula, has been widely used for treating depression. This meta-analysis aims to evaluate the effectiveness of Xiaoyao formula (XYF) as an adjuvant therapy for treating postpartum depression.MethodsWe searched studies indexed in international databases (Cochrane Library, Embase, and PubMed) and Chinese databases (SinoMed, CNKI, and Wanfang). Randomized controlled trials (RCTs) assessing the efficacy of XYF in combination with Western therapy compared to Western therapy alone for treating postpartum depression were eligible. The total response rate was defined as a reduction of more than 25% in depression scores, while clinical recovery was defined as a reduction of more than 75% in depression scores.ResultsOur analysis included ten RCTs comprising 810 women. The combination of XYF and Western therapy led to a significant improvement in the total response rate (risk ratios [RR] 1.17; confidence intervals [CI] 1.08-1.26) and the clinical recovery rate (RR 1.56; 95% CI 1.27-1.91) compared to Western therapy alone. Additionally, XYF as an adjuvant therapy also significantly decreased Hamilton Depression Scale scores (standard mean difference [SMD] -1.69; 95% CI -2.37 to -1.01).ConclusionsAdjuvant treatment with XYF can effectively alleviate depression in postpartum women. However, further well-designed RCTs are necessary to validate these findings, as the current evidence remains uncertain.
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spelling doaj-art-cbfadd226c7a4232ad6bdb162567bff62025-08-20T03:40:03ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-03-011610.3389/fpsyt.2025.15585051558505Meta-analysis of Xiaoyao formula as an adjuvant therapy for treating postpartum depressionJing LiuAnna RongFei WangBackgroundXiaoyao Powder/Pill, as a classical Chinese herbal formula, has been widely used for treating depression. This meta-analysis aims to evaluate the effectiveness of Xiaoyao formula (XYF) as an adjuvant therapy for treating postpartum depression.MethodsWe searched studies indexed in international databases (Cochrane Library, Embase, and PubMed) and Chinese databases (SinoMed, CNKI, and Wanfang). Randomized controlled trials (RCTs) assessing the efficacy of XYF in combination with Western therapy compared to Western therapy alone for treating postpartum depression were eligible. The total response rate was defined as a reduction of more than 25% in depression scores, while clinical recovery was defined as a reduction of more than 75% in depression scores.ResultsOur analysis included ten RCTs comprising 810 women. The combination of XYF and Western therapy led to a significant improvement in the total response rate (risk ratios [RR] 1.17; confidence intervals [CI] 1.08-1.26) and the clinical recovery rate (RR 1.56; 95% CI 1.27-1.91) compared to Western therapy alone. Additionally, XYF as an adjuvant therapy also significantly decreased Hamilton Depression Scale scores (standard mean difference [SMD] -1.69; 95% CI -2.37 to -1.01).ConclusionsAdjuvant treatment with XYF can effectively alleviate depression in postpartum women. However, further well-designed RCTs are necessary to validate these findings, as the current evidence remains uncertain.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1558505/fulltraditional Chinese medicineXiaoyao powderXiaoyao pillpostpartum depressionrandomized controlled trialsmeta-analysis
spellingShingle Jing Liu
Anna Rong
Fei Wang
Meta-analysis of Xiaoyao formula as an adjuvant therapy for treating postpartum depression
Frontiers in Psychiatry
traditional Chinese medicine
Xiaoyao powder
Xiaoyao pill
postpartum depression
randomized controlled trials
meta-analysis
title Meta-analysis of Xiaoyao formula as an adjuvant therapy for treating postpartum depression
title_full Meta-analysis of Xiaoyao formula as an adjuvant therapy for treating postpartum depression
title_fullStr Meta-analysis of Xiaoyao formula as an adjuvant therapy for treating postpartum depression
title_full_unstemmed Meta-analysis of Xiaoyao formula as an adjuvant therapy for treating postpartum depression
title_short Meta-analysis of Xiaoyao formula as an adjuvant therapy for treating postpartum depression
title_sort meta analysis of xiaoyao formula as an adjuvant therapy for treating postpartum depression
topic traditional Chinese medicine
Xiaoyao powder
Xiaoyao pill
postpartum depression
randomized controlled trials
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1558505/full
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AT annarong metaanalysisofxiaoyaoformulaasanadjuvanttherapyfortreatingpostpartumdepression
AT feiwang metaanalysisofxiaoyaoformulaasanadjuvanttherapyfortreatingpostpartumdepression