Department of Pharmacy, University of Toronto, Toronto, Ontario, Canada.
J Altern Complement Med. 2009 Nov;15(11):1157-69. doi: 10.1089/acm.2009.0036.
Reiki is an ancient form of Japanese healing. While this healing method is widely used for a variety of psychologic and physical symptoms, evidence of its effectiveness is scarce and conflicting. The purpose of this systematic review was to try to evaluate whether Reiki produces a significant treatment effect.
Studies were identified using an electronic search of Medline, EMBASE, Cochrane Library, and Google Scholar. Quality of reporting was evaluated using a modified CONSORT Criteria for Herbal Interventions, while methodological quality was assessed using the Jadad Quality score.
Two (2) researchers selected articles based on the following features: placebo or other adequate control, clinical investigation on humans, intervention using a Reiki practitioner, and published in English. They independently extracted data on study design, inclusion criteria, type of control, sample size, result, and nature of outcome measures.
The modified CONSORT Criteria indicated that all 12 trials meeting the inclusion criteria were lacking in at least one of the three key areas of randomization, blinding, and accountability of all patients, indicating a low quality of reporting. Nine (9) of the 12 trials detected a significant therapeutic effect of the Reiki intervention; however, using the Jadad Quality score, 11 of the 12 studies ranked "poor."
The serious methodological and reporting limitations of limited existing Reiki studies preclude a definitive conclusion on its effectiveness. High-quality randomized controlled trials are needed to address the effectiveness of Reiki over placebo.
灵气是一种古老的日本疗愈方法。虽然这种疗愈方法被广泛用于各种心理和生理症状,但它的有效性证据很少且相互矛盾。本系统评价的目的是试图评估灵气是否能产生显著的治疗效果。
通过电子搜索 Medline、EMBASE、Cochrane 图书馆和 Google Scholar 来确定研究。使用改良的草药干预 CONSORT 标准评估报告质量,使用 Jadad 质量评分评估方法学质量。
两名(2)研究人员根据以下特征选择文章:安慰剂或其他适当对照、针对人类的临床研究、使用灵气从业者进行干预,以及用英文发表。他们独立提取研究设计、纳入标准、对照类型、样本量、结果和结局测量性质的数据。
改良的 CONSORT 标准表明,所有符合纳入标准的 12 项试验在随机化、盲法和所有患者的可问责性这三个关键领域中至少有一个方面存在不足,表明报告质量较低。12 项试验中的 9 项检测到灵气干预的显著治疗效果;然而,使用 Jadad 质量评分,12 项研究中有 11 项评为“差”。
现有灵气研究在方法学和报告方面存在严重的局限性,无法得出其有效性的明确结论。需要高质量的随机对照试验来确定灵气相对于安慰剂的有效性。