Acupuncture for perimenopausal insomnia

Guo, Taipin; Jia, Man; Jin, Yuhao; Xu, Na; Peng, Tianzhong

doi:10.1097/md.0000000000011083

Cited by 4 publications

(1 citation statement)

References 23 publications

(28 reference statements)

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“…Women are twice as likely to suffer from depression in their lifetime as men, and depression is also one of the major causes of disease-related disabilities in women (1). Menopausal transition, also called perimenopause, refers to a critical stage of dynamic hormonal flux (2) that occurs at midlife in women and is defined as a specific period in the final years of reproductive life (3)(4)(5). Experiencing a range of significant endocrine and other biological changes (6), women are usually affected by a variety of physical and psychological complaints, including vasomotor symptoms (hot flashes and night sweats); sleep disturbance; vaginal, urinary, and sexual symptoms (e.g., vaginal dryness, dyspareunia, bleeding, etc.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture as an Independent or Adjuvant Management to Standard Care for Perimenopausal Depression: A Systematic Review and Meta-Analysis

Zhao

Kennedy

et al. 2021

Front. Psychiatry

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Background: Many women with perimenopausal depression (PMD) have sought alternative therapies such as acupuncture because of concerns about risks associated with antidepressant and hormone replacement therapy (HRT). This systematic review aimed to clarify if acupuncture is effective for PMD compared with waitlist control or placebo/sham acupuncture, and if acupuncture alone or combined with standard care (antidepressant and/or HRT) is more effective in ameliorating PMD in comparison with standard care alone.Methods: Randomized controlled trials (RCTs) of PMD treatment via acupuncture vs. waitlist control or placebo/sham acupuncture, and RCTs of PMD treatment via acupuncture alone or combined with Western pharmacotherapy vs. Western pharmacotherapy were searched for from seven databases from inception to December 2020. Cochrane criteria were followed.Results: Twenty-five studies involving 2,213 women were analyzed. Meta-analyses indicated that acupuncture significantly reduced the global scores of Hamilton Depression Scale (HAMD) [standardized mean difference (SMD) = −0.54, 95% CI (−0.91, −0.16), p < 0.01], compared with standard care. The therapeutic effect of acupuncture maintained at 2-, 4-, and 12-week follow-ups. Acupuncture combined with standard care was more effective than standard care alone in decreasing HAMD scores [SMD = −0.82, 95% CI (−1.07, −0.58), p < 0.01]. Too few RCTs were available to assess the clinical efficacy differences between acupuncture and placebo/sham acupuncture or HRT alone. Acupuncture also showed better effects in decreasing Kupperman index (KI) scores, whether compared with antidepressant alone [MD = −4.55, 95% CI (−8.46, −0.65), p = 0.02] or antidepressant combined with HRT [MD = −0.89, 95% CI (−1.34, −0.43), p < 0.01].Conclusions: In comparison with standard care, acupuncture alone or combined with standard care was associated with significant improvements in PMD and reductions of other menopausal symptoms. This finding suggests that acupuncture may be a useful addition to treatment for PMD.

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Section: Introductionmentioning

confidence: 99%

Acupuncture as an Independent or Adjuvant Management to Standard Care for Perimenopausal Depression: A Systematic Review and Meta-Analysis

Zhao

Kennedy

et al. 2021

Front. Psychiatry

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Clinical effects of acupuncture on the treatment of delayed sleep wake phase disorder (DSWPD)

Yang

et al. 2022

Medicine: Case Reports and Study Protocols

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Background: Delayed sleep–wake phase disorder (DSWPD) is a circadian rhythm sleep disorder. People with DSWPD fall asleep approximately 2 to 6hours later than those with normal sleep patterns, negatively affecting their ability to learn and work. According to some randomized controlled trials, acupuncture can effectively treat sleep disorders; however, no study has focused specifically on DSWPD. We verified the efficacy of acupuncture in patients with DSWPD by designing an randomized controlled trials with a sufficient sample size, and formed the basis for an improved acupuncture treatment protocol. Method/Design: This protocol describes a randomized, single-site, double-blind, sham-controlled trial in which 84 eligible participants will be enrolled and randomly distributed to either the acupuncture group (n = 42) or the sham acupuncture group (n = 42) in a 1:1 proportion. Participants will receive 20 treatment sessions over eight consecutive weeks. Sleep quality was evaluated by using the Pittsburgh Sleep Quality Index. The sleep parameters recorded will be used to measure the secondary results using actigraphy, the Morningness-Eveningness Questionnaire, Insomnia Severity Index Scale, Epworth Sleepiness Scale, Beck Depression Inventory, and Beck Anxiety Inventory. Primary outcomes and actigraphy will be evaluated at baseline, week 4, week 8, and at the first and third month after treatment. Discussion: We hypothesize that the outcomes of the proposed study will determine that acupuncture is efficient and secure for the treatment on DSWPD. Evidence for its clinical use could be provided by this positive result. Trial registration: Chinese Clinical Trial Registry, ChiCTR2000039450. Registered on October 28, 2020.

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The application of acupuncture in obstetrics and gynecology: a bibliometric analysis based on Web of Science

Wu¹,

Li²,

Yu³

et al. 2021

Ann Palliat Med

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Background: Acupuncture therapy has a wide range of applications in obstetrics and gynecology, especially for patients with reproductive issues, irregular menstruation, dysmenorrhea, and pelvic inflammatory disease.In recent decades, acupuncture therapy has gradually attracted the attention of professionals in China and overseas due to its beneficial effects, and has been the focus of many studies. This study aimed to conduct a statistical analysis of the relevant literature to understand the current application and research status of acupuncture in obstetric and gynecologic diseases. Methods: A search of the SCI-EXPANDED database in the Web of Science Core Collection (WOSCC) was performed. Search strategy included two formulas: #1 WC=Obstetrics & Gynecology, limited: index =SCI-EXPANDED time span=all years; #2 subject: (ACUPUNCTURE-MOXIBUSTION) OR subject: (ACUPUNCTURE) OR subject: (MOXIBUSTION), limited: index=SCI-EXPANDED time span=all years.The final result was acquired by searching #1 AND #2. CiteSpace software was used to analyze and visualize the annual distribution of articles, and the distributions of disciplines, countries/institutions, journals, and authors. Keywords were used to infer the application of acupuncture in obstetrics and gynecology.Results: A total of 593 research literatures, including 323 original articles, were retrieved. Since 1972, the number of literatures has shown a general increase. Studies on reproductive medicine accounted for the highest proportion of the retrieved literatures (139, 23.44%). The United States (25.5%), China (14.0%), Germany (7.6%), Australia (7.3%), and Sweden (7.1%) were the main contributors. The centrality index showed that the United States (0.19), the United Kingdom (0.19), and Germany (0.16) had the closest cooperation. The retrieved literatures covered 15 subdivision areas, including menstruation, embryo transfer, production, and pelvic pain. Obstetrics & Gynecology, Cochrane Database of Systematic Reviews, and American Journal of Obstetrics and Gynecology were found to be the most influential journals. The most frequently cited keywords were acupuncture (intensity =5.5326), low back pain (intensity =5.0506), and pregnancy (intensity =4.7016).Conclusions: Acupuncture is receiving an increasing amount of attention in obstetrics and gynecology, and international cooperation in research in this field is also increasing.

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Acupuncture for perimenopausal insomnia

Cited by 4 publications

References 23 publications

Acupuncture as an Independent or Adjuvant Management to Standard Care for Perimenopausal Depression: A Systematic Review and Meta-Analysis

Acupuncture as an Independent or Adjuvant Management to Standard Care for Perimenopausal Depression: A Systematic Review and Meta-Analysis

Clinical effects of acupuncture on the treatment of delayed sleep wake phase disorder (DSWPD)

The application of acupuncture in obstetrics and gynecology: a bibliometric analysis based on Web of Science

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