Comparative effectiveness of multiple acupuncture therapies for primary insomnia: a systematic review and network meta-analysis of randomized trial

Lü, Yao; Zhu, Hongfei; Wang, Qi; Tian, Chen; Lai, Honghao; Hou, Liangying; Liu, Yafei; Gao, Ya; Liu, Ming; Fu, Yang; Ni, Xiao; Lin, Li; Niu, Junqiang; Tian, Jinhui; Ge, Long

doi:10.1016/j.sleep.2022.03.012

Cited by 19 publications

(18 citation statements)

References 62 publications

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“…Five systematic reviews and meta-analyses and three network metaanalyses investigated the efficacy of acupuncture on sleep outcomes. In summary, six of them found significant reductions in the Pittsburgh Sleep Quality Index (PSQI) total score (Cao et al, 2019; Fang Kwon et al, 2021;Liu et al, 2020;Lu et al, 2022;Zhang et al, 2020), two reviews found significant decreases in the Insomnia Severity Index (ISI) (Liu et al, 2020;Zhang et al, 2020), and one study found reduced subjective sleep onset latency (SOL) (Cao et al, 2019).…”

Section: Acupuncturementioning

confidence: 99%

“…8 (Cao et al, 2019;Fang et al, 2021;Jiang et al, 2019;Kwon et al, 2021;Liu et al, 2020;Lu et al, 2022;Zhang et al, 2020;Zhao et al, 2021) Exogenous melatonin/ melatonin receptor agonist Exogenous melatonin is a chronobiotic agent that influences the circadian rhythm. Melatonin supplements are oral tablets or capsules that contain a synthetic version of the hormone melatonin, which is naturally produced by the body's pineal gland.…”

Section: Intervention Type Definition/description Number Of Reviews (...mentioning

confidence: 99%

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Complementary and alternative treatments for insomnia disorder: a systematic umbrella review

Ell,

Schmid,

Benz

et al. 2023

Journal of Sleep Research

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SummaryInsomnia is a common disorder and cognitive behavioural therapy for insomnia (CBT‐I) is recommended as first‐line treatment. However, CBT‐I is not widely distributed and infrequently available while medication is not indicated for long‐term use. To close this evident gap in supply, alternative treatments could be utilised. High‐quality research on this topic is scarce, and there is currently no comprehensive publication on the effectiveness of alternative treatments. To address this pressing question, we systematically summarised the existing research on alternative treatments for insomnia. A comprehensive search of systematic reviews and (network) meta‐analyses of randomised controlled trials investigating the efficacy of alternative treatments compared to waiting‐list control or placebo in adults with insomnia disorder with or without comorbidities was conducted in PubMed, MEDLINE, PsycInfo, and PsycArticles on December 6, 2022, yielding 391 records. Finally, 15 eligible studies were included. Evidence on acupuncture, exogenous melatonin, mind–body interventions and exercise, repetitive transcranial magnetic stimulation (rTMS), valerian, and light exposure was found. Acupuncture, rTMS and mind–body exercises significantly improved sleep quality and insomnia severity but effects on objectively assessed outcomes were inconclusive. Melatonin led to a reduction in both self‐reported and objectively assessed sleep onset latency. Light exposure and valerian did not significantly improve sleep outcomes. Overall, the quality of studies was rated as low. Results indicate that alternative treatments are effective mostly on subjective outcomes. However, evidence on the efficacy of some intervention types is sparse and there is a need for high‐quality original studies. Future research could investigate whether combining different alternative treatment aspects with CBT‐I improves individual treatment.

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Section: Acupuncturementioning

confidence: 99%

Section: Intervention Type Definition/description Number Of Reviews (...mentioning

confidence: 99%

Complementary and alternative treatments for insomnia disorder: a systematic umbrella review

Ell,

Schmid,

Benz

et al. 2023

Journal of Sleep Research

View full text Add to dashboard Cite

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“…It has the advantages of safety, rapid work, easy operation, and convenience; hence, EA can be easily promoted to patients. Moreover, the effectiveness of EA in treating sleep disorders along with insomnia after stroke has been confirmed in some systematic reviews and overviews (6)(7)(8). Based on preliminary research, we speculated EA can improve sleep disorders in patients with VP.…”

Section: Introductionmentioning

confidence: 96%

Electro-acupuncture on Vascular Parkinsonism with multiple sleep disorders: A Case Report

YAN

Fan

et al. 2022

Front. Neurol.

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Vascular Parkinsonism (VP) is a kind of rare secondary Parkinsonism caused by vascular lesions. Patients with VP experience not only movement disorders but also sleep disorders. But treatment options are limited and often associated with undesirable adverse effects. Electro-acupuncture (EA) is a safe, rapid work, easy operation, and convenient complementary replacement therapy. We report a case of a 51-year-old man who presented with VP and multiple sleep disorders. Based on clinical evaluation and nocturnal hospital-based polysomnography (PSG), the patient had severe PLMD (PSG showed severe periodic leg movements), excessive daytime sleepiness (EDS, the score of the ESS is 16), and probable rapid eye movement sleep disorder (RBD). Parkinson's disease sleep scale (PDSS) score, Pittsburgh sleep quality index (PSQI), and periodic leg movements index were 93, 11, and 135.2, respectively. After 8 weeks of EA treatment, the patient reported that the symptoms of subjective and objective sleep disturbance were significantly alleviated without any discomfort. This case report may provide a new alternative and complementary therapy for VP patients with sleep disturbance but more definitive and robust evidence is needed to support its efficacy.

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“…The common treatment options of TCT including acupuncture, Chinese herbal medicine and taVNS have been summarized in this paper to reveal the most promising three treatment methods. Acupuncture, Chinese herbal medicine, and transcutaneous auricular vagal nerve stimulation (taTNS) have also been explored as complementary treatments for sleep disorders, and with great effect ( Lu et al, 2022 ; Luan et al, 2022 ). As a result, TCT has the potential to treat sleep disorders and psychiatric symptoms caused by COVID-19.…”

Section: Introductionmentioning

confidence: 99%

The potential for traditional Chinese therapy in treating sleep disorders caused by COVID-19 through the cholinergic anti-inflammatory pathway

Xie

Zhang

et al. 2022

Front. Pharmacol.

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Since the outbreak of Coronavirus disease (COVID-19) in 2019, it has spread rapidly across the globe. Sleep disorders caused by COVID-19 have become a major concern for COVID-19 patients and recovered patients. So far, there’s no effective therapy on this. Traditional Chinese therapy (TCT) has a great effect on sleep disorders, with rare side effects and no obvious withdrawal symptoms. The cholinergic anti-inflammatory pathway, a neuroregulatory pathway in the central nervous system that uses cholinergic neurons and neurotransmitters to suppress inflammatory responses, has been reported to be associated with sleep disorders and psychiatric symptoms. Many studies have shown that TCT activates the cholinergic anti-inflammatory pathway (CAP), inhibits inflammation, and relieves associated symptoms. Therefore, we believe that TCT may be a potential therapeutic strategy to alleviate sleep disorders induced by COVID-19 through CAP. In this review, we analyzed the relationship between cytokine storm induced by Coronavirus and sleep disorders, explained the influence of CAP on sleep disorders, discussed the TCT’s effect on CAP, and summarized the treatment effect of TCT on sleep disorders. Based on these practical researches and theoretical basis, we propose potential strategies to effectively improve the sleep disorders caused by COVID-19.

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Comparative effectiveness of multiple acupuncture therapies for primary insomnia: a systematic review and network meta-analysis of randomized trial

Cited by 19 publications

References 62 publications

Complementary and alternative treatments for insomnia disorder: a systematic umbrella review

Complementary and alternative treatments for insomnia disorder: a systematic umbrella review

Electro-acupuncture on Vascular Parkinsonism with multiple sleep disorders: A Case Report

The potential for traditional Chinese therapy in treating sleep disorders caused by COVID-19 through the cholinergic anti-inflammatory pathway

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