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The Efficacy of Acupuncture for Treating Depression-Related Insomnia Compared with a Control Group: A Systematic Review and Meta-Analysis.

Abstract Objective. To evaluate the effectiveness of acupuncture as monotherapy and as an alternative therapy in treating depression-related insomnia. Data Source. Seven databases were searched starting from 1946 to March 30, 2016. Study Eligibility Criteria. Randomized-controlled trials of adult subjects (18-75 y) who had depression-related insomnia and had received acupuncture. Results. 18 randomized-controlled clinical trials (RCTs) were introduced in this meta-analysis. The findings determined that the acupuncture treatment made significant improvements in PSQI score (MD = -2.37, 95% CI -3.52 to -1.21) compared with Western medicine. Acupuncture combined with Western medicine had a better effect on improving sleep quality (MD = -2.63, 95% CI -4.40 to -0.86) compared with the treatment of Western medicine alone. There was no statistical difference (MD = -2.76, 95% CI -7.65 to 2.12) between acupuncture treatment and Western medicine towards improving the HAMD score. Acupuncture combined with Western medicine (MD = -5.46, CI -8.55 to -2.38) had more effect on improving depression degree compared with the Western medicine alone. Conclusion. This systematic review indicates that acupuncture could be an alternative therapy to medication for treating depression-related insomnia.
PMID
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Authors

Mayor MeshTerms

Depression

Sleep Initiation and Maintenance Disorders

Keywords
Journal Title biomed research international
Publication Year Start




PMID- 28286776
OWN - NLM
STAT- MEDLINE
DA  - 20170313
DCOM- 20170317
LR  - 20170317
IS  - 2314-6141 (Electronic)
VI  - 2017
DP  - 2017
TI  - The Efficacy of Acupuncture for Treating Depression-Related Insomnia Compared
      with a Control Group: A Systematic Review and Meta-Analysis.
PG  - 9614810
LID - 10.1155/2017/9614810 [doi]
AB  - Objective. To evaluate the effectiveness of acupuncture as monotherapy and as an 
      alternative therapy in treating depression-related insomnia. Data Source. Seven
      databases were searched starting from 1946 to March 30, 2016. Study Eligibility
      Criteria. Randomized-controlled trials of adult subjects (18-75 y) who had
      depression-related insomnia and had received acupuncture. Results. 18
      randomized-controlled clinical trials (RCTs) were introduced in this
      meta-analysis. The findings determined that the acupuncture treatment made
      significant improvements in PSQI score (MD = -2.37, 95% CI -3.52 to -1.21)
      compared with Western medicine. Acupuncture combined with Western medicine had a 
      better effect on improving sleep quality (MD = -2.63, 95% CI -4.40 to -0.86)
      compared with the treatment of Western medicine alone. There was no statistical
      difference (MD = -2.76, 95% CI -7.65 to 2.12) between acupuncture treatment and
      Western medicine towards improving the HAMD score. Acupuncture combined with
      Western medicine (MD = -5.46, CI -8.55 to -2.38) had more effect on improving
      depression degree compared with the Western medicine alone. Conclusion. This
      systematic review indicates that acupuncture could be an alternative therapy to
      medication for treating depression-related insomnia.
FAU - Dong, Bo
AU  - Dong B
AD  - Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai
      University of TCM, Shanghai 200071, China.
FAU - Chen, Zeqin
AU  - Chen Z
AD  - Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai
      University of TCM, Shanghai 200071, China.
FAU - Yin, Xuan
AU  - Yin X
AD  - Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai
      University of TCM, Shanghai 200071, China.
FAU - Li, Danting
AU  - Li D
AD  - School of Medicine, Nanchang University, Jiangxi 330031, China.
FAU - Ma, Jie
AU  - Ma J
AD  - Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai
      University of TCM, Shanghai 200071, China.
FAU - Yin, Ping
AU  - Yin P
AD  - Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai
      University of TCM, Shanghai 200071, China.
FAU - Cao, Yan
AU  - Cao Y
AD  - Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai
      University of TCM, Shanghai 200071, China.
FAU - Lao, Lixing
AU  - Lao L
AUID- ORCID: 0000-0003-0198-9714
AD  - School of Chinese Medicine, The University of Hong Kong, 10 Sassoon Road,
      Pokfulam, Hong Kong; School of Medicine, Center for Integrative Medicine,
      University of Maryland, Baltimore, MD 21201, USA.
FAU - Xu, Shifen
AU  - Xu S
AUID- ORCID: 0000-0001-5595-3480
AD  - Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai
      University of TCM, Shanghai 200071, China.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
DEP - 20170214
PL  - United States
TA  - Biomed Res Int
JT  - BioMed research international
JID - 101600173
SB  - IM
MH  - Acupuncture Therapy/*methods
MH  - Adult
MH  - *Depression/complications/therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Randomized Controlled Trials as Topic
MH  - *Sleep Initiation and Maintenance Disorders/etiology/therapy
PMC - PMC5329663
COI - The authors declare that they have no competing interests.
EDAT- 2017/03/14 06:00
MHDA- 2017/03/18 06:00
CRDT- 2017/03/14 06:00
PHST- 2016/07/23 [received]
PHST- 2016/12/20 [revised]
PHST- 2017/01/04 [accepted]
AID - 10.1155/2017/9614810 [doi]
PST - ppublish
SO  - Biomed Res Int. 2017;2017:9614810. doi: 10.1155/2017/9614810. Epub 2017 Feb 14.

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