Effect of acupuncture combined with cognitive behavior therapy on insomnia / 中国基层医药

ABSTRACT

Objective:To investigate the effect of acupuncture combined with cognitive behavior therapy on insomnia.Methods:A total of 90 patients with insomnia who received treatment in Department of Acupuncture and Moxibustion, Quzhou Municipal Hospital of Traditional Chinese Medicine, China from June 2018 to June 2020 were included in this study. They were randomly assigned to receive acupuncture combined with cognitive behavior therapy (combined treatment group, n = 46) or cognitive behavior therapy (control group, n = 44). The Hamilton Rating Scale for Depression (HAMD) score, the Hamilton Anxiety Scale (HAMA) score, the insomnia severity index (ISI), sleep onset latency, total sleep time, wake-up times after sleep onset, bedtime, sleep quality were compared between the two groups. Results:At the end of treatment, the cure rate, effective rate and total effective rate in the combined treatment group were significantly higher than those in the control group (cure rate 28.26% vs. 11.36%, χ2 = 4.013, P = 0.045; effective rate 54.35% vs. 31.82%, χ2 = 4.649, P = 0.031; total effective rate 95.65% vs. 79.55%, χ2 = 5.438, P = 0.020). The HAMA score [(13.05 ± 2.19) points], ISI score [(13.01 ± 3.03) points], sleep onset latency [(28.03 ± 7.50) min] and wake-up times after sleep onset [(1.36±0.91) times] in the combined treatment group were significantly lower or shorter than those in the control group [(14.92 ±3.04) points, t = 1.803, P = 0.040; (15.02 ± 3.22) points, t = 3.201, P = 0.031; (36.15 ± 7.87) min, t = 3.186, P = 0.033; (1.94 ± 1.05) times, t = 3.254, P = 0.027]. Sleep quality in the combined treatment group was significantly higher than that in the control group [(83.28 ± 5.41) % vs. (79.56 ± 5.20) %, t = 2.278, P = 0.043]. Conclusion:Acupuncture combined with cognitive behavior therapy exhibits better efficacy in the treatment of insomnia than cognitive behavior therapy alone and therefore the combined treatment is worthy of clinical application.