대한약침학회지 (Journal of Pharmacopuncture)

  • 제25권3호
  • /
  • Pages.186-198
  • /
  • 2022
  • /
  • 2093-6966(pISSN)
  • /
  • 2234-6856(eISSN)
대한약침학회 (KOREAN PHARMACOPUNCTURE INSTITUTE)
권호 표지
DOI QR코드

DOI QR Code

Effectiveness of Acupuncture, Mind and Body Practices, and Natural Products for Insomnia: an overview of systematic reviews

  • Yeo, Jin Ju (Department of Preventive Medicine, Dongguk University Graduate School of Korean Medicine) ;
  • Lee, Jang Won (Department of Preventive Medicine, Dongguk University Graduate School of Korean Medicine) ;
  • Kim, Kyung Sik (Department of Korean Medicine, College of Korean Medicine, Dongguk University) ;
  • Hyun, Min Kyung (Department of Preventive Medicine, College of Korean Medicine, Dongguk University)
  • 투고 : 2022.05.13
  • 심사 : 2022.08.02
  • 발행 : 2022.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This overview summarizes the evidence for the effectiveness and safety of complementary therapies for insomnia through systematic reviews (SRs) and meta-analyses (MAs). Methods: A comprehensive literature search on SRs and MAs for complementary therapies for insomnia was conducted using six databases. Results: This overview included 30 SRs/MAs. The Pittsburgh Sleep Quality Index (PSQI) analysis of insomnia included 383 randomized controlled trials and 31,748 participants. Twenty-four SRs/MAs (80%) out of 30 SRs/MAs reported a positive result, and six SRs/MAs reported a partially positive result. The most frequently used form of acupuncture reported a positive effect in 89.5% (17/19) of SRs/MAs and a superior effect to western medicine, sham/placebo, and no treatment. The lack of protocol registration and the excluded studies list resulted in generally poor methodological and reporting quality in SRs/MAs with AMSTAR 2. Conclusion: This overview confirmed that complementary therapies positively affected the PSQI scores in patients with insomnia. However, better-designed primary studies are needed to strengthen the relevant evidence in the future. A more stringent assessment of multiple systematic reviews 2 must be followed when performing SR and MA.

키워드

과제정보

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, the Republic of Korea (No. HF20C0104).

참고문헌

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Arlington: American Psychiatric Association; 2013. 947 p.
  2. Grandner MA. Sleep, health, and society. Sleep Med Clin. 2020;15(2):319-40. https://doi.org/10.1016/j.jsmc.2020.02.017
  3. Chokroverty S. Overview of sleep & sleep disorders. Indian J Med Res. 2010;131(2):126-40.
  4. Chung S, Cho SW, Jo MW, Youn S, Lee J, Sim CS. The prevalence and incidence of insomnia in Korea during 2005 to 2013. Psychiatry Investig. 2020;17(6):533-40. https://doi.org/10.30773/pi.2019.0218
  5. Albrecht JS, Wickwire EM, Vadlamani A, Scharf SM, Tom SE. Trends in insomnia diagnosis and treatment among Medicare beneficiaries, 2006-2013. Am J Geriatr Psychiatry. 2019;27(3):301-9. https://doi.org/10.1016/j.jagp.2018.10.017
  6. Pallesen S, Sivertsen B, Nordhus IH, Bjorvatn B. A 10-year trend of insomnia prevalence in the adult Norwegian population. Sleep Med. 2014;15(2):173-9. https://doi.org/10.1016/j.sleep.2013.10.009
  7. Pearson NJ, Johnson LL, Nahin RL. Insomnia, trouble sleeping, and complementary and alternative medicine: analysis of the 2002 national health interview survey data. Arch Intern Med. 2006;166(16):1775-82. https://doi.org/10.1001/archinte.166.16.1775
  8. Bertisch SM, Wells RE, Smith MT, McCarthy EP. Use of relaxation techniques and complementary and alternative medicine by American adults with insomnia symptoms: results from a national survey. J Clin Sleep Med. 2012;8(6):681-91. https://doi.org/10.5664/jcsm.2264
  9. Cheng B, Liu Y, Tian J, Gao R, Liu Y. Complementary and alternative medicine for the treatment of insomnia: an overview of scientific evidence from 2008 to 2018. Curr Vasc Pharmacol. 2020;18(4):307-21. https://doi.org/10.2174/1570161117666190506111239
  10. Huang J, Wu M, Liang S, Qin X, Shen M, Li J, et al. A critical overview of systematic reviews and meta-analyses on acupuncture for poststroke insomnia. Evid Based Complement Alternat Med. 2020;2020:2032575.
  11. He W, Li M, Zuo L, Wang M, Jiang L, Shan H, et al. Acupuncture for treatment of insomnia: an overview of systematic reviews. Complement Ther Med. 2019;42:407-16. https://doi.org/10.1016/j.ctim.2018.12.020
  12. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  13. Morin CM, Belleville G, Belanger L, Ivers H. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601-8. https://doi.org/10.1093/sleep/34.5.601
  14. Soldatos CR, Dikeos DG, Paparrigopoulos TJ. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. J Psychosom Res. 2000;48(6):555-60. https://doi.org/10.1016/S0022-3999(00)00095-7
  15. Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358:j4008.
  16. Huang KY, Liang S, Grellet A, Zhang JB. Acupuncture and moxibustion for primary insomnia: a systematic review and meta-analysis of randomized controlled trials. Eur J Integr Med. 2017;12:93-107. https://doi.org/10.1016/j.eujim.2017.04.007
  17. Kim SH, Jeong JH, Lim JH, Kim BK. Acupuncture using pattern-identification for the treatment of insomnia disorder: a systematic review and meta-analysis of randomized controlled trials. Integr Med Res. 2019;8(3):216-26. https://doi.org/10.1016/j.imr.2019.08.002
  18. Zhao H, Li D, Yang Y, Liu Y, Li J, Mao J. Auricular plaster therapy for comorbid insomnia: a systematic review and metaanalysis of randomized controlled trials. Evid Based Complement Alternat Med. 2019;2019:7120169.
  19. Feng G, Han M, Li X, Geng L, Miao Y. Clinical effectiveness of Tui Na for insomnia compared with estazolam: a systematic review and meta-analysis of randomized controlled trials. Complement Ther Med. 2019;47:102186. https://doi.org/10.1016/j.ctim.2019.08.020
  20. Liu F, You J, Li Q, Fang T, Chen M, Tang N, et al. Acupuncture for chronic pain-related insomnia: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2019;2019:5381028.
  21. Choi TY, Kim JI, Lim HJ, Lee MS. Acupuncture for managing cancer-related insomnia: a systematic review of randomized clinical trials. Integr Cancer Ther. 2017;16(2):135-46. https://doi.org/10.1177/1534735416664172
  22. Zhao ZH, Zhou Y, Li WH, Tang ZH, Xia TW, Han L. Auricular acupressure in patients with hypertension and insomnia: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2020;2020:7279486.
  23. Xie CL, Gu Y, Wang WW, Lu L, Fu DL, Liu AJ, et al. Efficacy and safety of Suanzaoren decoction for primary insomnia: a systematic review of randomized controlled trials. BMC Complement Altern Med. 2013;13:18. https://doi.org/10.1186/1472-6882-13-18
  24. Dong B, Chen Z, Yin X, Li D, Ma J, Yin P, et al. The efficacy of acupuncture for treating depression-related insomnia compared with a control group: a systematic review and meta-analysis. Biomed Res Int. 2017;2017:9614810.
  25. Cao H, Pan X, Li H, Liu J. Acupuncture for treatment of insomnia: a systematic review of randomized controlled trials. J Altern Complement Med. 2009;15(11):1171-86. https://doi.org/10.1089/acm.2009.0041
  26. Cheuk DK, Yeung WF, Chung KF, Wong V. Acupuncture for insomnia. Cochrane Database Syst Rev. 2012;(9):CD005472.
  27. Yeung WF, Chung KF, Poon MM, Ho FY, Zhang SP, Zhang ZJ, et al. Acupressure, reflexology, and auricular acupressure for insomnia: a systematic review of randomized controlled trials. Sleep Med. 2012;13(8):971-84. https://doi.org/10.1016/j.sleep.2012.06.003
  28. Lan Y, Wu X, Tan HJ, Wu N, Xing JJ, Wu FS, et al. Auricular acupuncture with seed or pellet attachments for primary insomnia: a systematic review and meta-analysis. BMC Complement Altern Med. 2015;15:103. https://doi.org/10.1186/s12906-015-0606-7
  29. Ni X, Shergis JL, Guo X, Zhang AL, Li Y, Lu C, et al. Updated clinical evidence of Chinese herbal medicine for insomnia: a systematic review and meta-analysis of randomized controlled trials. Sleep Med. 2015;16(12):1462-81. https://doi.org/10.1016/j.sleep.2015.08.012
  30. Lee SH, Lim SM. Acupuncture for insomnia after stroke: a systematic review and meta-analysis. BMC Complement Altern Med. 2016;16:228. https://doi.org/10.1186/s12906-016-1220-z
  31. Shergis JL, Ni X, Jackson ML, Zhang AL, Guo X, Li Y, et al. A systematic review of acupuncture for sleep quality in people with insomnia. Complement Ther Med. 2016;26:11-20. https://doi.org/10.1016/j.ctim.2016.02.007
  32. Rubio-Arias JA, Marin-Cascales E, Ramos-Campo DJ, Hernandez AV, Perez-Lopez FR. Effect of exercise on sleep quality and insomnia in middle-aged women: a systematic review and metaanalysis of randomized controlled trials. Maturitas. 2017;100:49-56. https://doi.org/10.1016/j.maturitas.2017.04.003
  33. Cao HJ, Yu ML, Wang LQ, Fei YT, Xu H, Liu JP. Acupuncture for primary insomnia: an updated systematic review of randomized controlled trials. J Altern Complement Med. 2019;25(5):451-74. https://doi.org/10.1089/acm.2018.0046
  34. Wang X, Li P, Pan C, Dai L, Wu Y, Deng Y. The effect of mindbody therapies on insomnia: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2019;2019:9359807.
  35. Zhang H, Liu P, Wu X, Zhang Y, Cong D. Effectiveness of Chinese herbal medicine for patients with primary insomnia: a PRISMA-compliant meta-analysis. Medicine (Baltimore). 2019;98(24):e15967. https://doi.org/10.1097/MD.0000000000015967
  36. Birling Y, Jia M, Li G, Sarris J, Bensoussan A, Zhu X. Zao Ren An Shen for insomnia: a systematic review with meta-analysis. Sleep Med. 2020;69:41-50. https://doi.org/10.1016/j.sleep.2019.12.023
  37. Li F, Xu B, Shi H, Zhang T, Song Z, Chen Y, et al. Efficacy and safety of TCM Yangxin Anshen Therapy for insomnia: a systematic review and meta-analysis. Medicine (Baltimore). 2020;99(8): e19330. https://doi.org/10.1097/MD.0000000000019330
  38. Liu C, Xi H, Wu W, Wang X, Qin S, Zhao Y, et al. Placebo effect of acupuncture on insomnia: a systematic review and metaanalysis. Ann Palliat Med. 2020;9(1):19-29. https://doi.org/10.21037/apm.2019.11.15
  39. Wang X, Ju J, Li J, Fan Y, Xu H. Chaihu Longgu Muli decoction, a Chinese herbal formula, for the treatment of insomnia: a systematic review and meta-analysis. Medicine (Baltimore). 2020;99(40):e22462. https://doi.org/10.1097/MD.0000000000022462
  40. Wang YY, Wang F, Zheng W, Zhang L, Ng CH, Ungvari GS, et al. Mindfulness-based interventions for insomnia: a meta-analysis of randomized controlled trials. Behav Sleep Med. 2020;18(1):1-9. https://doi.org/10.1080/15402002.2018.1518228
  41. Zhang J, He Y, Huang X, Liu Y, Yu H. The effects of acupuncture versus sham/placebo acupuncture for insomnia: a systematic review and meta-analysis of randomized controlled trials. Complement Ther Clin Pract. 2020;41:101253. https://doi.org/10.1016/j.ctcp.2020.101253
  42. Yeung WF, Chung KF, Leung YK, Zhang SP, Law AC. Traditional needle acupuncture treatment for insomnia: a systematic review of randomized controlled trials. Sleep Med. 2009;10(7):694-704. https://doi.org/10.1016/j.sleep.2008.08.012
  43. Sarris J, Byrne GJ. A systematic review of insomnia and complementary medicine. Sleep Med Rev. 2011;15(2):99-106. https://doi.org/10.1016/j.smrv.2010.04.001
  44. Wang Z, Hu X, Su J, Gao X, Xu N, Xing Y, et al. The efficacy and safety stimulating a single acu-point shenmen (HT 7) for managing insomnia: a systematic review of randomized controlled trials. Eur J Integr Med. 2017;15:17-22. https://doi.org/10.1016/j.eujim.2017.08.010
  45. Lowe H, Haddock G, Mulligan LD, Gregg L, Fuzellier-Hart A, Carter LA, et al. Does exercise improve sleep for adults with insomnia? A systematic review with quality appraisal. Clin Psychol Rev. 2019;68:1-12. https://doi.org/10.1016/j.cpr.2018.11.002
  46. Huang J, Shen M, Qin X, Huang Y. Effectiveness of auricular acupuncture for insomnia: an overview of systematic reviews. Evid Based Complement Alternat Med. 2020;2020:6920902.
  47. Spielmanns M, Bost D, Windisch W, Alter P, Greulich T, Nell C, et al. Measuring sleep quality and efficiency with an activity monitoring device in comparison to polysomnography. J Clin Med Res. 2019;11(12):825-33. https://doi.org/10.14740/jocmr4026
  48. Zhao FY, Fu QQ, Kennedy GA, Conduit R, Zhang WJ, Wu WZ, et al. Can acupuncture improve objective sleep indices in patients with primary insomnia? A systematic review and metaanalysis. Sleep Med. 2021;80:244-59. https://doi.org/10.1016/j.sleep.2021.01.053
  49. Lee SM, Choi HC, Hyun MK. An overview of systematic reviews: complementary therapies for cancer patients. Integr Cancer Ther. 2019;18:1534735419890029.
  50. Riemann D, Baglioni C, Bassetti C, Bjorvatn B, Dolenc Groselj L, Ellis JG, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017;26(6):675-700. https://doi.org/10.1111/jsr.12594
  51. National Heart, Lung, and Blood Institute. Insomnia [Internet]. Bethesda (MD): National Heart, Lung, and Blood Institute; 2020 [cited 2021 Nov 7]. Available from: https://www.nhlbi.nih.gov/health/insomnia.
  52. Blonde L, Khunti K, Harris SB, Meizinger C, Skolnik NS. Interpretation and impact of real-world clinical data for the practicing clinician. Adv Ther. 2018;35(11):1763-74. https://doi.org/10.1007/s12325-018-0805-y