AcuTrials

Group Auricular Acupuncture for PTSD-Related Insomnia in Veterans: A Randomized Trial

Item

Title

Group Auricular Acupuncture for PTSD-Related Insomnia in Veterans: A Randomized Trial

Journal Publication

Medical acupuncture

Date

2013

volume

25(6)

pages

407-422

Research Type

RCT

Keywords

Sleep Initiation and Maintenance Disorder
Post-Traumatic Stress Disorder
Acu Versus > 1 Control
Auricular Acupuncture
TCM Acupuncture Style
Group Acupuncture Style
Fixed Acupuncture Protocol
Restricted Modalities, Acupuncture Only
Standard Needling Depth
Non Specific Acupoint Control
Wait List Control

Abstract

Objectives: This study examined how group auricular acupuncture may influence sleep quality, sleep patterns, and hypnotic medication use associated with PTSD-related insomnia in Operation Enduring Freedom and Operation Iraqi Freedom veterans. Design: This study was a randomized controlled trial with sham acupuncture and wait-list controls. Setting: This study took place at the Washington, DC, Department of Veterans Affairs (VA), Medical Center. Subjects: Thirty-five subjects were randomized to participate in the study, but only 25 subjects completed the study. Interventions: Subjects were randomized to one of three groups: (1) true group auricular acupuncture; (2) sham auricular acupuncture; or (3) wait-list control. Outcome Measures: The primary outcome measure was perceived sleep quality (as measured by Insomnia Severity Index (ISI) questionnaires and Morin Sleep Diaries [MSDs]). Secondary outcome measures were total sleep time (TST), sleep efficiency, sleep latency, naps (as measured by MSD and wrist actigraphs [WAs]), hypnotic medication use, veteran satisfaction, and attrition rates. Results: Subjects in the true auricular acupuncture group had a statistically significant improvement ( p = 0.0165) in sleep quality as measured by the ISI at time (t) = 1 month. This group had a trend toward lower MSD TST at t = 2 months ( p = 0.078), lower WA TST at t =1 month (p = 0.0893), and toward higher MSD nap times than the other two groups post treatment ( p = 0.0666). No statistically significant association between group assignment and hypnotic medication use and satisfaction scores were noted. Conclusions: Acupuncturists should consider incorporating sleep hygiene education into their clinical practices and/or collaborate with insomnia health care professionals when working with individuals with insomnia. This study also supports the finding that perceived sleep quality and objective WA measurements are not significantly correlated.

doi

10.1089/acu.2013.0989

Frequency of Treatment

>1/WK

Time in Treatment

8 Weeks

has health condition studied

Sleep Disorders

has study population number

35

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