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Author (up) Shergis, J.L.; Ni, X.; Jackson, M.L.; Zhang, A.L.; Guo, X.; Li, Y.; Lu, C.; Xue, C.C. url  doi
openurl 
  Title A systematic review of acupuncture for sleep quality in people with insomnia Type of Study Systematic Review
  Year 2016 Publication Complementary Therapies in Medicine Abbreviated Journal Complement Ther Med  
  Volume 26 Issue Pages 11-20  
  Keywords AcuTrials; Systematic Review; Sleep Disorders; Sleep Initiation and Maintenance Disorder; Insomnia; Acupuncture  
  Abstract OBJECTIVE: Acupuncture is widely used in Asia and increasingly in Western countries. We performed a systematic review and meta-analysis to examine the effects of acupuncture for insomnia. METHODS: We identified randomized controlled trials from English and Chinese databases. Data were extracted using a predefined form and analysed using RevMan 5.2. We included studies that compared acupuncture to sham/placebo, standard pharmacotherapy or cognitive behavioral therapy. Risk of bias was assessed using the Cochrane risk of bias tool. The primary outcome was sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI). RESULTS: A total of 30 studies involving 2363 participants were included. Acupuncture point combinations included the use of at least one of the recommended points for insomnia, HT7, GV20, SP6. Pharmacotherapy control was used in 27 studies and sham/placebo in three studies. Cognitive behavioral therapy was not used in any of the studies. Pharmacotherapies in all studies were benzodiazepine receptor agonists, except for one that used an antidepressant. Acupuncture was superior to sham/placebo in terms of PSQI (MD -0.79, 95% CI -1.38, -0.19, I(2)=49%). Acupuncture was also more effective than pharmacotherapy (MD -2.76, 95% CI -3.67, -1.85, I(2)=94%). Most studies were at risk of bias. Some mild adverse events were reported but they were not causally related to the acupuncture treatments. CONCLUSIONS: Acupuncture compared to sham/placebo and pharmacotherapy showed statistically significant results. However, the evidence is limited by bias in the included studies and heterogeneity. Well-designed studies are needed to confirm the results identified in this review.  
  Address School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, Australia  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Sleep Initiation and Maintenance Disorder
  Disease Category Sleep Disorders OCSI Score  
  Notes PMID:27261976 Approved yes  
  Call Number OCOM @ refbase @ Serial 2055  
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