BACKGROUND As a substitute for traditional drug therapy,digital cognitive-behavioral therapy positively impacts the regulation of brain function,which can improve insomnia.However,there is currently a paucity of studi...BACKGROUND As a substitute for traditional drug therapy,digital cognitive-behavioral therapy positively impacts the regulation of brain function,which can improve insomnia.However,there is currently a paucity of studies on digital cognitive behavioral therapy as a treatment for insomnia.AIM To assess digital cognitive behavioral therapy for insomnia regarding its positive impact on brain function.METHODS Participants were randomly assigned to either a go/no-go group or a dot-probe group.The primary outcome was quality of sleep as assessed by the actigraphy sleep monitoring bracelet,Pittsburgh sleep quality index(PSQI),insomnia severity index(ISI),and depression anxiety and stress scale(DASS-21).RESULTS Eighty patients were included in the analysis(go/no-go group:n=40;dot-probe group:n=40).We combined the total scale scores of the two groups before and after the intervention in the analysis of covariance.Our study explored whether insomnia symptoms in both groups can be improved by using digital cognitive behavioral therapy instead of trying to compare the two trials;therefore,only one P value is listed.In both groups,we found a short-term time effect on insomnia symptom severity(PSQI:P<0.001,η^(2)=0.336;ISI:P<0.001,η^(2)=0.667;DASS-depression:P<0.001,η^(2)=0.582;DASS-anxiety:P<0.001,η^(2)=0.337;DASS-stress:P<0.001,η^(2)=0.443)and some effect on sleep efficiency(but it was not significant,P=0.585,η^(2)=0.004).CONCLUSION Go/no-go task training of inhibitory function had a short-term positive effect on sleep efficiency,whereas dotprobe task training had a positive short-term effect on emotion regulation.展开更多
Objective To observe the clinical efficacy of excitement transfer therapy for insomnia. Methods According to the inclusion criteria, 32 patients, selected from Guoyitang, affiliated Zhongshan Hospital Yanwu Branch of ...Objective To observe the clinical efficacy of excitement transfer therapy for insomnia. Methods According to the inclusion criteria, 32 patients, selected from Guoyitang, affiliated Zhongshan Hospital Yanwu Branch of Xiamen University from May to October, 2016, were diagnosed with insomnia and included in this study. All the patients were treated by adopting the excitement transfer therapy, i.e. cluster needling was carried out at the acupoints of wrist and ankle in the manner of penetration needling, and combined with sliding- cupping at governor vessel and bladder meridian on the back. All the subjects were treated for 3 times per week, and treatment for 6 times was considered as I course of treatment. The curative effect was observed after treatment for 2 courses, and follow-up visit was performed for two months after treatment. Efficacy evaluation criteria were established by reference to Guidelines of Clinical Research on Chinese New Herbal Medicine （Trial） Results Cured： 11 cases （34%4 markedly effective： 16 cases （50%）, effective： 4 cases （13%4 ineffective： 1 case. The total effective rate was up to 97%. There was no relapse during two months after the treatment. Conclusion The efficacy of excitement transfer therapy for insomnia was significant, which was worthy of clinical promotion and application.展开更多
Objective To evaluate the clinical efficacy on insomnia treated with abdominal acupuncture and three-route relaxation therapy. Methods Seventy-six cases were randomly divided into an observation group and a control gr...Objective To evaluate the clinical efficacy on insomnia treated with abdominal acupuncture and three-route relaxation therapy. Methods Seventy-six cases were randomly divided into an observation group and a control group, 38 cases in each one. In observation group, abdominal acupuncture was applied to Yinqi Guiyuan Xue [引气归元穴： conduct qi back to the origin, Zhōngwǎn （中 脘 CV 12）, Xiàwǎn （下脘 CV 10）, Qìhǎi （气海 CV 6）, Guānyuán （关元 CV 4）], combined with three-route relaxation therapy. In control group, according to syndrome differentiation, modified Guipi Decoction （归脾汤）, Anshen Dingzhi Pill （安神定智丸） plus Suanzaoren Decoction （酸枣仁汤）, Huanglian Ejiao Decoction （黄连阿胶汤）, Longdan Xiegan Decoction （龙胆泻肝汤）, Huanglian Wendan Decoction （黄 连温胆汤） were administered. Pittsburgh Sleep Quality Index （PSQI） score was compared between two groups. Results After treatment, PSQI total score and the scores of 7 factors all decreased in two groups as compared with those before treatment （all P0.05）, but the improvements in PSQI total score and the scores of 7 factors in observation group were remarkable compared with those in control group （all P0.05）. Conclusion Abdominal acupuncture plus three-route relaxation therapy has good clinical efficacy on insomnia, which is superior to Chinese herbal medicine.展开更多
Objective: To investigate the clinical effects of acupuncture for insomnia on the basis of visceral differentiation. Methods: Seventy cases of insomnia were randomly divided into a treatment group and a control group....Objective: To investigate the clinical effects of acupuncture for insomnia on the basis of visceral differentiation. Methods: Seventy cases of insomnia were randomly divided into a treatment group and a control group. The former was treated by acupuncture based on visceral differentiation and the latter by the routine acupuncture therapy. Results: The clinical effects were significantly better in the treatment group than that of the control group (P<0.05). Conclusion: The visceral differentiation-based acupuncture therapy may enhance the therapeutic effects for insomnia patients.展开更多
A 42-year-old female patient suffered refractory insomnia. A variety of drugs including anti-anxiety, antidepressants, antipsychotics and repetitive transcranial magnetic stimulation (rTMS) have been applied in the tr...A 42-year-old female patient suffered refractory insomnia. A variety of drugs including anti-anxiety, antidepressants, antipsychotics and repetitive transcranial magnetic stimulation (rTMS) have been applied in the treatment with no significant effect, whereas modified electroconvulsive therapy (MECT) can significantly improve the patient’s sleep.展开更多
Objective:To observe the effect of auricular point pressing combined with nursing based on syndrome differentiation in the treatment of insomnia patients.Methods:Totally 92 patients with insomnia were randomly divided...Objective:To observe the effect of auricular point pressing combined with nursing based on syndrome differentiation in the treatment of insomnia patients.Methods:Totally 92 patients with insomnia were randomly divided into the observation groupgiven auricular point pressing combined with nursing care based on syndrome differentiation and the control group treated with auricular point pressing alone.The improvement of Pittsburgh Sleep Quality Index(PSQI),TCM Syndrome Score and nursing satisfaction were compared between the 2 groups.Results:The time effect of PSQI total score and 6 factors in both groups were statistically significant(P<0.05).The time effect,interaction effect and inter-group effect of subjective sleep quality,PSQI total score were statistically significant(P<0.05);the 4 inter-group factors of sleep quality,sleep latency,sleep duration and daytime function were statistically significant(P<0.05).The total score of TCM syndromes in the observation group was lower than that in the control group(P<0.05),and the satisfaction rate in the observation group higher than that in the control group(80.43%vs.60.86%,P<0.05).Conclusion:Auricular point pressing combined withnursing based on syndrome differentiation can effectively improve the sleep quality of insomnia patients,and has significant advantages in improving TCM syndromes,as well as gained higher nursing satisfaction from patients.展开更多
218 cases of insomnia were treated by auricular plaster therapy with seeds of Vaccaria segetalis. The auricular points Heart, Shenmen, Occiput and Brain were selected. The resultsshowed that 136 cases were cured, 76 m...218 cases of insomnia were treated by auricular plaster therapy with seeds of Vaccaria segetalis. The auricular points Heart, Shenmen, Occiput and Brain were selected. The resultsshowed that 136 cases were cured, 76 markedly impr0ved and 6 no effect. The effect of this therapywas significantly better than that of medication (P【0. 01) in comparison with the application of western medicine.展开更多
Objective: To evaluate the therapeutic effects of needle-rolling therapy for chronic insomnia. Methods: In the present multi-central randomly controlled clinical study, 180 cases of chronic insomnia were randomly divi...Objective: To evaluate the therapeutic effects of needle-rolling therapy for chronic insomnia. Methods: In the present multi-central randomly controlled clinical study, 180 cases of chronic insomnia were randomly divided into the following two groups, a treatment group (90 cases) treated by the needle-rolling therapy and a control group (90 cases) treated with clonopin. The treatment course for both the two groups was 4 weeks. The therapeutic effects were evaluated based on improvement of the TCM symptoms and the Pittsburgs's sleep-quality index (PSQI). Results: After treatment, there were significant differences between the two groups in the effective rate (P<0.05), and in the total score of PSQI and in the scores of the 4 sub-items, i.e. sleep-quality, sleep-efficiency, hypnotic and daytime function (P<0.05). Although there was no significant difference between the two groups in the effective rate after a 3-month follow-up period, significant differences still existed in the 3 sub-items of sleep-efficiency, hypnotic, and daytime function of the PSQI (P<0.05). Conclusion: As compared with hypnotics of the second generation, the needle-rolling therapy may show better therapeutic effects for chronic insomnia patients.展开更多
Objective: To observe the effect of insomnia patients with deficiency of heart and spleen in Germany by the therapy of ear points pressing with bean. Methods: A total of 80 cases of insomnia with deficiency of heart a...Objective: To observe the effect of insomnia patients with deficiency of heart and spleen in Germany by the therapy of ear points pressing with bean. Methods: A total of 80 cases of insomnia with deficiency of heart and spleen in Germany were divided into the observation group and the control group, with 40 cases in each group. The patients in the control group were treated with oral modified Guipi Decoction(归脾汤), while the patients in the observation group were treated with oral traditional Chinese medicine(TCM) and the therapy of ear points pressing with bean. The efficacy, sleep quality, the TCM syndromes score and the incidence of adverse reactions were compared between the two groups. Results: The effective rate in the observation group was higher than that in the control group, and there was statistical difference between the two group(P<0.05). After treatment, the Pittsburgh sleep quality index scale(PSQI) score, insomnia severity index(ISI) score and the TCM syndromes score in the two groups were decreased sharply(P<0.01), and those scores in the observation group were lower than that in the control group(P<0.05). There was no adverse reaction between the two groups. Conclusion: The therapy of ear points pressing with bean is effective on insomnia in Germany, which is worth further study and promotion.展开更多
Objective: To observe the therapeutic effect of auricular plaster (otopoint-pressure) therapy in the treatment of insomnia. Methods: In this paper, 61 cases of insomnia patients including 16 males and 45 females were ...Objective: To observe the therapeutic effect of auricular plaster (otopoint-pressure) therapy in the treatment of insomnia. Methods: In this paper, 61 cases of insomnia patients including 16 males and 45 females were treated with Ershenmen (MA-TF 1), Zhen (MA-AT), Yuanzhong (MA-AT), Nao Dian and E (MA-AT), combined with other otopoints according to symptoms. The otopoint was stuck with a piece of plaster adhered with vaccaria seeds and pressured by the patient him- or her-self. The treatment was given twice a week, with 7 times being a therapeutic course. Results: After 1-2 courses of treatment, 19 (31.15%) cases were cured, 34 (55.74%) had improvement and 8 (13.11%) had no changes, with the total effective rate being 86.9%. Conclusion: Auricular plaster therapy works well in the treatment of insomnia patient.展开更多
Insomnia is a prominent problem.The current mainstream therapy for insomnia is cognitive behavioral therapy.Traditional Chinese medicine has rich clinical experience in treating insomnia,but we have ignored the contri...Insomnia is a prominent problem.The current mainstream therapy for insomnia is cognitive behavioral therapy.Traditional Chinese medicine has rich clinical experience in treating insomnia,but we have ignored the contribution of traditional Chinese medicine to behavioral therapy in the past.Completed in the Qing Dynasty in China,Laolao Hengyan is a comprehensive book on the management of the elderly's self-health.The book describes many ways to promote sleep health.This book inherits the traditional Chinese medical treatment concept and reflects traditional Chinese culture.By comparing this book with cognitive behavioral therapy,we find that the Chinese Qing Dynasty literature has documented some cognitive and behavioral aspects of sleep that are consistent with modern medical concepts.Moreover,this method is superior to modern medicine in some aspects,so this is worthy of our in-depth study to complement and enrich modern medical theory.展开更多
Objective: To investigate the effect of lavender aromatherapy combined with acupressure on insomnia in breast cancer. Methods: 96 cases of insomnia patients with breast cancer were randomly divided into observation gr...Objective: To investigate the effect of lavender aromatherapy combined with acupressure on insomnia in breast cancer. Methods: 96 cases of insomnia patients with breast cancer were randomly divided into observation group and control group with 48 cases in each group. The control group received traditional methods to assist sleep, while the observation group underwent lavender aromatherapy combined with acupressure on this basis. Within 24 hours of patient enrollment and after 2 weeks of intervention, PSQI was utilized to assess sleep quality, SCL-90 was employed to evaluate psychological status, TCM syndrome scale was applied to assess symptom improvement. Besides, cancer-related fatigue score was also used to assess patient fatigue status. Results: After the intervention, the observation group was conspicuously better than the control group in PSQI score, SCL-90 score, TCM syndrome scale score. The differences were statistically significant (P Conclusion: Lavender aromatherapy combined with acupressure can significantly improve the sleep quality of breast cancer patients, and also show a certain effect in relieving adverse emotions and symptoms.展开更多
Research background and Objectives: Cognitive Behavioral Therapy for Insomnia (CBT-I) is recognized as the preferred non-pharmaceutical treatment for Insomnia. This pilot study aims to test the efficacy of an extended...Research background and Objectives: Cognitive Behavioral Therapy for Insomnia (CBT-I) is recognized as the preferred non-pharmaceutical treatment for Insomnia. This pilot study aims to test the efficacy of an extended version of CBT-I called Integrative Therapy for Insomnia (IT-I). The traditional CBT-I is complemented with exercises that are expected to enhance relearning to sleep by providing different stimuli, and access options for the retrieval and application of the acquired information, cognition, and skills. Method: The efficacy of the IT-I is measured by comparing the participants’ scores on the Insomnia Severity Index at baseline and post-treatment. In total 29 people, with a wide range of ages, participated in the 8 sessions’ treatment of one hour 45 minutes per session, in mixed groups of age, gender, and primary or comorbid insomnia. Results: Comparing the ISI baseline and post-treatment scores, results show a mean improvement of 7.2 points and a p r = −0.43. Conclusions: The integration of exercises that generate sensory-motor stimuli, and address the mirror neuron system fitting with the Mental Contrasting as a metacognitive strategy seems to facilitate re-learning to sleep in cases of primary insomnia as well as for comorbid insomnia. Further studies will be needed to arrive at more firm conclusions.展开更多
BACKGROUND Depression is a disorder characterized by significant and persistent depressed mood,cognitive impairment,impaired voluntary activity,working memory,and somatic symptoms.AIM To determine the efficacy of Qi-b...BACKGROUND Depression is a disorder characterized by significant and persistent depressed mood,cognitive impairment,impaired voluntary activity,working memory,and somatic symptoms.AIM To determine the efficacy of Qi-based mindfulness therapy(QMT)in treating anxiety,depression,and sleep disturbances in individuals with mild-to-moderate depression.METHODS A self-controlled before–after trial was conducted.The study invited online participants for recruitment between May and July 2023.Participants(n=18)aged 18-65 years with mild-to-moderate depression,who were receiving QMT training for 4 weeks,were included.The primary efficacy indicators were the 17 Hamilton Depression Rating Scale and Hamilton Anxiety Scale scores.The secondary outcome indicators included the Zung Self-rating Depression Scale,the self-rating Anxiety Scale,and the Insomnia Severity Index.Pre-and postintervention assessments were conducted.The patients’symptoms related to depression,anxiety,and insomnia were reassessed 4 weeks after the post-intervention evaluation.RESULTS Patients who underwent the QMT intervention for 4 weeks exhibited a statistically significant reduction in scores on the 17 Hamilton Depression Rating Scale,Hamilton Anxiety Scale,the Zung Self-Rating Depression Scale,the Self-Rating Anxiety Scale,and the Insomnia Severity Index relative to their pre-intervention scores(all P<0.05).CONCLUSION QMT training for 4 weeks is an effective nonpharmacological treatment for symptoms of depression,anxiety,and insomnia among patients with mild-to-moderate depression.展开更多
基金Supported by the Shanghai Pujiang Program,No.2020PJC115Social Science Incubation Fund of Naval Medical University,No.2022SK027+1 种基金Scientific Research Program of Provincial Department of Education,No.Q20224105Research on the High-quality Development of Sports Talents in Hubei Province’s Universities Under the Background of Integration of Sports and Education,No.2022GA059.
文摘BACKGROUND As a substitute for traditional drug therapy,digital cognitive-behavioral therapy positively impacts the regulation of brain function,which can improve insomnia.However,there is currently a paucity of studies on digital cognitive behavioral therapy as a treatment for insomnia.AIM To assess digital cognitive behavioral therapy for insomnia regarding its positive impact on brain function.METHODS Participants were randomly assigned to either a go/no-go group or a dot-probe group.The primary outcome was quality of sleep as assessed by the actigraphy sleep monitoring bracelet,Pittsburgh sleep quality index(PSQI),insomnia severity index(ISI),and depression anxiety and stress scale(DASS-21).RESULTS Eighty patients were included in the analysis(go/no-go group:n=40;dot-probe group:n=40).We combined the total scale scores of the two groups before and after the intervention in the analysis of covariance.Our study explored whether insomnia symptoms in both groups can be improved by using digital cognitive behavioral therapy instead of trying to compare the two trials;therefore,only one P value is listed.In both groups,we found a short-term time effect on insomnia symptom severity(PSQI:P<0.001,η^(2)=0.336;ISI:P<0.001,η^(2)=0.667;DASS-depression:P<0.001,η^(2)=0.582;DASS-anxiety:P<0.001,η^(2)=0.337;DASS-stress:P<0.001,η^(2)=0.443)and some effect on sleep efficiency(but it was not significant,P=0.585,η^(2)=0.004).CONCLUSION Go/no-go task training of inhibitory function had a short-term positive effect on sleep efficiency,whereas dotprobe task training had a positive short-term effect on emotion regulation.
文摘Objective To observe the clinical efficacy of excitement transfer therapy for insomnia. Methods According to the inclusion criteria, 32 patients, selected from Guoyitang, affiliated Zhongshan Hospital Yanwu Branch of Xiamen University from May to October, 2016, were diagnosed with insomnia and included in this study. All the patients were treated by adopting the excitement transfer therapy, i.e. cluster needling was carried out at the acupoints of wrist and ankle in the manner of penetration needling, and combined with sliding- cupping at governor vessel and bladder meridian on the back. All the subjects were treated for 3 times per week, and treatment for 6 times was considered as I course of treatment. The curative effect was observed after treatment for 2 courses, and follow-up visit was performed for two months after treatment. Efficacy evaluation criteria were established by reference to Guidelines of Clinical Research on Chinese New Herbal Medicine （Trial） Results Cured： 11 cases （34%4 markedly effective： 16 cases （50%）, effective： 4 cases （13%4 ineffective： 1 case. The total effective rate was up to 97%. There was no relapse during two months after the treatment. Conclusion The efficacy of excitement transfer therapy for insomnia was significant, which was worthy of clinical promotion and application.
基金Supported by Training Project of Young Backbone in Chinese Medi-cine, Pudong New District, Shanghai: PWZ 2008-20-q 11
文摘Objective To evaluate the clinical efficacy on insomnia treated with abdominal acupuncture and three-route relaxation therapy. Methods Seventy-six cases were randomly divided into an observation group and a control group, 38 cases in each one. In observation group, abdominal acupuncture was applied to Yinqi Guiyuan Xue [引气归元穴： conduct qi back to the origin, Zhōngwǎn （中 脘 CV 12）, Xiàwǎn （下脘 CV 10）, Qìhǎi （气海 CV 6）, Guānyuán （关元 CV 4）], combined with three-route relaxation therapy. In control group, according to syndrome differentiation, modified Guipi Decoction （归脾汤）, Anshen Dingzhi Pill （安神定智丸） plus Suanzaoren Decoction （酸枣仁汤）, Huanglian Ejiao Decoction （黄连阿胶汤）, Longdan Xiegan Decoction （龙胆泻肝汤）, Huanglian Wendan Decoction （黄 连温胆汤） were administered. Pittsburgh Sleep Quality Index （PSQI） score was compared between two groups. Results After treatment, PSQI total score and the scores of 7 factors all decreased in two groups as compared with those before treatment （all P0.05）, but the improvements in PSQI total score and the scores of 7 factors in observation group were remarkable compared with those in control group （all P0.05）. Conclusion Abdominal acupuncture plus three-route relaxation therapy has good clinical efficacy on insomnia, which is superior to Chinese herbal medicine.
文摘Objective: To investigate the clinical effects of acupuncture for insomnia on the basis of visceral differentiation. Methods: Seventy cases of insomnia were randomly divided into a treatment group and a control group. The former was treated by acupuncture based on visceral differentiation and the latter by the routine acupuncture therapy. Results: The clinical effects were significantly better in the treatment group than that of the control group (P<0.05). Conclusion: The visceral differentiation-based acupuncture therapy may enhance the therapeutic effects for insomnia patients.
文摘A 42-year-old female patient suffered refractory insomnia. A variety of drugs including anti-anxiety, antidepressants, antipsychotics and repetitive transcranial magnetic stimulation (rTMS) have been applied in the treatment with no significant effect, whereas modified electroconvulsive therapy (MECT) can significantly improve the patient’s sleep.
文摘Objective:To observe the effect of auricular point pressing combined with nursing based on syndrome differentiation in the treatment of insomnia patients.Methods:Totally 92 patients with insomnia were randomly divided into the observation groupgiven auricular point pressing combined with nursing care based on syndrome differentiation and the control group treated with auricular point pressing alone.The improvement of Pittsburgh Sleep Quality Index(PSQI),TCM Syndrome Score and nursing satisfaction were compared between the 2 groups.Results:The time effect of PSQI total score and 6 factors in both groups were statistically significant(P<0.05).The time effect,interaction effect and inter-group effect of subjective sleep quality,PSQI total score were statistically significant(P<0.05);the 4 inter-group factors of sleep quality,sleep latency,sleep duration and daytime function were statistically significant(P<0.05).The total score of TCM syndromes in the observation group was lower than that in the control group(P<0.05),and the satisfaction rate in the observation group higher than that in the control group(80.43%vs.60.86%,P<0.05).Conclusion:Auricular point pressing combined withnursing based on syndrome differentiation can effectively improve the sleep quality of insomnia patients,and has significant advantages in improving TCM syndromes,as well as gained higher nursing satisfaction from patients.
文摘218 cases of insomnia were treated by auricular plaster therapy with seeds of Vaccaria segetalis. The auricular points Heart, Shenmen, Occiput and Brain were selected. The resultsshowed that 136 cases were cured, 76 markedly impr0ved and 6 no effect. The effect of this therapywas significantly better than that of medication (P【0. 01) in comparison with the application of western medicine.
文摘Objective: To evaluate the therapeutic effects of needle-rolling therapy for chronic insomnia. Methods: In the present multi-central randomly controlled clinical study, 180 cases of chronic insomnia were randomly divided into the following two groups, a treatment group (90 cases) treated by the needle-rolling therapy and a control group (90 cases) treated with clonopin. The treatment course for both the two groups was 4 weeks. The therapeutic effects were evaluated based on improvement of the TCM symptoms and the Pittsburgs's sleep-quality index (PSQI). Results: After treatment, there were significant differences between the two groups in the effective rate (P<0.05), and in the total score of PSQI and in the scores of the 4 sub-items, i.e. sleep-quality, sleep-efficiency, hypnotic and daytime function (P<0.05). Although there was no significant difference between the two groups in the effective rate after a 3-month follow-up period, significant differences still existed in the 3 sub-items of sleep-efficiency, hypnotic, and daytime function of the PSQI (P<0.05). Conclusion: As compared with hypnotics of the second generation, the needle-rolling therapy may show better therapeutic effects for chronic insomnia patients.
文摘Objective: To observe the effect of insomnia patients with deficiency of heart and spleen in Germany by the therapy of ear points pressing with bean. Methods: A total of 80 cases of insomnia with deficiency of heart and spleen in Germany were divided into the observation group and the control group, with 40 cases in each group. The patients in the control group were treated with oral modified Guipi Decoction(归脾汤), while the patients in the observation group were treated with oral traditional Chinese medicine(TCM) and the therapy of ear points pressing with bean. The efficacy, sleep quality, the TCM syndromes score and the incidence of adverse reactions were compared between the two groups. Results: The effective rate in the observation group was higher than that in the control group, and there was statistical difference between the two group(P<0.05). After treatment, the Pittsburgh sleep quality index scale(PSQI) score, insomnia severity index(ISI) score and the TCM syndromes score in the two groups were decreased sharply(P<0.01), and those scores in the observation group were lower than that in the control group(P<0.05). There was no adverse reaction between the two groups. Conclusion: The therapy of ear points pressing with bean is effective on insomnia in Germany, which is worth further study and promotion.
文摘Objective: To observe the therapeutic effect of auricular plaster (otopoint-pressure) therapy in the treatment of insomnia. Methods: In this paper, 61 cases of insomnia patients including 16 males and 45 females were treated with Ershenmen (MA-TF 1), Zhen (MA-AT), Yuanzhong (MA-AT), Nao Dian and E (MA-AT), combined with other otopoints according to symptoms. The otopoint was stuck with a piece of plaster adhered with vaccaria seeds and pressured by the patient him- or her-self. The treatment was given twice a week, with 7 times being a therapeutic course. Results: After 1-2 courses of treatment, 19 (31.15%) cases were cured, 34 (55.74%) had improvement and 8 (13.11%) had no changes, with the total effective rate being 86.9%. Conclusion: Auricular plaster therapy works well in the treatment of insomnia patient.
文摘Insomnia is a prominent problem.The current mainstream therapy for insomnia is cognitive behavioral therapy.Traditional Chinese medicine has rich clinical experience in treating insomnia,but we have ignored the contribution of traditional Chinese medicine to behavioral therapy in the past.Completed in the Qing Dynasty in China,Laolao Hengyan is a comprehensive book on the management of the elderly's self-health.The book describes many ways to promote sleep health.This book inherits the traditional Chinese medical treatment concept and reflects traditional Chinese culture.By comparing this book with cognitive behavioral therapy,we find that the Chinese Qing Dynasty literature has documented some cognitive and behavioral aspects of sleep that are consistent with modern medical concepts.Moreover,this method is superior to modern medicine in some aspects,so this is worthy of our in-depth study to complement and enrich modern medical theory.
文摘Objective: To investigate the effect of lavender aromatherapy combined with acupressure on insomnia in breast cancer. Methods: 96 cases of insomnia patients with breast cancer were randomly divided into observation group and control group with 48 cases in each group. The control group received traditional methods to assist sleep, while the observation group underwent lavender aromatherapy combined with acupressure on this basis. Within 24 hours of patient enrollment and after 2 weeks of intervention, PSQI was utilized to assess sleep quality, SCL-90 was employed to evaluate psychological status, TCM syndrome scale was applied to assess symptom improvement. Besides, cancer-related fatigue score was also used to assess patient fatigue status. Results: After the intervention, the observation group was conspicuously better than the control group in PSQI score, SCL-90 score, TCM syndrome scale score. The differences were statistically significant (P Conclusion: Lavender aromatherapy combined with acupressure can significantly improve the sleep quality of breast cancer patients, and also show a certain effect in relieving adverse emotions and symptoms.
文摘Research background and Objectives: Cognitive Behavioral Therapy for Insomnia (CBT-I) is recognized as the preferred non-pharmaceutical treatment for Insomnia. This pilot study aims to test the efficacy of an extended version of CBT-I called Integrative Therapy for Insomnia (IT-I). The traditional CBT-I is complemented with exercises that are expected to enhance relearning to sleep by providing different stimuli, and access options for the retrieval and application of the acquired information, cognition, and skills. Method: The efficacy of the IT-I is measured by comparing the participants’ scores on the Insomnia Severity Index at baseline and post-treatment. In total 29 people, with a wide range of ages, participated in the 8 sessions’ treatment of one hour 45 minutes per session, in mixed groups of age, gender, and primary or comorbid insomnia. Results: Comparing the ISI baseline and post-treatment scores, results show a mean improvement of 7.2 points and a p r = −0.43. Conclusions: The integration of exercises that generate sensory-motor stimuli, and address the mirror neuron system fitting with the Mental Contrasting as a metacognitive strategy seems to facilitate re-learning to sleep in cases of primary insomnia as well as for comorbid insomnia. Further studies will be needed to arrive at more firm conclusions.
基金Supported by the Beijing Tiandehe Public Welfare Foundation,No.2023-7-024.
文摘BACKGROUND Depression is a disorder characterized by significant and persistent depressed mood,cognitive impairment,impaired voluntary activity,working memory,and somatic symptoms.AIM To determine the efficacy of Qi-based mindfulness therapy(QMT)in treating anxiety,depression,and sleep disturbances in individuals with mild-to-moderate depression.METHODS A self-controlled before–after trial was conducted.The study invited online participants for recruitment between May and July 2023.Participants(n=18)aged 18-65 years with mild-to-moderate depression,who were receiving QMT training for 4 weeks,were included.The primary efficacy indicators were the 17 Hamilton Depression Rating Scale and Hamilton Anxiety Scale scores.The secondary outcome indicators included the Zung Self-rating Depression Scale,the self-rating Anxiety Scale,and the Insomnia Severity Index.Pre-and postintervention assessments were conducted.The patients’symptoms related to depression,anxiety,and insomnia were reassessed 4 weeks after the post-intervention evaluation.RESULTS Patients who underwent the QMT intervention for 4 weeks exhibited a statistically significant reduction in scores on the 17 Hamilton Depression Rating Scale,Hamilton Anxiety Scale,the Zung Self-Rating Depression Scale,the Self-Rating Anxiety Scale,and the Insomnia Severity Index relative to their pre-intervention scores(all P<0.05).CONCLUSION QMT training for 4 weeks is an effective nonpharmacological treatment for symptoms of depression,anxiety,and insomnia among patients with mild-to-moderate depression.
