Auricular Plaster Therapy for Comorbid Insomnia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Overview

Journal Evid Based Complement Alternat Med

Specialty Rehabilitation Medicine

Date 2019 Feb 16

PMID 30766613

Citations 8

Authors

Huimin Zhao

Dan Li

Ying Yang

Yueting Liu

Jie Li

Jing Mao

Affiliations

Soon will be listed here.

Abstract

Background: Although the effectiveness of auricular plaster therapy (APT) on primary insomnia has been systematically reviewed, no systematic review of studies has focused on the effect on comorbid insomnia.

Objective: To evaluate the efficacy and safety of APT for comorbid insomnia.

Methods: Fifteen databases were searched from inception to July 2018. Randomized controlled trials (RCTs) of APT as an exclusive intervention for comorbid insomnia against Western medications, sham APT or no treatment were identified.

Results: Fourteen studies involving 928 participants were identified. The pooled outcomes revealed that APT was superior to control conditions for the global score on PSQI (SMD = -1.13, and 95% CI = -1.48--0.78) and the effective rate (RR = 1.24, 95% CI = 1.13-1.36, NNT = 5, and 95% CI =4-7). Furthermore, the results of subgroup analyses were similar to the pooled results. Additionally, the pooled results were verified to be stable by sensitivity analyses. Regarding safety, no significant difference was identified between APT and Western medications.

Conclusions: APT appears to be an effective and safe treatment for comorbid insomnia. However, the benefits of APT for comorbid insomnia could not be ascertained due to the paucity of the quantity and quality of the included studies. Large-scale studies using proper methodology are needed to yield a firm conclusion.

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References

Suen L, Wong T, Leung A . Is there a place for auricular therapy in the realm of nursing?. Complement Ther Nurs Midwifery. 2002; 7(3):132-9. DOI: 10.1054/ctnm.2001.0565. View

von Elm E, Poglia G, Walder B, Tramer M . Different patterns of duplicate publication: an analysis of articles used in systematic reviews. JAMA. 2004; 291(8):974-80. DOI: 10.1001/jama.291.8.974. View

Smith M, Huang M, Manber R . Cognitive behavior therapy for chronic insomnia occurring within the context of medical and psychiatric disorders. Clin Psychol Rev. 2005; 25(5):559-92. DOI: 10.1016/j.cpr.2005.04.004. View

. National Institutes of Health State of the Science Conference statement on Manifestations and Management of Chronic Insomnia in Adults, June 13-15, 2005. Sleep. 2005; 28(9):1049-57. DOI: 10.1093/sleep/28.9.1049. View

Fullerton D . The economic impact of insomnia in managed care: a clearer picture emerges. Am J Manag Care. 2006; 12(8 Suppl):S246-52. View

Roth T, Jaeger S, Jin R, Kalsekar A, Stang P, Kessler R . Sleep problems, comorbid mental disorders, and role functioning in the national comorbidity survey replication. Biol Psychiatry. 2006; 60(12):1364-71. PMC: 1894656. DOI: 10.1016/j.biopsych.2006.05.039. View

Johnson E, Roth T, Breslau N . The association of insomnia with anxiety disorders and depression: exploration of the direction of risk. J Psychiatr Res. 2006; 40(8):700-8. DOI: 10.1016/j.jpsychires.2006.07.008. View

Pearson N, Johnson L, Nahin R . 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. DOI: 10.1001/archinte.166.16.1775. View

Chen H, Shi Y, Ng C, Chan S, Yung K, Zhang Q . Auricular acupuncture treatment for insomnia: a systematic review. J Altern Complement Med. 2007; 13(6):669-76. DOI: 10.1089/acm.2006.6400. View

10.

Ramakrishnan K, Scheid D . Treatment options for insomnia. Am Fam Physician. 2007; 76(4):517-26. View

11.

Guyatt G, Oxman A, Vist G, Kunz R, Falck-Ytter Y, Alonso-Coello P . GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008; 336(7650):924-6. PMC: 2335261. DOI: 10.1136/bmj.39489.470347.AD. View

12.

Buysse D, Angst J, Gamma A, Ajdacic V, Eich D, Rossler W . Prevalence, course, and comorbidity of insomnia and depression in young adults. Sleep. 2008; 31(4):473-80. PMC: 2279748. DOI: 10.1093/sleep/31.4.473. View

13.

Lee M, Shin B, Suen L, Park T, Ernst E . Auricular acupuncture for insomnia: a systematic review. Int J Clin Pract. 2008; 62(11):1744-52. DOI: 10.1111/j.1742-1241.2008.01876.x. View

14.

Winkelman J, Buxton O, Jensen J, Benson K, OConnor S, Wang W . Reduced brain GABA in primary insomnia: preliminary data from 4T proton magnetic resonance spectroscopy (1H-MRS). Sleep. 2008; 31(11):1499-506. PMC: 2579978. DOI: 10.1093/sleep/31.11.1499. View

15.

Nordio M, Romanelli F . Efficacy of wrists overnight compression (HT 7 point) on insomniacs: possible role of melatonin?. Minerva Med. 2008; 99(6):539-47. View

16.

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009; 62(10):1006-12. DOI: 10.1016/j.jclinepi.2009.06.005. View

17.

Bonnet M, Arand D . Hyperarousal and insomnia: state of the science. Sleep Med Rev. 2009; 14(1):9-15. DOI: 10.1016/j.smrv.2009.05.002. View

18.

Yoon S, Kim H, Choi K, Lee B, Lee Y, Lim S . Acupuncture suppresses morphine self-administration through the GABA receptors. Brain Res Bull. 2010; 81(6):625-30. DOI: 10.1016/j.brainresbull.2009.12.011. View

19.

Schulz K, Altman D, Moher D . CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMC Med. 2010; 8:18. PMC: 2860339. DOI: 10.1186/1741-7015-8-18. View

20.

Kung Y, Yang C, Chiu J, Kuo T . The relationship of subjective sleep quality and cardiac autonomic nervous system in postmenopausal women with insomnia under auricular acupressure. Menopause. 2011; 18(6):638-45. DOI: 10.1097/gme.0b013e31820159c1. View