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Auricular Acupuncture and Cognitive Behavioural Therapy for Insomnia: A Randomised Controlled Study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.ORCID iD: 0000-0003-0745-7882
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Respiratory Medicine and Allergology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.ORCID iD: 0000-0001-9849-363X
Karolinska Institutet, Institutionen för klinisk neurovetenskap, Centrum för psykiatriforskning.ORCID iD: 0000-0002-7709-0230
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
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2016 (English)In: Sleep Disorders, ISSN 2090-3545, E-ISSN 2090-3553, Vol. 2016, 7057282Article in journal (Refereed) Published
Abstract [en]

Objective. The most effective nonpharmacological treatment for insomnia disorder is cognitive behavioural therapy-insomnia (CBT-i). However CBT-i may not suit everyone. Auricular acupuncture (AA) is a complementary treatment. Studies show that it may alleviate insomnia symptoms. The aim of this randomised controlled study was to compare treatment effects of AA with CBT-i and evaluate symptoms of insomnia severity, anxiety, and depression. Method. Fifty-nine participants, mean age 60.5 years (SD 9.4), with insomnia disorder were randomised to group treatment with AA or CBT-i. Self-report questionnaires, the Insomnia Severity Index (ISI), Dysfunctional Beliefs and Attitudes about Sleep scale (DBAS-16), Epworth Sleepiness Scale (ESS), and Hospital Anxiety and Depression scale (HAD), were collected at baseline, after treatment, and at 6-month follow-up. A series of linear mixed models were performed to examine treatment effect over time between and within the groups. Results. Significant between-group improvements were seen in favour of CBT-i in ISI after treatment and at the 6-month follow-up and in DBAS-16 after treatment. Both groups showed significant within-group postintervention improvements in ISI, and these changes were maintained six months later. The CBT-i group also showed a significant reduction in DBAS-16 after treatment and six months later. Conclusions. Compared to CBT-i, AA, as offered in this study, cannot be considered an effective stand-alone treatment for insomnia disorder.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2016. Vol. 2016, 7057282
Keyword [en]
non-pharmacological, sleep disorder, treatment, auricular acupuncture, cognitive-behavioural therapy, insomnia
National Category
Medical and Health Sciences Psychiatry
Research subject
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-292961DOI: 10.1155/2016/7057282OAI: oai:DiVA.org:uu-292961DiVA: diva2:927124
Funder
Ekhaga Foundation, 2011 59
Available from: 2016-05-11 Created: 2016-05-11 Last updated: 2017-11-30Bibliographically approved

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Publisher's full texthttp://www.hindawi.com/journals/sd/2016/7057282/

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Bergdahl, LenaBroman, Jan-ErikBerman, Anne HHaglund, Kristinavon Knorring, LarsMarkström, Agneta

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Bergdahl, LenaBroman, Jan-ErikBerman, Anne HHaglund, Kristinavon Knorring, LarsMarkström, Agneta
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Psychiatry, University HospitalRespiratory Medicine and AllergologyDepartment of Neuroscience
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Medical and Health SciencesPsychiatry

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