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http://dx.doi.org/10.3831/KPI.2022.25.3.186

Effectiveness of Acupuncture, Mind and Body Practices, and Natural Products for Insomnia: an overview of systematic reviews  

Yeo, Jin Ju (Department of Preventive Medicine, Dongguk University Graduate School of Korean Medicine)
Lee, Jang Won (Department of Preventive Medicine, Dongguk University Graduate School of Korean Medicine)
Kim, Kyung Sik (Department of Korean Medicine, College of Korean Medicine, Dongguk University)
Hyun, Min Kyung (Department of Preventive Medicine, College of Korean Medicine, Dongguk University)
Publication Information
Journal of Pharmacopuncture / v.25, no.3, 2022 , pp. 186-198 More about this Journal
Abstract
Objectives: This overview summarizes the evidence for the effectiveness and safety of complementary therapies for insomnia through systematic reviews (SRs) and meta-analyses (MAs). Methods: A comprehensive literature search on SRs and MAs for complementary therapies for insomnia was conducted using six databases. Results: This overview included 30 SRs/MAs. The Pittsburgh Sleep Quality Index (PSQI) analysis of insomnia included 383 randomized controlled trials and 31,748 participants. Twenty-four SRs/MAs (80%) out of 30 SRs/MAs reported a positive result, and six SRs/MAs reported a partially positive result. The most frequently used form of acupuncture reported a positive effect in 89.5% (17/19) of SRs/MAs and a superior effect to western medicine, sham/placebo, and no treatment. The lack of protocol registration and the excluded studies list resulted in generally poor methodological and reporting quality in SRs/MAs with AMSTAR 2. Conclusion: This overview confirmed that complementary therapies positively affected the PSQI scores in patients with insomnia. However, better-designed primary studies are needed to strengthen the relevant evidence in the future. A more stringent assessment of multiple systematic reviews 2 must be followed when performing SR and MA.
Keywords
complementary therapy; insomnia; overview; systematic review;
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