The Impact of Complementary and Alternative Medicine on Insomnia: A Systematic Review.

Kanika Verma, Deepeshwar Singh, Alok Srivastava

Review Cureus 2022 17 次引用

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Study Design

研究类型: Systematic Review
研究人群: Insomnia patients

干预措施: The Impact of Complementary and Alternative Medicine on Insomnia: A Systematic Review. None
对照组: None
主要结局: Sleep quality improvement
效应方向: Mixed
偏倚风险: Unclear

Abstract

Insomnia is characterized by difficulty in maintaining sleep and early morning awakenings. Although pharmacotherapies and psychological interventions remain essential for conventional treatment, motivational factors and interest in using complementary and alternative therapies for insomnia have developed over the last two decades. This review aims to comprehensively explore the effects of complementary and alternative medicine (CAM) on improving sleep quality to guide evidence-based clinical decision-making and inform future research. Several electronic databases such as MEDLINE, PubMed, Scopus, EMBASE, Clinical key, Cochrane, and Research gate were explored to search the relevant articles. For the systematic review, CAM studies were classified under "manual practices," "natural practices," and "mind-body practices." A total of 35 clinical trials were selected for inclusion in the systematic review, comprising adult samples. The systematic review revealed 11 RCTs with manual practice, 12 with mind-body practice, and 12 with natural medicine practice. The methodological quality of the RCTs was measured using the modified Jadad scale, a scientific quality index of ≥ 5/10 (on the augmented Jadad scale). Effect sizes (Cohen's d) were calculated and reported in all placebo-controlled studies with the available data. Regardless of systematic reviews, and randomized controlled trials on CAM, acupuncture, acupressure, herbal medicine, yoga, and tai chi, for insomnia, most of the RCTs did not agree with the findings. Further RCT for insomnia should be developed by considering the current advanced studies in the field of CAM.

简要概述

The effects of complementary and alternative medicine on improving sleep quality to guide evidence-based clinical decision-making and inform future research is comprehensively explored.