Sedative and tranquilising acupuncture in the treatment of primary insomnia with anxiety

ISRCTN ISRCTN10474528
DOI https://doi.org/10.1186/ISRCTN10474528
Submission date
22/05/2024
Registration date
04/06/2024
Last edited
04/06/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study aimed to compare the effectiveness of sedative and tranquilising acupuncture with that of conventional medicine in the treatment of primary insomnia with anxiety to provide a novel approach to the clinical treatment of this type of insomnia.

Who can participate?
Patients aged 18-65 years with primary insomnia with anxiety

What does the study involve?
Patients were randomly divided into a treatment group and a control group. The treatment group were treated with sedative and tranquilising acupuncture, and the control group were treated with estazolam, a conventional drug. Treatment effectiveness was determined after 4 and 8 weeks of treatment.

What are the possible benefits and risks of participating?
Sedative and tranquilising acupuncture can significantly improve sleep quality in patients with primary insomnia, and it can alleviate anxiety in these patients.

Where is the study run from?
Shunyi Hospital, Beijing Traditional Chinese Medicine Hospital (China)

When is the study starting and how long is it expected to run for?
January 2020 to March 2023

Who is funding the study?
1. Young Qihuang Scholars Cultivation Project (China)
2. National Traditional Chinese Medicine Innovation Backbone Talent Project (China)

Who is the main contact?
Peng Bai, baipeng_bp3147@163.com

Contact information

Dr Peng Bai
Public, Scientific, Principal Investigator

No. 51 of Anwai Xiaoguan Street
Chaoyang District
Beijing
100029
China

ORCiD logoORCID ID 0009-0007-3264-7721
Phone +86 (0)1084980281
Email baipeng_bp3147@163.com

Study information

Study designSingle-centre double-blinded interventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment, Efficacy
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleClinical effects of sedative and tranquilising acupuncture in the treatment of primary insomnia with anxiety in different Traditional Chinese Medicine constitutions
Study objectivesSedative and tranquilising acupuncture can significantly improve sleep quality and efficacy in patients with primary insomnia, and it can alleviate anxiety in these patients. Compared with the control group, the treatment group exhibited long-term efficacy.
Ethics approval(s)

Approved 09/04/2020, Ethics Committee of Shunyi Hospital, Beijing Traditional Chinese Medicine Hospital (No. 1 Jiansheng Street, Shunyi District, Beijing, 100000, China; +86 (0)1089413365; syzyjjxf2020@163.com), ref: 2020SYKY03-01

Health condition(s) or problem(s) studiedPatients with primary insomnia with anxiety
InterventionA total of 113 patients who met the inclusion criteria were selected for this study using a convenience sampling method. The simple random sampling method was used to divide them into a treatment group using sedative and tranquilising acupuncture and a control group using estazolam, a conventional drug.

Acupuncture procedure:
Acupoint selection: Four Shencong, bilateral Shenmen and bilateral Sanyinjiao were the main acupoints.
Technique: The needle was inserted to a shallow depth at Four Shencong, to a medium depth at Shenmen and perpendicularly at Sanyinjiao. Once inserted, the needle was left for 30 minutes, with the lifting-and-thrusting method applied after every 10 minutes.
30 minutes each time, five times a week from Monday to Friday (rest on Saturday and Sunday). Ten treatments were taken as a course, and a total of two courses of treatment (4 weeks) were given.

Estazolam treatment (control group): estazolam 1 mg every night (Shandong Xinyi Pharmaceutical Co., LTD).

Efficacy was determined after 4 and 8 weeks of treatment. The statistical analysis was performed using SPSS 26.0 statistical software. The measurement data were expressed as mean ± standard deviation. Data conforming to a normal distribution were compared between the two groups using an independent sample t-test, and the within-group comparison was conducted using a paired sample t-test. Data not conforming to a normal distribution were compared using the Wilcoxon rank-sum test, and the count data were tested using a chi-square test. The difference was considered statistically significant at P <0.05.
Intervention typeSupplement
Primary outcome measurePrimary insomnia assessed using the Pittsburgh Sleep Quality Index (PSQI) after 4 and 8 weeks of treatment
Secondary outcome measures1. Anxiety states assessed using the Self-Assessment Scale (SAS) after 4 and 8 weeks of treatment
2. Depressive states assessed using the Self-Rating Depression Scale (SDS) after 4 and 8 weeks of treatment
Overall study start date01/01/2020
Completion date31/03/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants120
Total final enrolment113
Key inclusion criteria1. Those who met the above diagnostic criteria of primary insomnia and anxiety state
2. Age between 18 and 65 years, with no restriction on gender
3. Those who have not taken other anti-insomnia and anxiety medication in the last month
4. Permission was obtained from the patient
Key exclusion criteria1. Those who did not meet the above inclusion criteria
2. Age <18 or >65 years, and pregnant or lactating women
3. Individuals with combined visceral diseases, severe diseases of the immune and blood systems, mental illnesses and recent neurological injuries such as traumatic brain injury or spinal cord injury
4. Skin infection at the acupoint area
Date of first enrolment20/08/2020
Date of final enrolment13/03/2023

Locations

Countries of recruitment

  • China

Study participating centre

Shunyi Hospital, Beijing Traditional Chinese Medicine Hospital
No. 1 Jiansheng Street
Shunyi District
Beijing
100000
China

Sponsor information

Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital
Hospital/treatment centre

No. 1 Jiansheng Street
Shunyi District
Beijing
100000
China

Phone +86 (0)1081419999
Email syzyjjxf2020@163.com
Website http://www.bjsyzy.com/
ROR logo "ROR" https://ror.org/01qq0qd43

Funders

Funder type

Other

Young Qihuang Scholars Cultivation Project

No information available

National Traditional Chinese Medicine Innovation Backbone Talent Project

No information available

Results and Publications

Intention to publish date30/06/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Peng Bai (baipeng_bp3147@163.com).

Editorial Notes

22/05/2024: Study's existence confirmed by the Ethics Committee of Shunyi Hospital, Beijing Traditional Chinese Medicine Hospital.