title: The Efficacy of Acupuncture for Treating Depression-Related Insomnia Compared with a Control Group: A Systematic Review and Meta-Analysis.
abstract: Objective.To evaluate the effectiveness of acupuncture as monotherapy and as an alternative therapy in treating depression-related insomnia.Data Source.Seven databases were searched starting from 1946 to March 30, 2016.Study Eligibility Criteria.Randomized-controlled trials of adult subjects (18-75 y) who had depression-related insomnia and had received acupuncture.Results.18 randomized-controlled clinical trials (RCTs) were introduced in this meta-analysis. The findings determined that the acupuncture treatment made significant improvements in PSQI score (MD = -2.37, 95% CI -3.52 to -1.21) compared with Western medicine. Acupuncture combined with Western medicine had a better effect on improving sleep quality (MD = -2.63, 95% CI -4.40 to -0.86) compared with the treatment of Western medicine alone. There was no statistical difference (MD = -2.76, 95% CI -7.65 to 2.12) between acupuncture treatment and Western medicine towards improving the HAMD score. Acupuncture combined with Western medicine (MD = -5.46, CI -8.55 to -2.38) had more effect on improving depression degree compared with the Western medicine alone.Conclusion. This systematic review indicates that acupuncture could be an alternative therapy to medication for treating depression-related insomnia.
authors.affiliation: Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai University of TCM, Shanghai 200071, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Dong
authors.affiliation: Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai University of TCM, Shanghai 200071, China.
authors.forename: Zeqin
authors.initials: Z
authors.lastname: Chen
authors.affiliation: Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai University of TCM, Shanghai 200071, China.
authors.forename: Xuan
authors.initials: X
authors.lastname: Yin
authors.affiliation: School of Medicine, Nanchang University, Jiangxi 330031, China.
authors.forename: Danting
authors.initials: D
authors.lastname: Li
authors.affiliation: Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai University of TCM, Shanghai 200071, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Ma
authors.affiliation: Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai University of TCM, Shanghai 200071, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Yin
authors.affiliation: Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai University of TCM, Shanghai 200071, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Cao
authors.affiliation: School of Chinese Medicine, The University of Hong Kong, 10 Sassoon Road, Pokfulam, Hong Kong; School of Medicine, Center for Integrative Medicine, University of Maryland, Baltimore, MD 21201, USA.
authors.forename: Lixing
authors.identifier: 0000-0003-0198-9714
authors.initials: L
authors.lastname: Lao
authors.affiliation: Shanghai Municipal Hospital of Traditional Chinese Medicine Shanghai, Shanghai University of TCM, Shanghai 200071, China.
authors.forename: Shifen
authors.identifier: 0000-0001-5595-3480
authors.initials: S
authors.lastname: Xu
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D000328:Adult; D003863:Depression / Q000150:complications / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D016032:Randomized Controlled Trials as Topic; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology / Q000628:therapy