Objective To evaluate the efficacy of cognitive-behavioral therapy(CBT) combined with acupuncture therapy in the treatment of senile chronic insomnia.Methods Eighty-six patients with senile chronic insomnia selected from Longfu Hospital, Shaojiu Community and Chaoyangmen Community between July 2017 to May 2018 were randomly divided into two groups: the test group(CBT with acupuncture therapy)and the control group(CBT alone). There were 43 cases in each group.After 8 weeks of treatment,sleep quality,mood and adverse reactions of these patients were evaluated with the sleep diary,Sleep Severity Index Scale(ISI).Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS) respectively.The data was statistically analyzed.Results The total effective rate in the test group was significantly higher than that of the control group(74％ vs 49％,P<0.05).Compared to the control group,the sleep onset latency was significantly shortened in the test group [(27.5±9.8)vs(38.3±13.1)min,P<0.05],while sleep efficiency was increased markedly[(80.5±6.6)％vs(76.6±5.7)％,P<0.05].After combined treatment,SAS and SDS scores[(54.3±5.5) vs (58.9±5.7),(55.7±5.0) vs (58.2±4.8), both P<0.05] both decreased more significantly in the test group than those of the control group.Conclusions Acupuncture combined with CBT is more effective in the treatment of senile chronic insomnia.
Key words
senile chronic insomnia /
cognitive-behavioral therapy /
acupuncture therapy
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