Examining the Effect of Acupuncture on Sleep Difficulties Related to Post Traumatic Stress Disorder
6. April 2015 aktualisiert von: US Department of Veterans Affairs
The Effect of Acupuncture on PTSD-Related Insomnia
The purpose of this study was to examine if group ear acupuncture improves Post-Traumatic Stress Disorder sleep difficulties among veterans who participated in Operations Enduring Freedom and Iraqi Freedom.
This study also examined the degree of veteran acceptance for a group ear acupuncture procedure.
Studienübersicht
Status
Abgeschlossen
Detaillierte Beschreibung
Background: Approximately 70-91% of veterans with Post-Traumatic Stress Disorder (PTSD) report insomnia.
Presently, conventional treatments for PTSD-related insomnia include medications, psychotherapy, and cognitive behavioral therapy.
While some of these conventional treatments do improve PTSD-related insomnia, many of these treatments have limitations (e.g., medication effects, lengthy time commitments, psycho-social stigma).
Because of these limitations, many veterans are increasingly turning to complementary and alternative therapies to relieve their symptoms.
There is a growing body of research that shows that acupuncture may improve many health symptoms including depression, PTSD, addiction, headaches, musculoskeletal pain, and insomnia.
However, to date, no study has specifically explored how acupuncture may affect PTSD-related insomnia.
Because so many veterans with PTSD experience PTSD-related insomnia, and because the current conflicts in Southwest Asia are producing a new generation of combat veterans, it is critical that the VA explore innovative treatments for PTSD-related health concerns.
Studientyp
Interventionell
Einschreibung (Tatsächlich)
35
Phase
- Unzutreffend
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienorte
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District of Columbia
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Washington, District of Columbia, Vereinigte Staaten, 20422
- Washington DC VA Medical Center, Washington, DC
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Teilnahmekriterien
Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.
Zulassungskriterien
Studienberechtigtes Alter
18 Jahre und älter (Erwachsene, Älterer Erwachsener)
Akzeptiert gesunde Freiwillige
Nein
Studienberechtigte Geschlechter
Alle
Beschreibung
Inclusion Criteria:
- Combat veteran of Operation Iraqi Freedom or Operation Enduring Freedom conflicts;
- Diagnosed with Post Traumatic Stress Disorder (PTSD) per Diagnostic Statistical Manual (DSM) IV criteria;
- Have insomnia as indicated by a score equal to or greater than 8 on the Insomnia Severity Index (ISI);
- Diagnosis of insomnia made after PTSD diagnosis; and
- If on psychotropic medications, must be on stable psychotropic medication regimen for one month prior to enrollment in study.
Exclusion Criteria:
- Does not speak English;
- Not competent to sign informed consent;
- History of moderate or severe traumatic brain injury
- Start use of Continuous Positive Airway Pressure (CPAP) or Bilevel Positive Airway Pressure (BiPAP) during the study.
- Experiencing severe psychiatric illness defined as suicidal ideation, homicidal ideation, or psychosis;
- History of substance abuse Dependence (as defined per DSM IV criteria) during the one year preceding enrollment in the study OR history of illicit substance use for 3 months prior to study enrollment OR positive Audit C score at study enrollment (defined as score of 5 and above).
- Received acupuncture during past 3 months.
- On Coumadin, Heparin, or Lovenox
- Pregnancy
Studienplan
Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: True Group Auricular Acupuncture
Received true group auricular acupuncture twice weekly for a period of two months.
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Received true group auricular acupuncture
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Schein-Komparator: Sham Group Auricular Acupuncture
Received sham group auricular acupuncture twice weekly for a period of two months.
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Received sham auricular acupuncture.
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Sonstiges: Wait-List Control Group
Served as wait list control.
Did not receive any acupuncture during the study period.
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Received conventional care only.
Eligible to receive true group auricular acupuncture once study period completed.
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Perceived Sleep Quality
Zeitfenster: t=2 months
|
Perceived sleep quality: subjective assessment of how restorative and undisturbed sleep has been. Measured by Insomnia Severity Index (ISI) and Morin sleep diary refreshness and soundness ratings. ISI: 7-item, self-report questionnaire based on DSM-IV criteria for insomnia. ISI scores range from 0 to 28 with higher scores reflecting greater insomnia. Total scores were reported, and an ISI cutoff total score of > 8 is indicative of probable insomnia. The Morin Sleep Diary refreshness and soundness ratings are based on a 5-point Likert scale with scores ranging from 1 to 5. Scores for these two questions were reported and higher scores indicate higher perceived sleep quality. |
t=2 months
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Fragmented Sleep Patterns-Total Sleep Time, Sleep Latency, and Naps
Zeitfenster: t=2 months
|
Disruptive sleep patterns were analyzed by looking at Total Sleep Time (TST), Sleep Latency (SL), and Naps (short episodes of sleep at times other than bedtime).
Morin sleep diaries (MSD) and wrist actigraphs (WA) were the study instruments used to collect this data.
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t=2 months
|
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Hypnotic Medication Use
Zeitfenster: t=2 months
|
Amount of sleep medication taken by study participants.
Measured by looking at demographic questionnaire results, chart reviews and Morin sleep diary (MSD).
|
t=2 months
|
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Attrition Rates
Zeitfenster: t=2 months
|
Examined attendance rates in attending group sessions to examine attrition rates.
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t=2 months
|
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Number of Participants That Were Satisfied Based on Veteran Satisfaction Scores for True Group Acupuncture vs. Sham Group Acupuncture
Zeitfenster: t= 2 months
|
t= 2 months
|
|
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Fragmented Sleep Patterns-Sleep Efficiency
Zeitfenster: t=2 months
|
Disruptive sleep patterns that were analyzed by looking at Sleep Efficiency(SE).
Morin sleep diaries (MSD) and wrist actigraphs (WA) were the study instruments used to collect this data.
|
t=2 months
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Mitarbeiter und Ermittler
Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.
Ermittler
- Hauptermittler: Michelle Kennedy Prisco, MSN BC-ANP, Washington DC VA Medical Center, Washington, DC
Studienaufzeichnungsdaten
Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.
Haupttermine studieren
Studienbeginn
1. Oktober 2009
Primärer Abschluss (Tatsächlich)
1. September 2011
Studienabschluss (Tatsächlich)
1. Dezember 2011
Studienanmeldedaten
Zuerst eingereicht
23. März 2009
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
23. März 2009
Zuerst gepostet (Schätzen)
25. März 2009
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
28. April 2015
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
6. April 2015
Zuletzt verifiziert
1. September 2014
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- NRI 08-121
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