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Acupuncture Versus Cognitive Behavioral Therapy for Insomnia in Cancer Survivors: A Randomized Clinical Trial.


ABSTRACT: BACKGROUND:Insomnia is a common and debilitating disorder experienced by cancer survivors. Although cancer survivors express a preference for using nonpharmacological treatment to manage insomnia, the comparative effectiveness between acupuncture and Cognitive Behavioral Therapy for Insomnia (CBT-I) for this disorder is unknown. METHODS:This randomized trial compared 8?weeks of acupuncture (n?=?80) and CBT-I (n?=?80) in cancer survivors. Acupuncture involved stimulating specific points on the body with needles. CBT-I included sleep restriction, stimulus control, cognitive restructuring, relaxation training, and education. We measured insomnia severity (primary outcome), pain, fatigue, mood, and quality of life posttreatment (8?weeks) with follow-up until 20?weeks. We used linear mixed-effects models for analyses. All statistical tests were two-sided. RESULTS:The mean age was 61.5?years and 56.9% were women. CBT-I was more effective than acupuncture posttreatment (P?

SUBMITTER: Garland SN 

PROVIDER: S-EPMC6910189 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Acupuncture Versus Cognitive Behavioral Therapy for Insomnia in Cancer Survivors: A Randomized Clinical Trial.

Garland Sheila N SN   Xie Sharon X SX   DuHamel Kate K   Bao Ting T   Li Qing Q   Barg Frances K FK   Song Sarah S   Kantoff Philip P   Gehrman Philip P   Mao Jun J JJ  

Journal of the National Cancer Institute 20191201 12


<h4>Background</h4>Insomnia is a common and debilitating disorder experienced by cancer survivors. Although cancer survivors express a preference for using nonpharmacological treatment to manage insomnia, the comparative effectiveness between acupuncture and Cognitive Behavioral Therapy for Insomnia (CBT-I) for this disorder is unknown.<h4>Methods</h4>This randomized trial compared 8 weeks of acupuncture (n = 80) and CBT-I (n = 80) in cancer survivors. Acupuncture involved stimulating specific p  ...[more]

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