In:
Evidence-Based Complementary and Alternative Medicine, Hindawi Limited, Vol. 2020 ( 2020-02-08), p. 1-8
Abstract:
Background . Chronic insomnia is a major public health problem, but there are limited effective therapies. Jiawei Suanzaoren Decoction (JW-SZRD) has been used as an alternative option for treating insomnia. This study aimed to investigate the long-term efficacy and safety of JW-SZRD in combination with lorazepam for chronic insomnia. Methods . A total of 207 participants were analyzed in this study. The treatment group (TG) received JW-SZRD and lorazepam orally, and the control group (CG) received lorazepam alone. The Insomnia Severity Index (ISI), the Self-Rating Depression Scale (SDS), the Self-Rating Anxiety Scale (SAS), and the Somatic Self-rating Scale (SSS) were evaluated at baseline, weeks 4, 8, and 12. The MOS 36-item Short Form Health Survey (SF-36) was assessed at baseline and week 12. Adverse effects (AEs) were evaluated by the Treatment Emergent Symptom Scale (TESS). Results . Both TG and CG showed obvious improvements in the sleep onset latency (SOL) ( P = 0.001 and 0.005) and total sleep time (TST) ( P = 0.0001 and 0.001). However, TG was more effective than CG at weeks 8 ( P = 0.02 for SOL, P = 0.008 for TST) and 12 ( P = 0.03 for SOL, P = 0.04 for TST), especially in shortening SOL (Cohen’s d = 1.28). The ISI reduction rate in TG was higher than that in CG at weeks 4, 8, and 12 ( P = 0.008 , 0.001 and 0.001). After treatment, TG had lower SAS scores ( P = 0.0001 , 0.007), less somatic symptoms ( P 〈 0.05 or 0.01), higher SF-36 scores ( P 〈 0.05 or 0.01), better compliance ( P = 0.0001 ), and less adverse effects ( P 〈 0.05 or 0.01) than those in CG. Conclusion . The combination of JW-SZRD with lorazepam can significantly improve sleep quality with fewer AEs. It is an effective treatment and superior to lorazepam alone for chronic insomnia.
Type of Medium:
Online Resource
ISSN:
1741-427X
,
1741-4288
DOI:
10.1155/2020/3450989
Language:
English
Publisher:
Hindawi Limited
Publication Date:
2020
detail.hit.zdb_id:
2148302-4
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