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Accession Number:
ADA616278
Title:
Acupuncture for Disturbed Sleep in Veterans with Post Traumatic Stress Disorder
Descriptive Note:
Final rept. 1 Aug 2012-31 Aug 2014
Corporate Author:
SAN DIEGO UNIV CA
Report Date:
2014-09-25
Pagination or Media Count:
39.0
Abstract:
Purpose To examine whether the use of an auricular acupuncture AA regimen improves sleep quality for veterans with post-traumatic stress disorder PTSD. Design A prospective, randomized, wait-list controlled feasibility study. Aim1 Compare AA acceptability between veterans who receive AA with standard PTSD therapy or standard PTSD therapy alone. Aim 2 Compare sleep quality at baseline and at five weeks in veterans who receive AA with standard PTSD therapy or standard PTSD therapy alone. Aim 3 Compare PTSD and depressive symptoms at baseline and at week five in veterans who receive AA with standard PTSD therapy or standard PTSD therapy alone. Aim4 Compare PTSD and depressive symptoms at baseline, week three, and week five between veterans who receive AA or receive standard PTSD therapy alone. Methods Subjects were randomized to receive AA with PTSD treatment or PTSD treatment alone. Acceptability was evaluated using a likert scale, feasibility with a consort diagram. Sleep quality was evaluated with the Pittsburgh Sleep Quality Index PSQI, and actigraphy. Sample Active duty veterans with PTSD in a residential PTSD treatment program. Analysis Acupuncture acceptability between groups was analyzed utilizing a Likert 1-5 scale. RMANOVA was conducted to analyze PSQI scores and actigraphy data. Findings There were n 1215 in the AA group and n 814 in the control group. Attrition rates were higher in the control group 43 vs. 20, P 0.24. The AA group reported AA was a more acceptable treatment for sleep disturbance than subjects in the control group AA median 5 vs. control median 3, P 0.004. Significant differences between groups were found on sleep quality and daytime dysfunction components of the PSQI p 0.003, P 0.004. Implications for Military Nursing Military nurses can practice AA, which has expanded non-pharmacologic sleep treatments available to veterans with PTSD.
Distribution Statement:
APPROVED FOR PUBLIC RELEASE
