Teris Cheung, Joyce Yuen Ting Lam, Kwan Hin Fong, Calvin Pak-Wing Cheng, Yu-Tao Xiang, Tim Man Ho Li
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引用次数: 0
摘要
失眠是一种普遍存在的睡眠障碍,影响着全球很大一部分人口。本研究是亚洲首个评估香港成人前庭电刺激(VeNS)治疗失眠症疗效的研究,填补了非药物干预的空白。方法:对101例有失眠症状的成年人进行双盲、随机、假对照试验。参与者被随机分为活跃组和假组(1:1比例),在四周内进行20次30分钟的VeNS治疗。心理结果,包括失眠严重程度、睡眠质量和生活质量,分别在基线(T1)和干预后(T2)进行评估。在1个月(T3)和3个月(T4)进行随访评估,以评估VeNS效果的可持续性。结果:在83名参与者(40名VeNS和43名假VeNS)中,VeNS组在T2 (p = 0.03, d = -0.47)和T4 (p = 0.02, d = -0.32)时失眠严重程度显著降低,同时在T2时生活质量(即角色-身体)得到改善。结论:VeNS是一种新型、无创、安全的神经调节装置,可作为原发性失眠的辅助治疗。本研究结果为进一步评价VeNS疗效的多位点比较研究奠定了基础。试验注册:ClinicalTrials.gov标识符:NCT04452981。
Efficacy of electrical vestibular stimulation (VeNS) on adults with insomnia: A double-blind, randomized, sham-controlled trial.
Introduction: Insomnia, a widespread sleep disorder, affects a significant portion of the global population. This study is the first in Asia to evaluate the efficacy of electrical vestibular stimulation (VeNS) as a treatment for insomnia in Hong Kong adults, addressing a gap in non-pharmacological interventions.
Methods: A double-blind, randomized, sham-controlled trial was conducted with 101 adults exhibiting insomnia symptoms. Participants were randomized into active VeNS or sham groups (1:1 ratio) and underwent twenty 30-minute VeNS sessions over four weeks. Psychological outcomes, including insomnia severity, sleep quality, and quality of life were assessed at baseline (T1), post-intervention (T2). Follow-up assessments were conducted at one- (T3) and three-month (T4) to evaluate the sustainability of VeNS effects.
Results: Of 83 participants (40 VeNS and 43 sham-VeNS), the VeNS group showed significant reductions in insomnia severity at T2 (p = 0.03, d = -0.47) and T4 (p = 0.02, d = -0.32), alongside improved quality of life (i.e., role-physical) at T2.
Conclusion: VeNS is a novel, non-invasive and safe neuromodulation device that may serve as an adjunct treatment for primary insomnia. The present findings provide a foundation for future multisite comparison studies to further evaluate VeNS efficacy.
期刊介绍:
Dialogues in Clinical Neuroscience (DCNS) endeavors to bridge the gap between clinical neuropsychiatry and the neurosciences by offering state-of-the-art information and original insights into pertinent clinical, biological, and therapeutic aspects. As an open access journal, DCNS ensures accessibility to its content for all interested parties. Each issue is curated to include expert reviews, original articles, and brief reports, carefully selected to offer a comprehensive understanding of the evolving landscape in clinical neuroscience. Join us in advancing knowledge and fostering dialogue in this dynamic field.