Jun J. Mao，MD，MSCE，癌症康復者受失眠困擾的試驗結果 / Jun J. Mao, MD, MSCE, on Insomnia in Cancer Survivors: Trial Results
Jun J. Mao，MD，MSCE，癌症康復者受失眠困擾的試驗結果
翻譯 ： Helen Law / 癌症資訊網
Jun J. Mao, MD, MSCE, on Insomnia in Cancer Survivors: Trial Results
Insomnia is a common symptom affecting up to 60% of cancer survivors and can negatively impact quality of life and functions. So we did a randomized control trial that comparing the effect of Acupuncture vs. Cognitive Behavior Therapy for Insomnia (CBT-I) in cancer survivors. So we randomized a hundred and sixty survivors, half to acupuncture and half to CBT-I. Acupuncture uses very thin needles to stimulate specific points to treat insomnia as well as comorbid anxiety and pain, and the CBT-I group of people received counseling to address mal-adoptive thoughts and the behaviors related to insomnia. So the intervention lasts for 8 weeks and after that we follow individuals for additional 12 weeks to evaluate the durability of the treatment effects. So we found that among individuals with insomnia both treatments resulted in clinically meaningful benefit at the end of intervention and the effects was carried forward for additional 12 weeks without any more treatments for both acupuncture and CBT-I. But overall CBT-I was slightly more benefit than acupuncture and now we strive to find by people with mild insomnia versus moderate to severe insomnia. In the moderate to severe insomnia group of people responded definitely more to CBTI than acupuncture. However, in those with moderate to severe insomnia acupuncture produced very similar response rate as CBTI. So both treatments improved the physical and mental quality of life measures. So what do we say to a patient is I think both treatments are clinically beneficial and produce durable treatment effects, but for people with mild insomnia currently use CBTI and that definitely more beneficial than acupuncture, but for people with moderate to severe insomnia, acupuncture can be a good choice if CBTI is not available or patients prefer acupuncture. We hope this information can help oncologists as well as patients make informed decision to choose best treatment for treating insomnia.