Chronic Insomnia Clinical Trial
Official title:
Acupuncture Regulates Emotion-cognitive Network of Chronic Insomnia Patients : A DTI-fMRI Study
The purpose of the study is to investigate the underlying central nervous mechanisms of acupuncture treatment in chronic insomnia patients, from observation changes of gray matter and functional connectivity in the default mode network and the salience network by functional magnetic resonance imaging, and combine with clinical efficacy assessment to analyze the association between the results of imaging and behavioristic.
Chronic insomnia which can cause daytime function impairments like abnormal emotion and
hypomnesis is important risk factors for developing cardiovascular disease, neurological
disorders or mental disorders. Acupuncture is a widely recognized therapy to treat chronic
insomnia in clinical practice. Previous researches presented that sleep-wake dysfunction of
patients with chronic insomnia have strong correlation with abnormal of the default mode
network and salience network. The project present acupuncture may improve sleep quality by
adjusting the abnormal default mode network and the salience network in patients with chronic
insomnia.
The investigators are assigned the ninety eligible participants in three groups: thirty
chronic insomnia patients by true acupuncture treatment (Zhoushi coordinated points), thirty
chronic insomnia patients by sham acupuncture stimulation (non-acupoint points) and thirty
healthy subjects, Treatment will be given 3 times per week for 3 months. Additionally, two
methods include functional magnetic resonance imaging (fMRI) and clinical scales evaluation
as the outcome measures to evaluate the effectiveness and security of acupuncture. Outcomes
will be evaluated at baseline and 3 month post-treatment.
The aim of this project is to investigate effect of acupuncture treatment on gray matter and
functional connectivity of the default network and the salience network in chronic insomnia
patients, and to analyze the association between sleep quality, emotion, day function with
imaging results. The central nervous mechanisms underlying acupuncture treatment are
discussed by this finding which may provide scientific basis for acupuncture treatment in
chronic insomnia.
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