Use of Relaxation Techniques and Complementary and Alternative Medicine by American Adults with Insomnia Symptoms: Results from a National Survey

Bertisch, Suzanne M.; Wells, Rebecca Erwin; Smith, Michael T.; McCarthy, Ellen P.

doi:10.5664/jcsm.2264

Cited by 71 publications

(46 citation statements)

References 29 publications

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“…Nevertheless given the increasing interest in CAM 12) and the limitations of conventional treatments 9,10) , clinical studies and evidences of CAM on insomnia seem to be increased consistently. As analyzed above, assessments of the efficacy of CAM therapy in CPG are very limited, and there's little evidence of economics evaluation and safety.…”

Section: Discussionmentioning

confidence: 99%

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Complementary and Alternative Medicine in Clinical Practice Guideline for Insomnia

Kwon¹,

Suh²,

Choi³

et al. 2016

Journal of Oriental Neuropsychiatry

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Objectives: The aim of this review was to investigate whether evidence of complementary and alternative medicine (CAM) was reflected in clinical practice guidelines (CPGs) for insomnia based on relevant clinical trials. Methods: We conducted a systematic search on domestic and international CPG databases and medical databases. In addition, we conducted manual searches of relevant articles. Three authors independently searched and selected relevant studies; any disagreement was resolved by discussion. We extracted and analyzed the following data: published language, country, development group, participants, interventions, presence or absence of recommendations for CAM, level of evidence, grade of recommendation for CAM, and methods of development. Results: We identified 8,241 records from domestic and international databases, and 22 CPGs were included. Eleven of the 22 CPGs mentioned CAM interventions including herbal medicine, relaxation, acupuncture moxibustion, Tai Chi, meditation, hypnosis, biofeedback, Tuina, and external herbal medicine. However, most of the CPGs indicated 'no recommendation' or 'weak recommendation' for CAM interventions. Only Valeriana dageletiana Nakai and relaxation were considered to have experimental evidence. Valeriana dageletiana Nakai was recommended for improvement of sleep latency, sleep maintenance, total sleeping time, and sleep cycle. Relaxation was recommended as effective intervention for relieving physical and psychological arousal. Conclusions: Despite systematic reviews and randomized controlled trials on CAM for insomnia, most of the CPGs for insomnia did not reflect the evidence obtained. Further CPGs for insomnia should be developed by considering the current advanced studies in the field of CAM.

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Section: Discussionmentioning

confidence: 99%

“…According to an analysis study of 2007 National Health Interview Survey conducted in USA, about 45% among adults who suffered from insomnia symptoms were estimated to receive CAM therapies in a year 12) .…”

Section: Introductionmentioning

confidence: 99%

Complementary and Alternative Medicine in Clinical Practice Guideline for Insomnia

Kwon¹,

Suh²,

Choi³

et al. 2016

Journal of Oriental Neuropsychiatry

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“…Epidemiological surveys indicate that the use of CAM is common among those with insomnia27 (~5% reporting such use in 2002 National Health Interview Survey) as well as other systemic disorders that may be associated with disturbed sleep such as neurological conditions28 (44% reporting CAM use in the 2007 National Health Interview Survey) and chronic medical conditions29 (17% reporting mind–body therapies in the 2007 National Health Interview Survey). More recently, Bertisch et al30 analyzed the subset of the 2007 National Health Interview Survey participants who reported insomnia symptoms and found that nearly half indicated using CAM therapy.…”

Section: Introductionmentioning

confidence: 99%

Alternative remedies for insomnia: a proposed method for personalized therapeutic trials

Romero

Goparaju

Russo

et al. 2017

NSS

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Insomnia is a common symptom, with chronic insomnia being diagnosed in 5–10% of adults. Although many insomnia patients use prescription therapy for insomnia, the health benefits remain uncertain and adverse risks remain a concern. While similar effectiveness and risk concerns exist for herbal remedies, many individuals turn to such alternatives to prescriptions for insomnia. Like prescription hypnotics, herbal remedies that have undergone clinical testing often show subjective sleep improvements that exceed objective measures, which may relate to interindividual heterogeneity and/or placebo effects. Response heterogeneity can undermine traditional randomized trial approaches, which in some fields has prompted a shift toward stratified trials based on genotype or phenotype, or the so-called n-of-1 method of testing placebo versus active drug in within-person alternating blocks. We reviewed six independent compendiums of herbal agents to assemble a group of over 70 reported to benefit sleep. To bridge the gap between the unfeasible expectation of formal evidence in this space and the reality of common self-medication by those with insomnia, we propose a method for guided self-testing that overcomes certain operational barriers related to inter- and intraindividual sources of phenotypic variability. Patient-chosen outcomes drive a general statistical model that allows personalized self-assessment that can augment the open-label nature of routine practice. The potential advantages of this method include flexibility to implement for other (nonherbal) insomnia interventions.

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“…When this technique is used properly, it reduces tension and relaxes the patient and improves sleep. Research shows that relaxation improves falling asleep, the quality of sleep and restful sleep [9]. Researchers reported that use of progressive relaxation has led to an 80% decrease of sleep medications.…”

Section: Progressive Relaxationmentioning

confidence: 99%

“…About 23% of adults with insomnia use relaxation and breathing techniques (Bertisch, 2012). (see Case example in Figure 1) When anxiety or worry interferes with sleep, the patient can learn to use progressive relaxation -to tense and relax muscle groups to gradually relax.…”

Section: Progressive Relaxationmentioning

confidence: 99%

Evaluating and Managing Insomnia: Non-pharmacological Treatments

Valente¹

2015

J Sleep Disord Ther

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For about 40% of Americans, Insomnia is a major health issue that often leads to fatigue, reduced immunity, and dangerous driving. A good night sleep is essential for functioning and performance. It also influences mood, cognition, concentration, fatigue, and healing. Insomnia may be related to medical and psychiatric disorders, shift work, stimulants, travel, anxiety, pain, and other problems (e.g., poor sleep environment). People with insomnia (e.g., difficulty falling asleep, frequent awakenings and daytime drowsiness) tend to rely on alcohol, drugs, and other remedies. Insomnia may reflect sleep apnea or other medical or mental health disorders that require evaluation as well as poor sleep hygiene. Insomnia can be brief, episodic or chronic. Unfortunately, many people assume that insomnia is normal and do not report it to the nurse or seek treatment. Sleep deprivation impairs the person's physical, mental, and cardiac functioning. Often insomnia is treated with medications which may have side effectives or be habit forming. Individuals with insomnia need evaluation of the precipitants of insomnia, education about sleep hygiene, and information about non-pharmacological treatments. In clinic and hospital settings, nurses are in a pivotal position to identify sleep problems, educate patients, and refer them for follow up.

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Use of Relaxation Techniques and Complementary and Alternative Medicine by American Adults with Insomnia Symptoms: Results from a National Survey

Cited by 71 publications

References 29 publications

Complementary and Alternative Medicine in Clinical Practice Guideline for Insomnia

Complementary and Alternative Medicine in Clinical Practice Guideline for Insomnia

Alternative remedies for insomnia: a proposed method for personalized therapeutic trials

Evaluating and Managing Insomnia: Non-pharmacological Treatments

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