Evidence map›Paper›PMID 42094634›Full record

Trial reportNature and science of sleep2026

Effectiveness and Safety of Electroacupuncture in Patients with Treatment-Resistant Insomnia: A Randomized, Assessor-Blinded, Waitlist-Controlled Pilot Trial.

Jung-Hwa Lim, So-Hyeon Park, Kyeong-Ok Kim, Chang-Wan Kang, Eun Cho, Bo-Kyung Kim

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Nature and science of sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jung-Hwa Lim *Department of Neuropsychiatry, School of Korean Medicine, Pusan National University, Yangsan-si, Gyeongsangnam-do, Republic of Korea.ORCID 0000-0003-2687-6433
So-Hyeon Park *Department of Neuropsychiatry, School of Korean Medicine, Pusan National University, Yangsan-si, Gyeongsangnam-do, Republic of Korea.ORCID 0000-0003-3374-6389
Kyeong-Ok KimDepartment of Neuropsychiatry, School of Korean Medicine, Dongshin University, Naju-si, Jeollanam-do, Republic of Korea.ORCID 0000-0002-3651-6450
Chang-Wan KangDepartment of Industrial Management & Big Data Engineering, Dong-Eui University, Busan, Republic of Korea.ORCID 0000-0001-7460-1018
Eun ChoCollege of Pharmacy, Sookmyung Women's University, Seoul, Republic of Korea.ORCID 0000-0002-9172-8624
Bo-Kyung KimDepartment of Neuropsychiatry, School of Korean Medicine, Pusan National University, Yangsan-si, Gyeongsangnam-do, Republic of Korea.ORCID 0000-0002-8576-0281

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study evaluated the effectiveness and safety of electroacupuncture in patients with treatment-resistant insomnia (TRI) who experienced persistent sleep disturbances despite using medication for more than 3 months. Patients and Methods: Fifty patients with TRI were randomly assigned to the experimental or waitlist control group. The experimental group received treatment twice a week for 6 weeks. Sleep parameters including the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), sleep diary, and actigraphy, sleep-related symptoms, quality of life, and costs were evaluated. Results: ISI scores significantly decreased in the experimental group from 2 weeks after treatment initiation, with improvements persisting through the post-treatment and the 4-week follow-up (p < 0.02). After 4 weeks, more patients achieved the minimal clinically important difference for the ISI (p = 0.02). PSQI scores differed significantly between groups at follow-up (p = 0.01). Sleep diary analysis revealed improved morning refreshment from 2 weeks after treatment initiation through follow-up (p < 0.02), with a decrease in sleep onset latency of 12-14 min. In contrast, actigraphy-based sleep parameters showed no significant differences between the groups. After two treatment sessions, ISI scores and moderate-to-severe accompanying symptoms improved. EuroQoL visual analogue scale and SF-36 scores also improved significantly (p = 0.002 and p = 0.007, respectively). Adverse events were similar between groups. Conclusion: Electroacupuncture was associated with improvements in subjective sleep parameters but not in objective actigraphy-based sleep measures in patients with TRI, suggesting that electroacupuncture may be a potential complementary treatment option for patients with insomnia unresponsive to conventional pharmacotherapy.

Indexed as

electroacupunctureinsomnia disorderrandomized controlled trialtreatment-resistant insomnia

Identifiers

PMID42094634
PMCPMC13142264

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.