Efficacy of Cognitive Behavioral Therapy Combined With Acupoint Application for Sleep Disorders in Patients With...

This study aims to assess the effectiveness of combining cognitive behavioral therapy (CBT) and acupoint application for sleep disorders in patients with benign paroxysmal positional vertigo (BPPV), and to contribute evidence for multimodal strategies in managing sleep-vestibular comorbidities within an integrative medicine model.

A total of 120 patients with BPPV and comorbid sleep disorders were randomly assigned, using a random number table, to 1 of 3 groups (n=40 per group): (1) control group, which received canalith repositioning maneuvers alone, (2) acupoint application group, which received canalith repositioning combined with acupoint therapy, and (3) the combined treatment group, which received acupoint therapy along with CBT. Primary outcomes included the Pittsburgh Sleep Quality Index (PSQI), dizziness handicap inventory (DHI), and total traditional Chinese medicine (TCM) syndrome score. Assessments were conducted at baseline, 1 week, 2 weeks, and 1 month post-intervention.

The combined treatment group demonstrated significantly greater overall clinical efficacy compared with both the acupoint application and the control group (P<0.05). No statistically significant differences were observed among the groups in baseline PSQI, DHI, and TCM syndrome scores (P>0.05). Post-treatment evaluations revealed significant reductions in PSQI, DHI, and TCM syndrome scores in the combined treatment group compared with the other 2 groups (P<0.05).

The integration of CBT with acupoint application significantly improved sleep quality, vestibular function, and overall quality of life of patients with BPPV, highlighting the synergistic benefits of this multimodal therapeutic approach.