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Effect of Herbal Medicine (Hwanglyeonhaedok-tang) on Insomnia Patients with Bedtime Procrastination: study protocol for a randomized controlled trial

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Objectives: Insomnia, characterized by difficulty initiating or maintaining sleep, affects a significant portion of the global population. Bedtime procrastination, which is a voluntary delay in going to bed, is a major contributing factor to the prevalence of sleep deprivation in modern societies. Hwanglyeonhaedok-tang (HJD decoction) has shown promise in improving the symptoms of insomnia. This study aimed to evaluate the efficacy of HJD decoction in patients with insomnia and bedtime procrastination. Methods: This study employs a parallel-group design, comparing HJD decoction to usual care in a 1:1 ratio. Sixty participants with insomnia and bedtime procrastination will be enrolled. The experimental group will receive HJD decoction for 4 weeks, while both groups will undergo a brief behavioral treatment for insomnia. The primary outcome will be the change in the Insomnia Severity Index score (ISI) from baseline to 4 weeks. Secondary outcomes include sleep diary metrics, the Pittsburgh Sleep Quality Index (PSQI), and Bedtime Procrastination Scale (BPS). The exploratory outcomes include perceived stress, anxiety, smartphone use, and heart rate variability. Conclusion: This trial examines the role of herbal medicine in treating a specific type of insomnia that is increasingly common in modern society. The combination of HJD decoction with behavioral intervention offers a comprehensive approach to treating insomnia complicated by bedtime procrastination. The results will provide valuable insights into integrative treatment strategies for sleep disorders in the digital age.

Abstract

Objectives: Insomnia, characterized by difficulty initiating or maintaining sleep, affects a significant portion of the global population. Bedtime procrastination, which is a voluntary delay in going to bed, is a major contributing factor to the prevalence of sleep deprivation in modern societies. Hwanglyeonhaedok-tang (HJD decoction) has shown promise in improving the symptoms of insomnia. This study aimed to evaluate the efficacy of HJD decoction in patients with insomnia and bedtime procrastination. Methods: This study employs a parallel-group design, comparing HJD decoction to usual care in a 1:1 ratio. Sixty participants with insomnia and bedtime procrastination will be enrolled. The experimental group will receive HJD decoction for 4 weeks, while both groups will undergo a brief behavioral treatment for insomnia. The primary outcome will be the change in the Insomnia Severity Index score (ISI) from baseline to 4 weeks. Secondary outcomes include sleep diary metrics, the Pittsburgh Sleep Quality Index (PSQI), and Bedtime Procrastination Scale (BPS). The exploratory outcomes include perceived stress, anxiety, smartphone use, and heart rate variability. Conclusion: This trial examines the role of herbal medicine in treating a specific type of insomnia that is increasingly common in modern society. The combination of HJD decoction with behavioral intervention offers a comprehensive approach to treating insomnia complicated by bedtime procrastination. The results will provide valuable insights into integrative treatment strategies for sleep disorders in the digital age.

참고문헌 (36)

  1. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders: DSM-5", pp.947~ (2013), American Psychiatric Association
  2. Ohayon MM, "Prevalence of insomnia and associated factors in South Korea", J Psychosom Res, 53(1), pp.593~600 (2002)
  3. Chung S, "The prevalence and incidence of insomnia in Korea during 2005 to 2013", Psychiatry Investig, 17(6), pp.533~540 (2020)
  4. Morin CM, "Epidemiology of insomnia : prevalence, course, risk factors, and public health burden", Sleep Med Clin, 17(2), pp.173~191 (2022)
  5. Ferini-Strambi L, "Insomnia disorder:clinical and research challenges for the 21st century", Eur J Neurol, 28(7), pp.2156~2167 (2021)
  6. Hertenstein E, "Insomnia as a predictor of mental disorders : a systematic review and meta-analysis", Sleep Med Rev, 43, pp.96~105 (2019)
  7. Kroese FM, "Bedtime procrastination : a self-regulation perspective on sleep insufficiency in the general population", J Health Psychol, 21(5), pp.853~862 (2016)
  8. Chung SJ, "What do people do before going to bed? A study of bedtime procrastination using time use surveys", Sleep, 43(4), pp.zsz267~ (2020)
  9. Hill VM, "Go to bed! A systematic review and meta-analysis of bedtime procrastination correlates and sleep outcomes", Sleep Med Rev, 66, pp.101697~ (2022)
  10. Kroese FM, "Bedtime procrastination : introducing a new area of procrastination", Front Psychol, 5, pp.611~ (2014)
  11. Jeoung S, "A randomized controlled trial of a behavioral intervention for decreasing bedtime procrastination using a wait-list control group in a non-clinical sample of young adults", Sleep Med, 108, pp.114~123 (2023)
  12. Yamada K, "Clinical effectiveness of Oren-gedoku-to for insomnia associated with acute schizophrenia and other psychotic disorders", Kampo Med, 47(5), pp.827~831 (1997)
  13. Choi Y, "Effect of herbal medicine(Huanglian-jie-du granule)for somatic symptoms and insomnia in patients with Hwa-byung : a randomized controlled trial", Integr Med Res, 10(2), pp.100453~ (2021)
  14. Lee JE, "The cost-effectiveness analysis of Gamiguibi-tang versus Hwangryunhaedoktang for patients with insomnia disorder based on a randomized controlled trial", Healthcare(Basel), 10(11), pp.2157~ (2022)
  15. Roh M, "A patient with moderate insomnia improved after treatment with Yukmijihwang-tang(Liuwei Dihuang tang), Hwangryunhaedok-tang(Huanglian Jiedu tang), and electroacupuncture : a case report", J Internal Korean Med, 41(3), pp.494~501 (2020)
  16. Kim CH, "Two case reports of tapering sedative-hypnotic drugs through classical conditioning using herbal medicine(CARE-compliant)", Explore(NY), 19(3), pp.434~438 (2023)
  17. Troxel WM, "Clinical management of insomnia with brief behavioral treatment(BBTI)", Behav Sleep Med, 10(4), pp.266~279 (2012)
  18. Bastien CH, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research", Sleep Med, 2(4), pp.297~307 (2001)
  19. Cho YW, "Validation of a Korean version of the insomnia severity index", J Clin Neurol, 10(3), pp.210~215 (2014)
  20. An H, "Validation of the Korean Bedtime Procrastination Scale in young adults", J Sleep Med, 16(1), pp.41~47 (2019)
  21. Beck AT, "An inventory for measuring clinical anxiety : psychometric properties", J Consult Clin Psychol, 56(6), pp.893~897 (1988)
  22. Lee HK, "Psychometric properties of the Beck Anxiety Inventory in the communitydwelling sample of Korean adults", Korean J Clin Psychol, 35(4), pp.822~830 (2016)
  23. Bae KH, "Development on the questionnaire of cold-heat pattern identification based on usual symptoms : reliability and validation study", J Physiol Pathol Korean Med, 32(5), pp.341~346 (2018)
  24. Spitzer RL, "Validation and utility of a self-report version of PRIME-MD : the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire", JAMA, 282(18), pp.1737~1744 (1999)
  25. Oh ES, "The effects of a brief intervention for insomnia on community dwelling older adults", Sleep Med Psychophysiol, 25(2), pp.74~81 (2018)
  26. Buysse DJ, "The Pittsburgh Sleep Quality Index : a new instrument for psychiatric practice and research", Psychiatry Res, 28(2), pp.193~213 (1989)
  27. Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep Breath, 16(3), pp.803~812 (2011)
  28. Cohen S, "Measuring stress : a guide for health and social scientists", Open J Depress, 10, pp.1~2 (1994)
  29. Lee J, "The reliability and validity studies of the Korean version of the Perceived Stress Scale", Korean J Psychosom Med, 20(2), pp.127~134 (2012)
  30. Beck AT, "Beck Anxiety Inventory: manual", pp.22~ (1990), Psychological Corp
  31. Harris B, "Examining the psychometric properties of the Smartphone Addiction Scale and its short version for use with emerging adults in the U. S", Compute Human Behav Rep, 1, pp.100011~ (2020)
  32. Kwon M, "The smartphone addiction scale : development and validation of a short version for adolescents", PLoS One, 8(12), pp.e83558~ (2013)
  33. Jang H, "Development of institutional data repository for research data gathering and sharing", J Knowl Inf Technol Syst, 16(4), pp.639~663 (2021)
  34. Cui G, "Longitudinal relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms in Chinese college students : a cross-lagged panel analysis", BMC Psychiatry, 21(1), pp.449~ (2021)
  35. Chen S, "Bidirectional relations between problematic smartphone use and bedtime procrastination among Chinese university students : self-control as a mediator", Sleep Med, 112, pp.53~62 (2023)
  36. Zhang MX, "The prospective effect of problematic smartphone use and fear of missing out on sleep among Chinese adolescents", Curr Psychol, 42, pp.5297~5305 (2023)

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