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A network meta-analysis of acupuncture therapy for female insomnia and negative emotions from the perspective of the perimenopausal window
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王
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DOI：10.3389/fneur.2025.1726927.png)
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Abstract
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BackgroundPerimenopausal women frequently experience insomnia and negative emotions due to hormonal fluctuations. Acupuncture; a traditional Chinese therapy; has attracted significant interest for its potential to regulate endocrine function and alleviate insomnia. Despite this; no systematic review has hitherto evaluated the efficacy of acupuncture on insomnia and negative emotions in perimenopausal women. This network meta-analysis was conducted to assess the therapeutic effects of acupuncture on these conditions; thereby generating robust clinical evidence to inform evidence-based practice and guide future research directions.MethodsA systematic literature search was performed in multiple databases; such as PubMed; Web of Science; Medline; Scopus; Wanfang; CNKI; VIP Database; and CBM; covering all records from inception through November 2025. The primary outcome was measured using the Pittsburgh Sleep Quality Index (PSQI); while secondary outcomes were evaluated through various depression and anxiety scales; including the Kupperman Menopausal Index; Hamilton Anxiety Rating Scale; Hamilton Depression Rating Scale; Self-Rating Anxiety Scale; Self-Rating Depression Scale; Generalized Anxiety Disorder-7; Patient Health Questionnaire-9; Beck Depression Inventory; and Beck Anxiety Inventory.ResultsAccording to the network meta-analysis; the top three interventions identified for the improvement of PSQI scores were; in order: routine acupuncture combined with auricular acupuncture; auricular acupuncture combined with Western medicine; and routine acupuncture combined with Pentatonic therapy. Seven interventions demonstrated significant effects compared to SH (P < 0.05). Regarding negative moods; balance acupuncture combined with Xiaoyao powder; routine acupuncture combined with pentatonic therapy; and abdominal acupuncture combined with sedative prescription and western medicine ranked highest (P < 0.05).ConclusionThis network meta-analysis suggests that routine acupuncture combined with auricular acupuncture may be an effective intervention treatment for treating insomnia in perimenopausal women. Furthermore; balanced acupuncture combined with Xiaoyao powder may have a positive effect in alleviating negative emotions.
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