Department of Family and Community Medicine, The University of Arizona College of Medicine, Tucson, AZ 85719, USA.
Sleep Med. 2011 May;12(5):505-11. doi: 10.1016/j.sleep.2010.03.013. Epub 2010 Jul 29.
Homeopathy, a common form of alternative medicine worldwide, relies on subjective patient reports for diagnosis and treatment. Polysomnography offers a modern methodology for evaluating the objective effects of taking homeopathic remedies that clinicians claim exert effects on sleep quality in susceptible individuals. Animal studies have previously shown changes in non rapid eye movement sleep with certain homeopathic remedies.
Young adults of both sexes (ages 18-31) with above-average scores on standardized personality scales for either cynical hostility or anxiety sensitivity (but not both) and a history of coffee-induced insomnia participated in the month-long study. At-home polysomnographic recordings were obtained on successive pairs of nights once per week for a total of eight recordings (nights 1, 2, 8, 9, 15, 16, 22, 23). Subjects (N=54) received placebo pellets on night 8 (single-blind) and verum pellets on night 22 (double-blind) in 30c doses of one of two homeopathic remedies, Nux Vomica or Coffea Cruda. Subjects completed daily morning sleep diaries and weekly Pittsburgh sleep quality index scales, as well as profile of mood states scales at bedtime on polysomnography nights.
Verum remedies significantly increased PSG total sleep time and NREM, as well as awakenings and stage changes. Changes in actigraphic and self-rated scale effects were not significant.
The study demonstrated the feasibility of using in-home, all-night sleep recordings to study homeopathic remedy effects. Findings are similar though not identical to those reported in animals with the same remedies. Possible mechanisms include initial disruption of the nonlinear dynamics of sleep patterns by the verum remedies.
顺势疗法是一种常见的替代医学形式,在全球范围内得到广泛应用,它依赖于主观的患者报告进行诊断和治疗。多导睡眠图提供了一种现代的方法,可以评估顺势疗法药物对睡眠质量的客观影响,临床医生声称这些药物对易感个体有影响。动物研究先前已经表明,某些顺势疗法药物会改变非快速眼动睡眠。
具有平均以上评分的青年成年人(年龄在 18-31 岁之间),这些评分是基于标准化人格量表评估的,要么是愤世嫉俗的敌意,要么是焦虑敏感(但不是两者都有),并且有咖啡引起的失眠史,参与了为期一个月的研究。每周在家进行两次连续的多导睡眠图记录,总共进行了 8 次记录(第 1、2、8、9、15、16、22、23 夜)。受试者(N=54)在第 8 夜(单盲)接受安慰剂丸,在第 22 夜(双盲)接受 30c 剂量的两种顺势疗法药物之一的真实丸,即 Nux Vomica 或 Coffea Cruda。受试者在多导睡眠图夜间完成每日早晨睡眠日记和每周匹兹堡睡眠质量指数量表,以及心境状态量表。
真实药物显著增加了 PSG 总睡眠时间和 NREM,以及觉醒和阶段变化。活动记录仪和自我评定量表效应的变化不显著。
该研究证明了使用家庭式、整夜睡眠记录来研究顺势疗法药物效果的可行性。研究结果与相同药物的动物研究报告相似,但不完全相同。可能的机制包括真实药物最初破坏了睡眠模式的非线性动力学。