{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T22:25:58Z","timestamp":1759184758286,"version":"3.37.3"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T00:00:00Z","timestamp":1609286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Previous studies have revealed that the electroacupuncture or auricular\u2010point pressure as a single treatment approach is beneficial for relieving insomniac symptoms among patients under methadone maintenance treatment (MMT). This study is designed to evaluate the clinical efficacy of combining two treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was a randomized, controlled, crossover trial. A total of 50 participants were recruited from the Linsen Chinese Medicine and Kunming Branches of Taipei City Hospital and randomly assigned to Groups A (25 participants) and B (25 participants). In Group A (electroacupuncture at the Hegu point (LI4) and Zusanli point (ST36) and auricular\u2010point pressure on the Shenmen point) and Group B (only auricular\u2010point), the interventions were implemented biweekly for 4 weeks. After a 1\u2010week washout period, a crossover of the groups was performed. Sleep quality, according to the Pittsburgh Sleep Quality Index (PSQI), and daily attendance rate of MMT were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Combined therapy significantly improved sleep quality, especially in the PSQI subscales of subjective sleep quality (60.91% vs 20.93%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05) and sleep latency (42.59% vs 11.28%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). A significantly higher daily attendance rate was noted in combined therapy than single therapy (87%\u2009\u00b1\u20092% vs 82%\u2009\u00b1\u20092%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>The combination of the electroacupuncture with auricular\u2010point pressure demonstrated high efficacy for improving sleep quality and increasing MMT adherence compared with single therapy of auricular\u2010point pressure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>Combined therapy of the electroacupuncture and auricular\u2010point pressing should be introduced as a routine, facilitating treatment for patients under methadone maintenance. (Am J Addict 2020;00:00\u201300)<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.13134","type":"journal-article","created":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T23:00:34Z","timestamp":1609369234000},"page":"156-163","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Efficacy of Combined Electroacupuncture and Auricular Pressure on Sleep Quality in Patients Receiving Methadone Maintenance Treatment"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8242-6782","authenticated-orcid":false,"given":"Kai\u2010Chiang","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Chinese Medicine Taipei City Hospital, Linsen, Chinese Medicine, Kunming Branch  Taipei Taiwan"},{"name":"Institute of Traditional Medicine National Yang\u2010Ming University  Taipei 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