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From bidirectional pathophysiology to integrative therapeutics

Current status and future perspectives of acupuncture for tinnitus-insomnia comorbidity

Bibliographic Data

ID15518697
AuthorsHantong Hu (0000-0001-8759-5083, Zhejiang Chinese Medical University), Xiaohan Huang (0009-0006-5336-4985, Zhejiang Chinese Medical University), Yang Wang (0009-0007-0551-9820, The Third Affiliated Hospital of Zhejiang Chinese Medical University), Yang Li (0000-0002-2835-6661, The Third Affiliated Hospital of Zhejiang Chinese Medical University), Lianqiang Fang (0009-0009-1661-2371, The Third Affiliated Hospital of Zhejiang Chinese Medical University), Jie Zhou (0000-0003-2319-8673, Zhejiang Chinese Medical University), Hong Gao (0000-0001-5818-6715, Zhejiang Chinese Medical University, corresponding author)
Year2025
Volume16
Pages1688016-1688016
Publication date2025-12-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2025.1688016
PMID41425820
OpenAlexW4416977077
LanguageEN
References cited2

This perspective article discusses the complex bidirectional relationship between tinnitus and insomnia, a prevalent and burdensome comorbidity. It synthesizes evidence suggesting the conditions mutually exacerbate one another through shared pathophysiological mechanisms, including central hyperarousal, emotional dysregulation, and aberrant neural network connectivity. Our study then explores acupuncture as a potential integrated therapy. Preliminary clinical studies indicate acupuncture can concurrently alleviate both tinnitus and insomnia symptoms. Its therapeutic potential is attributed to multi-target effects, such as regulating the autonomic nervous system and HPA axis, modulating neurotransmitters and neuroinflammation, and normalizing functional brain networks. Our study concludes by highlighting the critical need for rigorous research focusing specifically on the comorbidity to validate these mechanisms and establish clinical efficacy

Acupuncture · Autonomic nervous system · Comorbidity · Perspective (graphical · Psychiatric comorbidity · Tinnitus · Hearing, Cochlea, Tinnitus, Genetics · Sleep and Wakefulness Research · Vestibular and auditory disorders

  • The hyperarousal model of insomnia

    Open Access•Dieter Riemann, Kai Spiegelhalder et al.•Sleep Medicine Reviews•2010

  • Comorbidity

    Open Access•Angélique O J Cramer, Lourens Waldorp et al.•Behavioral and Brain Sciences•2010

Citation velocityhistorical
Highly citedNo

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