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Abstract

Background: Anidra (insomnia), widely recognized in Ayurvedic and modern medicine, is chiefly attributed to Vata dosha imbalance. With increasing insomnia prevalence linked to psychological comorbidities such as anxiety and depression, integrating standardized assessment tools is essential. The Pittsburgh Sleep Quality Index (PSQI), a globally validated instrument, offers potential for objectively assessing sleep disturbances within Ayurvedic practice. This study explores the diagnostic and evaluative role of PSQI in Anidra management and its mental health correlations.
Objective: To evaluate the utility of PSQI as a standardized diagnostic tool in Ayurvedic assessment of Anidra, and its correlation with anxiety and depression. Additionally, to compare the therapeutic outcomes of PSQI-guided Ayurvedic management with conventional Ayurvedic treatment.
Methods: A two-phase study design is proposed: (1) An observational survey using PSQI in 900 individuals across age groups (6–7, 12–13, and 18+ years) alongside mental health assessments using Hamilton Anxiety and Beck Depression scales. (2) A randomized comparative clinical trial involving 94 patients with diagnosed Anidra, split into Group A (conventional Ayurvedic therapy) and Group B (PSQI-guided Ayurvedic treatment), with interventions administered for 7 days and follow-up on Day 15. 
Results: The study anticipates standardizing PSQI thresholds for sleep assessment in Ayurvedic populations. It further expects superior clinical improvement in Group B through stratified therapy, with marked enhancements in sleep quality, anxiety, and depression scores.
Conclusion: This protocol establishes the relevance of PSQI as a reliable, integrative diagnostic tool for Anidra. Stratified Ayurvedic interventions based on PSQI scoring may enhance clinical precision and mental health outcomes, offering a robust model for personalized insomnia management within Ayurvedic frameworks. and previa. Majority of the mothers had recovered, while, a few had to be admitted to the ICU whereas some of them passed away. Various maternal outcomes included postpartum hemorrhage, peripartum hysterectomy and blood transfusion. Perinatal outcomes included preterm birth, still birth, NICU admission and death.