失眠障碍的补充和替代治疗方法:一个系统的总体审查
Johanna Ell1, Sarah R Schmid1, Fee Benz1
1Department of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Centre - University of Freiburg, University of Freiburg, Freiburg, Germany.
Journal of sleep research
|August 1, 2023
概括
针和心身炼等替代疗法对改善失眠症状显示出有希望. 虽然像黑激素这样的一些治疗方法有助于睡眠,但整体证据质量较低,需要进一步进行高质量的研究.
科学领域:
- 睡眠医学 睡眠医学
- 整合和补充医学是整合和补充医学.
背景情况:
- 失眠很普遍,失眠的认知行为疗法 (CBT-I) 是第一线治疗.
- CBT-I的可用性有限,药物对长期使用不理想,因此需要替代性失眠治疗.
- 现有的关于替代失眠治疗的研究是分散的,缺乏全面的综合.
研究的目的:
- 系统地审查和总结关于失眠替代治疗方法有效性的证据.
- 与安慰剂或等待名单对照相比,确定哪些替代疗法对失眠症状表现出有效性.
- 评估关于替代性失眠干预措施的现有研究质量.
主要方法:
- 在主要数据库 (PubMed,MEDLINE,PsycInfo,PsycArticles) 进行了对随机对照试验的系统审查和元分析的系统搜索,直到2022年12月6日.
- 包括专注于患有失眠障碍的成年人的研究,将替代治疗与等待列表或安慰剂对照进行比较.
- 确定了15项符合条件的研究,检查了诸如针,黑激素,心身炼,rTMS,草和光照等干预措施.
主要成果:
- 针,重复性跨磁刺激 (rTMS) 和心身运动显著改善了主观睡眠质量和失眠严重程度.
- 外源性黑激素减少了自我报告和客观测量的睡眠开始延迟.
- 暴露于光线和草并没有显著改善睡眠结果;整体研究质量被评为低.
结论:
- 替代疗法显示出改善主观失眠症状的潜力,针,rTMS和心身炼具有显著的效果.
- 黑素似乎对睡眠开始的延迟有效,但对其他干预措施的证据稀少或不确定的,特别是在客观睡眠测量方面.
- 需要高质量的原始研究来确认疗效,未来的研究可以探索将替代疗法与CBT-I结合起来.
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