改善性格障碍成年人睡眠质量的干预措施:系统性审查
Jacob D King1,2, Shee Cheng1, Marcella Lei-Yee Fok1
1Central and North West London NHS Foundation Trust, London, UK.
Personality and mental health
|September 7, 2023
概括
改善个性障碍 (PD) 患者的睡眠质量缺乏强有力的证据. 目前对PD睡眠问题的干预措施的研究有限且质量不佳,需要进一步调查.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 心理学 心理学 心理学
背景情况:
- 睡眠质量差在被诊断为人格障碍 (PD) 的个人中很普遍.
- 与PD相关的认知和行为特征可以导致并维持睡眠障碍.
- 目前还没有对针对PD患者睡眠质量的干预措施进行全面审查.
研究的目的:
- 系统地审查和综合有关旨在改善性格障碍成年人睡眠质量的干预措施有效性的证据.
- 确定现有的干预措施,并评估它们对这一特定患者群体睡眠质量的影响.
主要方法:
- 在多个数据库中进行结构化搜索,以寻找涉及PD成年人的干预研究和验证的睡眠质量测量,直到2022年11月.
- 排除单一病例报告,并使用标准化偏差风险工具评估研究质量.
- 系统地从研究作者那里寻找未报告的数据.
主要成果:
- 九项研究符合纳入标准,包括多种干预措施 (心理,药物等). 和结果措施.
- 由于所有研究都存在显著的偏差风险,元分析方法是不可行的;结果是以叙事方式合成的.
- 改善PD患者睡眠质量的干预措施的证据基础目前有限且质量不佳.
结论:
- 需要对睡眠干预措施进行高质量的研究,特别是针对个性障碍患者的干预.
- 未来的试验应该考虑包括PD人群,并纳入睡眠结果测量.
- 需要进一步研究以确定PD睡眠障碍的有效治疗方法.
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