对于NREM睡眠障碍的行为和心理治疗:一个系统的审查
Jennifer M Mundt1, Matthew D Schuiling2, Chloe Warlick3
1Department of Neurology, Northwestern University Feinberg School of Medicine, Abbott Hall 11th Floor, 710 N Lake Shore Drive, Chicago, IL, 60611, USA; Center for Circadian and Sleep Medicine, Northwestern University Feinberg School of Medicine, USA.
Sleep medicine
|September 16, 2023
概括
对非快速眼动 (NREM) 睡眠障碍的行为和心理干预有很大差异. 虽然证据有限,但多组分认知行为疗法,睡眠卫生和催眠对管理这些睡眠障碍有很大的希望.
科学领域:
- 睡眠医学 睡眠医学
- 心理学 心理学 心理学
- 神经学 神经学
背景情况:
- 非快速眼球运动 (NREM) 的睡眠障碍从良性到有害,影响睡眠质量和安全.
- 尽管描述了许多行为策略,但对NREM睡眠梦管理的综合性审查缺乏.
- 本系统性审查旨在巩固和评估NREM睡眠梦症的行为和心理干预措施.
研究的目的:
- 系统地审查和总结NREM睡眠梦症的行为和心理干预措施.
- 根据现有文献,评估各种治疗方式的疗效.
- 为了识别NREM异常睡眠症的管理趋势.
主要方法:
- 从2021年3月到2023年2月,在多个数据库 (MEDLINE,Cochrane,CINAHL,PsycINFO,Web of Science) 进行系统的文献搜索.
- 包括四种语言的72个出版物,重点关注混性唤醒,性梦,睡眠行走,睡眠恐惧,与睡眠相关的饮食障碍和类睡眠重叠障碍.
- 由于缺乏标准化结果措施的叙事综合方法;使用Joanna Briggs Institute工具评估偏差风险.
主要成果:
- 催眠 (33篇出版物) 和心理治疗 (31篇出版物) 是最常见的治疗方法.
- 其他干预措施包括睡眠卫生 (19),教育/放心 (15),放松 (10),预定唤醒 (9),睡眠延长/午睡 (9),和正念 (5).
- 证据支持多组分认知行为疗法 (CBT),睡眠卫生,预定唤醒和催眠,尽管研究设计和结果测量的局限性.
结论:
- 有广泛的行为和心理干预措施存在于NREM睡眠睡症.
- 研究的局限性,包括追溯设计和缺乏验证的措施,阻碍了最终的疗效结论.
- 越来越多的趋势有利于多组分的CBT,专门针对NREM睡症的特定触发因素.
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