失眠及其治疗方法 - - 随机临床试验的趋势分析和出版资料
Viviane Akemi Kakazu1, Marcia Assis2, Andrea Bacelar3
1Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brasil.
Npj biological timing and sleep
|March 3, 2026
概括
这项研究分析了失眠的随机对照试验 (RCT),发现越来越多的非药物治疗方法,如失眠的数字认知行为疗法 (dCBT-I). 研究表明,尽管存在一些质量问题,但这些干预措施的转变正在发生.
科学领域:
- 睡眠医学 睡眠医学
- 临床研究方法论 临床研究方法论
背景情况:
- 失眠是影响成年人群的普遍睡眠障碍.
- 随机对照试验 (RCT) 对于评估治疗疗效至关重要.
- 了解失眠RCT的出版趋势可以为研究重点和临床实践提供信息.
研究的目的:
- 系统地审查和描述成年人的随机对照试验 (RCT) 的出版档案,非并发性失眠.
- 为了确定药理与非药理干预失眠的趋势.
- 分析关键失眠治疗的出版时间表和出版量.
主要方法:
- 进行了一项系统性审查,以确定失眠干预措施的RCT.
- 研究根据治疗类型进行分类:药理学,非药理学或两者兼而有之.
- 获取和分析了出版数据,包括出版年和干预类型.
主要成果:
- 总共确定了132个RCT,其中大多数 (71) 专注于非药物治疗.
- 对失眠的认知行为疗法 (CBT-I),无论是面对面还是数字 (dCBT-I),以及佐洛皮是最频繁发表的干预措施.
- 数字CBT-I显示了2019年的中位数出版年,而面对面的CBT-I是2018年,索尔皮是2008年.
- 近年来,非药物干预,特别是CBT-I和dCBT-I的出版量有所增加.
- 与药物干预相比,非药物学RCT的方法质量通常较低.
结论:
- 有一个明显的转变,越来越多的出版物专注于治疗失眠的非药物干预.
- 数字CBT-I和面对面的CBT-I在最近的失眠治疗试验中代表了重要的研究领域.
- 可能需要进一步的研究来提高非药物失眠RCT的方法严格性.
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