A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials Evaluating the Evidence Base of Melatonin, Light Exposure, Exercise, and Complementary and Alternative Medicine for Patients with Insomnia Disorder

被引:48
作者
Baglioni, Chiara [1 ,2 ]
Bostanova, Zarina [1 ]
Bacaro, Valeria [2 ]
Benz, Fee [1 ]
Hertenstein, Elisabeth [3 ]
Spiegelhalder, Kai [1 ]
Ruecker, Gerta [4 ]
Frase, Lukas [1 ]
Riemann, Dieter [1 ]
Feige, Bernd [1 ]
机构
[1] Univ Freiburg, Dept Psychiat & Psychotherapy, Med Ctr, Fac Med, D-79104 Freiburg, Germany
[2] Guglielmo Marconi Univ, Dept Human Sci, I-00193 Rome, Italy
[3] Univ Bern, Univ Hosp Psychiat & Psychotherapy, CH-3012 Bern, Switzerland
[4] Univ Freiburg, Inst Med Biometry & Stat, Med Ctr, Fac Med, D-79104 Freiburg, Germany
关键词
insomnia; melatonin; meditative movement therapies; exercise; transcranial magnetic resonance; hypnotherapy; network meta-analysis; COGNITIVE-BEHAVIORAL THERAPY; PROLONGED-RELEASE MELATONIN; SLEEP ONSET INSOMNIA; ALL-CAUSE MORTALITY; DOUBLE-BLIND; STRESS REDUCTION; MINDFULNESS MEDITATION; PERSISTENT INSOMNIA; BRIGHT LIGHT; ADULTS;
D O I
10.3390/jcm9061949
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Insomnia is a prevalent disorder and it leads to relevant impairment in health-related quality of life. Recent clinical guidelines pointed out that Cognitive-Behavior Therapy for Insomnia (CBT-I) should be considered as first-line intervention. Nevertheless, many other interventions are commonly used by patients or have been proposed as effective for insomnia. These include melatonin, light exposure, exercise, and complementary and alternative medicine. Evaluation of comparable effectiveness of these interventions with first-line intervention for insomnia is however still lacking. We conducted a systematic review and network meta-analysis on the effects of these interventions. PubMed, PsycInfo, PsycArticles, MEDLINE, and CINAHL were systematically searched and 40 studies were included in the systematic review, while 36 were entered into the meta-analysis. Eight network meta-analyses were conducted. Findings support effectiveness of melatonin in improving sleep-onset difficulties and of meditative movement therapies for self-report sleep efficiency and severity of the insomnia disorder. Some support was observed for exercise, hypnotherapy, and transcranial magnetic resonance, but the number of studies for these interventions is still too small. None of the considered interventions received superior evidence to CBT-I, which should be more widely disseminated in primary care.
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页数:25
相关论文
共 101 条
[1]   Yoga decreases insomnia in postmenopausal women: a randomized clinical trial [J].
Afonso, Rui Ferreira ;
Hachul, Helena ;
Kozasa, Elisa Harumi ;
Oliveira, Denise de Souza ;
Goto, Viviane ;
Rodrigues, Dinah ;
Tufik, Sergio ;
Leite, Jose Roberto .
MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, 2012, 19 (02) :186-193
[2]  
American Academy of Sleep Medicine, 2005, International Classification of Sleep Disorders2: diagnostic and coding manual, second edition (ICSD2), V2nd
[3]  
American Psychiatric Association, 2013, Diagnostic and Statistical Manual of Mental Disorders: DSM-5, V5th, DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
[5]   Reporting of results from network meta-analyses: methodological systematic review [J].
Bafeta, Aida ;
Trinquart, Ludovic ;
Seror, Raphaele ;
Ravaud, Philippe .
BMJ-BRITISH MEDICAL JOURNAL, 2014, 348
[6]   The European Academy for Cognitive Behavioural Therapy for Insomnia: An initiative of the European Insomnia Network to promote implementation and dissemination of treatment [J].
Baglioni, Chiara ;
Altena, Ellemarije ;
Bjorvatn, Bjorn ;
Blom, Kerstin ;
Bothelius, Kristoffer ;
Devoto, Alessandra ;
Espie, Colin A. ;
Frase, Lukas ;
Gavriloff, Dimitri ;
Tuuliki, Hion ;
Hoflehner, Andrea ;
Hoegl, Birgit ;
Holzinger, Brigitte ;
Jarnefelt, Heli ;
Jernelov, Susanna ;
Johann, Anna F. ;
Lombardo, Caterina ;
Nissen, Christoph ;
Palagini, Laura ;
Peeters, Geert ;
Perlis, Michael L. ;
Posner, Donn ;
Schlarb, Angelika ;
Spiegelhalder, Kai ;
Wichniak, Adam ;
Riemann, Dieter .
JOURNAL OF SLEEP RESEARCH, 2020, 29 (02)
[7]   Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies [J].
Baglioni, Chiara ;
Battagliese, Gemma ;
Feige, Bernd ;
Spiegelhalder, Kai ;
Nissen, Christoph ;
Voderholzer, Ulrich ;
Lombardo, Caterina ;
Riemann, Dieter .
JOURNAL OF AFFECTIVE DISORDERS, 2011, 135 (1-3) :10-19
[8]   Sleep and emotions: A focus on insomnia [J].
Baglioni, Chiara ;
Spiegelhalder, Kai ;
Lombardo, Caterina ;
Riemann, Dieter .
SLEEP MEDICINE REVIEWS, 2010, 14 (04) :227-238
[9]  
Barnes Patricia M, 2004, Adv Data, P1
[10]   Validation of the Insomnia Severity Index as an outcome measure for insomnia research [J].
Bastien, Celyne H. ;
Vallieres, Annie ;
Morin, Charles M. .
SLEEP MEDICINE, 2001, 2 (04) :297-307