再培训
失眠症
临床试验
医学
睡眠(系统调用)
模式
随机对照试验
睡眠开始
睡眠起始潜伏期
物理疗法
心理学
物理医学与康复
精神科
社会科学
外科
病理
社会学
国际贸易
计算机科学
业务
操作系统
作者
Hannah Scott,Darah‐Bree Bensen‐Boakes,Nicole Lovato,Amy C. Reynolds,Michael L. Perlis,Leon Lack
摘要
Summary Intensive sleep retraining (ISR) is a brief behavioural treatment for sleep onset insomnia, administered in just a single overnight treatment session. This systematic review evaluates existing trials about the efficacy of intensive sleep retraining for treating insomnia, to inform whether there is enough evidence to recommend its use for clinical practice. A systematic literature search was conducted across three databases, yielding 108 results. Of these studies, three were deemed suitable for inclusion in this review. The included studies consistently reported significant reductions in insomnia symptoms following intensive sleep retraining, particularly decreases in sleep diary‐derived sleep latency and increases in total sleep time. Based on these inconclusive but promising findings, a research agenda is proffered to test intensive sleep retraining as a treatment for insomnia. Large randomised controlled trials are needed to elucidate the potential benefits of intensive sleep retraining for different populations with insomnia, as are mechanistic trials to test which components underlie its seemingly therapeutic effects. Since more practical modalities of intensive sleep retraining administration have been developed, such trials are more feasible to conduct now than ever before.
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