Sleep interventions for adults admitted to psychiatric inpatient settings: A systematic scoping review

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY
Anne M. Aboaja , Lindsay H. Dewa , Amanda E. Perry , Jon F. Carey , Rachel Steele , Ahmed Abdelsamie , Gies T.A. Alhasan , Ishwari S. Sharma , Florence Watson , Scott A. Cairney
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Abstract

Sleep disturbances are common, affecting over half of adults with a mental disorder. For those admitted to a psychiatric ward, difficulties with sleep, particularly insomnia, are compounded by factors relating to the inpatient setting. We conducted a scoping review of sleep intervention studies involving adults admitted to psychiatric settings. We categorised the different types of sleep interventions and identified the effects on sleep and other mental and physical health outcomes. Instruments used to measure sleep were also examined. The search strategy yielded 4780 studies, of which 28 met the inclusion criteria. There was evidence of more non-pharmacological than pharmacological interventions having been tested in inpatient settings. Results indicated that non-pharmacological interventions based on cognitive behaviour therapy for insomnia improve sleep and may improve mental and physical health. Several distinct sleep measures were used in the studies. Gaps in the literature were identified, highlighting the importance of research into a wider range of sleep interventions tested against robust controls, using validated measures of sleep with evaluation of additional mental and physical health outcomes among a large sample size of adults in the psychiatric inpatient settings.

针对入住精神病院的成年人的睡眠干预措施:系统性范围界定审查
睡眠障碍很常见,影响着一半以上患有精神障碍的成年人。对于那些住在精神科病房的人来说,睡眠困难,尤其是失眠,会因为住院环境的相关因素而变得更加复杂。我们对涉及入住精神病院的成年人的睡眠干预研究进行了范围界定。我们对不同类型的睡眠干预进行了分类,并确定了其对睡眠和其他身心健康结果的影响。我们还研究了用于测量睡眠的工具。通过搜索策略共获得了 4780 项研究,其中 28 项符合纳入标准。有证据表明,在住院环境中测试过的非药物干预措施多于药物干预措施。结果表明,基于认知行为疗法的非药物干预治疗失眠症可改善睡眠,并可改善身心健康。研究中使用了几种不同的睡眠测量方法。研究发现了文献中存在的不足,强调了对更广泛的睡眠干预措施进行研究的重要性,这些干预措施通过使用有效的睡眠测量方法,在精神科住院病人的大样本量成人中进行测试,并对其他身心健康结果进行评估。
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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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