非药物干预绝经相关失眠的有效性：系统回顾和贝叶斯网络荟萃分析

IF 3.6 2区医学 Q2 GERIATRICS & GERONTOLOGY

Maturitas Pub Date : 2025-08-30 DOI:10.1016/j.maturitas.2025.108713

Zhongli Wang , Haoyu Yang , Shutong Li , Lu Cheng , Yuan Yuan , Ying Bai , Jianbang Su , Yiqi Li , Tao Wang , Zhenhua Xu

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引用次数: 0

摘要

背景非药物治疗被广泛用于改善绝经期失眠妇女的睡眠质量。有必要澄清在随机对照试验中研究的非药物疗法中哪一种是最有效的，并全面评估其影响。方法我们对PubMed、Embase、Cochrane Central Register of Controlled Trials和Web of Science进行了系统的检索，检索时间从它们成立到2025年5月25日。为了分析和可视化我们的结果，我们使用了R统计软件中的“BUGSnet”和“JAGS”包。采用随机效应模型，我们计算连续结果的效应大小为平均差异（MD）。此外，我们使用RoB2工具对我们的研究进行了质量评估。结果筛选的1925项研究中，有44项纳入最终分析。研究结果显示，与对照组相比，放松、认知行为疗法、正念疗法、芳香疗法、针灸、按摩、瑜伽和运动都能显著改善睡眠质量。正念组的MD值为- 5.61 (95% CrI: - 8.70至- 2.50)，运动组的MD值为- 2.40 （95% CrI: - 4.19至- 0.62）。基于SUCRA，正念也是最有效的。结论放松疗法、认知行为疗法、正念疗法、芳香疗法、针灸、按摩、瑜伽和运动均能显著改善睡眠质量，其中正念疗法效果最好。

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Effectiveness of nonpharmacological interventions for menopause-related insomnia: A systematic review and Bayesian network meta-analysis

Background

Nonpharmacological therapies are widely used to improve the sleep quality of menopausal women experiencing insomnia. It is necessary to clarify which of the nonpharmacological therapies studied in randomized controlled trials are most effective and comprehensively evaluate their impacts.

Method

We conducted a systematic search across PubMed, Embase, the Cochrane Central Register of Controlled Trials, and the Web of Science from their inception until May 25, 2025. To analyze and visualize our results, we utilized the “BUGSnet” and “JAGS” packages within the R statistical software. Employing a random-effects model, we calculated effect sizes as mean differences (MD) for continuous outcomes. Furthermore, we performed a quality assessment of our study using the RoB2 tool.

Results

Out of 1925 studies screened, 44 were included in the final analysis. The findings revealed that, compared with a control condition, relaxation, cognitive behavioral therapy, mindfulness, aromatherapy, acupuncture, massage, yoga and exercise all significantly improved sleep quality. The MD values ranged from −5.61 (95 % CrI: −8.70 to −2.50) for mindfulness to −2.40 (95 % CrI: −4.19 to −0.62) for exercise. Mindfulness was also the most effective based on SUCRA.

Conclusion

Relaxation, cognitive behavioral therapy, mindfulness, aromatherapy, acupuncture, massage, yoga and exercise all significantly improve sleep quality and mindfulness is the most effective.

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来源期刊

Maturitas 医学-妇产科学

CiteScore

9.10

自引率

2.00%

发文量

142

审稿时长

40 days

期刊介绍： Maturitas is an international multidisciplinary peer reviewed scientific journal of midlife health and beyond publishing original research, reviews, consensus statements and guidelines, and mini-reviews. The journal provides a forum for all aspects of postreproductive health in both genders ranging from basic science to health and social care. Topic areas include:• Aging• Alternative and Complementary medicines• Arthritis and Bone Health• Cancer• Cardiovascular Health• Cognitive and Physical Functioning• Epidemiology, health and social care• Gynecology/ Reproductive Endocrinology• Nutrition/ Obesity Diabetes/ Metabolic Syndrome• Menopause, Ovarian Aging• Mental Health• Pharmacology• Sexuality• Quality of Life