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What do Cochrane systematic reviews say about interventions for insomnia?

Identifieur interne : 000666 ( Main/Exploration ); précédent : 000665; suivant : 000667

What do Cochrane systematic reviews say about interventions for insomnia?

Auteurs : Florence De Lucca Melo [Brésil] ; Juan Fulgencio Welko Mendoza [Brésil] ; Carolina De Oliveira Cruz Latorraca [Brésil] ; Rafael Leite Pacheco [Brésil] ; Ana Luiza Cabrera Martimbianco [Brésil] ; Daniela Vianna Pachito [Brésil] ; Rachel Riera [Brésil]

Source :

RBID : pubmed:30892489

Descripteurs français

English descriptors

Abstract

CONTEXT AND OBJECTIVE

Insomnia is a frequent complaint that generates more than five million visits to doctors per year in the United States. This study summarizes all Cochrane systematic reviews (SRs) that evaluated interventions to treat insomnia.

DESIGN AND SETTING

Review of SRs, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP).

METHODS

A sensitive search was carried out in the Cochrane Database of Systematic Reviews to identify Cochrane SRs that assessed the effects of any type of intervention for people with insomnia. The results, main characteristics of the SRs and the certainty of the evidence obtained from them were synthesized and discussed.

RESULTS

Seven SRs were included. They addressed the benefits and harm of acupuncture (n = 1), behavioral interventions (n = 1), music (n = 1), pharmacotherapy (n = 2), phototherapy (n = 1) and physical exercise (n = 1). The certainty of the evidence ranged from moderate to very low.

CONCLUSION

Acupuncture, music, physical exercise, paroxetine, doxepin, trimipramine and trazodone seem to present some benefit for patients with insomnia. However, the uncertainty around these results means that no robust and definitive recommendations for clinical practice can be made until the benefits and harms from each intervention for patients with insomnia have been confirmed through further studies.


DOI: 10.1590/1516-3180.2018.0380311018
PubMed: 30892489


Affiliations:


Links toward previous steps (curation, corpus...)


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<b>CONTEXT AND OBJECTIVE</b>
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<p>Insomnia is a frequent complaint that generates more than five million visits to doctors per year in the United States. This study summarizes all Cochrane systematic reviews (SRs) that evaluated interventions to treat insomnia.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN AND SETTING</b>
</p>
<p>Review of SRs, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP).</p>
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<p>
<b>METHODS</b>
</p>
<p>A sensitive search was carried out in the Cochrane Database of Systematic Reviews to identify Cochrane SRs that assessed the effects of any type of intervention for people with insomnia. The results, main characteristics of the SRs and the certainty of the evidence obtained from them were synthesized and discussed.</p>
</div>
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<p>
<b>RESULTS</b>
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<p>Seven SRs were included. They addressed the benefits and harm of acupuncture (n = 1), behavioral interventions (n = 1), music (n = 1), pharmacotherapy (n = 2), phototherapy (n = 1) and physical exercise (n = 1). The certainty of the evidence ranged from moderate to very low.</p>
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<p>
<b>CONCLUSION</b>
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<p>Acupuncture, music, physical exercise, paroxetine, doxepin, trimipramine and trazodone seem to present some benefit for patients with insomnia. However, the uncertainty around these results means that no robust and definitive recommendations for clinical practice can be made until the benefits and harms from each intervention for patients with insomnia have been confirmed through further studies.</p>
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