“…Of those, 2 were not eligible because they did not contain a focus on insomnia ( n = 2), 1 was not eligible primarily because it was not focused on CAM ( n = 1), and 1 was focused on the evaluation/diagnosis of insomnia rather than the management/treatment of insomnia ( n = 1), leaving 9 CPGs eligible for review [ 32 – 40 ]. Six out of the 9 CPGs made CAM therapy recommendations [ 32 , 33 , 35 , 37 – 39 ]; of the remaining 3 CPGs, 1 CPG only contained mention of CAM [ 34 ], and 2 CPGs contained neither CAM mentions nor CAM recommendations [ 36 , 40 ]. Fig.…”
Background
Sleep disorders encompass a wide range of conditions which affect the quality and quantity of sleep, with insomnia being a specific type of sleep disorder of focus in this review. Complementary and alternative medicine (CAM) is often utilized for various sleep disorders. Approximately 4.5% of individuals diagnosed with insomnia in the United States have used a CAM therapy to treat their condition. This systematic review identifies the quantity and assesses the quality of clinical practice guidelines (CPGs) which contain CAM recommendations for insomnia.
Methods
MEDLINE, EMBASE and CINAHL were systematically searched from 2009 to 2020, along with the Guidelines International Network, the National Center for Complementary and Integrative Health website, the National Institute for Health and Care Excellence, and the Emergency Care Research Institute. CPGs which focused on the treatment and/or management of insomnia in adults were assessed with the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument.
Results
From 277 total results, 250 results were unique, 9 CPGs mentioned CAM for insomnia, and 6 out of the 9 made CAM recommendations relevant to insomnia. Scaled domain percentages from highest to lowest were scope and purpose, clarity of presentation, editorial independence, stakeholder involvement, rigour of development, and applicability. Quality varied within and across CPGs.
Conclusions
The CPGs which contained CAM recommendations for insomnia and which scored well could be used by health care professionals and patients to discuss the use of CAM therapies for the treatment/management of insomnia, while CPGs which scored lower could be improved in future updates according to AGREE II.
“…Of those, 2 were not eligible because they did not contain a focus on insomnia ( n = 2), 1 was not eligible primarily because it was not focused on CAM ( n = 1), and 1 was focused on the evaluation/diagnosis of insomnia rather than the management/treatment of insomnia ( n = 1), leaving 9 CPGs eligible for review [ 32 – 40 ]. Six out of the 9 CPGs made CAM therapy recommendations [ 32 , 33 , 35 , 37 – 39 ]; of the remaining 3 CPGs, 1 CPG only contained mention of CAM [ 34 ], and 2 CPGs contained neither CAM mentions nor CAM recommendations [ 36 , 40 ]. Fig.…”
Background
Sleep disorders encompass a wide range of conditions which affect the quality and quantity of sleep, with insomnia being a specific type of sleep disorder of focus in this review. Complementary and alternative medicine (CAM) is often utilized for various sleep disorders. Approximately 4.5% of individuals diagnosed with insomnia in the United States have used a CAM therapy to treat their condition. This systematic review identifies the quantity and assesses the quality of clinical practice guidelines (CPGs) which contain CAM recommendations for insomnia.
Methods
MEDLINE, EMBASE and CINAHL were systematically searched from 2009 to 2020, along with the Guidelines International Network, the National Center for Complementary and Integrative Health website, the National Institute for Health and Care Excellence, and the Emergency Care Research Institute. CPGs which focused on the treatment and/or management of insomnia in adults were assessed with the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument.
Results
From 277 total results, 250 results were unique, 9 CPGs mentioned CAM for insomnia, and 6 out of the 9 made CAM recommendations relevant to insomnia. Scaled domain percentages from highest to lowest were scope and purpose, clarity of presentation, editorial independence, stakeholder involvement, rigour of development, and applicability. Quality varied within and across CPGs.
Conclusions
The CPGs which contained CAM recommendations for insomnia and which scored well could be used by health care professionals and patients to discuss the use of CAM therapies for the treatment/management of insomnia, while CPGs which scored lower could be improved in future updates according to AGREE II.
“…Данные изменения в «циркадной системе хронометража» обусловлены несоответствиями между временем эндогенного циркадного ритма и временем цикла сна-бодрствования, что в некоторых случаях диктуется академическим расписанием или рабочим графиком. Клиническая картина CRSD нередко зависит от комбинации физиологических, поведенческих и средовых факторов [15][16][17].…”
Presently, a lot of data indicate that the disturbance of mechanisms underlying the regulation of sleep-waking cycle coincides with the mechanisms underlying the development of depression. The disturbance of circadian rhythms is one of the core factors in the genesis of the most affective disorders including depression, which indicates the role of the internal biological clock in the pathophysiology of affective disorders. The episodes of depression, mania or hypomania may result from the disturbances in endogenous biological timing. In this review, we have summarized the literature data obtained in animal models or in the patients with affective pathology, in which the connection between the function of sleep and depression was demonstrated. Specifically, we highlight the mechanisms underlying sleep dysfunction during depression (imbalance of circadian rhythms, melatonin metabolism and mechanisms of neuroinflammatory dysregulation) and provide an evidence for the link between sleep function and depression (sleep disturbances during depressive episodes, the effects of pharmacotherapy, chronotherapy, the effect of sleep deprivation, comorbidity of obstructive sleep apnea and depression).
“…Sleep disturbances in individuals with cancer may be even more exacerbated in those with cancer-related fatigue, which is another common symptom in this population [7,8]. Similar to the general population with sleep disturbances, a pharmacological approach is typically one of the most common options for treating sleep disturbances in cancer survivors, especially in the acute stages [9,10]. But as sleep disturbances in cancer survivors are typically a chronic problem, non-pharmacological treatments may be beneficial as they will reduce the potential adverse outcomes associated with long-term pharmacological usage.…”
Purpose
Cancer survivors may experience sleep disturbances during and after their cancer treatments. While pharmacological approaches are commonly used to address sleep disturbances, they may have a number of adverse effects. This review studied the effect of two non-pharmacological interventions (massage and relaxation therapy) on sleep disturbances in cancer survivors.
Methods
A search for randomised controlled trials (RCTs) was conducted on PubMed, Scopus, Web of Science, PEDro, and CINAHL using relevant keywords.
Results
The search yielded 371 articles, with 4 RCTs studying massage therapy and 3 RCTs studying relaxation therapy included for qualitative analysis. Massage therapy studies showed statistically significant improvement in self-reported sleep questionnaires and objectively recorded long sleep episodes, as assessed via an accelerometer. No significant improvements in sleep outcomes were observed in the relaxation therapy studies, although there were trends for improved self-reported sleep quality.
Conclusion
While massage therapy provided by massage therapists may have some potential for improving sleep outcomes for cancer survivors, there is no such current evidence regarding relaxation therapy.
Implications for Cancer Survivors
Cancer survivors who experience sleep disturbances may benefit from regular sessions with a massage therapist. However, future studies should examine the long-term feasibility of massage therapist–delivered services, particularly for cancer survivors with limited finances, and determine if benefits can be obtained if massage is provided by non-certified individuals. Relaxation therapy appears to be safe for cancer survivors, but future RCTs involving larger sample sizes need to be conducted to better determine its feasibility and efficacy.
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