University of Glasgow Sleep Centre, Sackler Institute of Psychobiological Research, Faculty of Medicine, Southern General Hospital, Glasgow G51 4TF, Scotland.
Sleep Med Rev. 2010 Feb;14(1):69-82. doi: 10.1016/j.smrv.2009.07.004. Epub 2009 Dec 4.
Health-related Quality of Life (HRQoL) has become an important construct in contemporary medicine and health care, permitting assessment of disorder burden and evaluation of interventions on various aspects of functioning, in a standardized manner. Here we review literature on the measurement of HRQoL in insomnia populations, and the extent to which insomnia treatment improves domains of HRQoL. It is concluded from the relatively small literature that insomnia impacts on diverse areas of HRQoL, and that both pharmacological and non-pharmacological interventions can produce, to varying degrees, improvements in domains spanning physical, social and emotional functioning. Limitations of the current literature are identified; with particular emphasis on measurement and conceptual shortcomings. Suggestions are made in relation to improving the quality of future research, and how to further shed light on the impact of insomnia - and treatment thereof - on both HRQoL and global quality of life.
健康相关生活质量(HRQoL)已成为当代医学和医疗保健中的一个重要概念,它允许以标准化的方式评估疾病负担和干预措施对各种功能方面的影响。在这里,我们回顾了关于失眠人群 HRQoL 测量的文献,以及失眠治疗在多大程度上改善了 HRQoL 领域。从相对较少的文献中可以得出结论,失眠会对 HRQoL 的多个领域产生影响,药物和非药物干预都可以在不同程度上改善跨越身体、社会和情感功能的领域。确定了当前文献的局限性,特别强调了测量和概念上的不足。就如何提高未来研究的质量以及如何进一步阐明失眠及其治疗对 HRQoL 和整体生活质量的影响提出了建议。