Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Brookline, MA 02446, USA.
J Clin Sleep Med. 2012 Dec 15;8(6):681-91. doi: 10.5664/jcsm.2264.
Though relaxation training is recommended for insomnia, national patterns of use remain unknown. Similarly, rates of complementary and alternative medicine (CAM) use by adults with insomnia are not well established. We sought to elucidate the patterns and reasons for use of relaxation techniques and CAM use by adults with insomnia symptoms.
We used the 2007 National Health Interview Survey (n = 23,358) to estimate prevalence of use among adults by self-reported insomnia symptom status. Among adults reporting insomnia symptoms (n = 4,415), we examined reasons for use and disclosure to medical professionals. We employed logistic regression to determine the adjusted associations between relaxation techniques use, CAM use, and insomnia symptoms.
Among adults with insomnia symptoms, 23% used relaxation techniques and 45% used CAM annually. After adjustment, adults with insomnia symptoms had higher likelihood of using relaxation techniques (aOR 1.48, 95% CI 1.32, 1.66) and CAM (aOR 1.29, 95% CI 1.15, 1.44) compared with adults without insomnia. Deep breathing exercise was the most commonly used relaxation technique. Fewer than 2% of adults with insomnia used CAM specifically for insomnia. Only 26% of adults with insomnia symptoms disclosed their relaxation techniques use to medical professionals. Being male, lower educational and physical activity levels, income < $20,000, living in South, and hypertension were associated with lower likelihood of relaxation techniques use among adults with insomnia symptoms.
While adults with insomnia symptoms commonly use relaxation techniques and CAM, few are using for their insomnia. Facilitating discussions about relaxation techniques may foster targeted use for insomnia.
尽管放松训练被推荐用于失眠，但全国的使用模式仍不清楚。同样，成年人使用补充和替代医学（CAM）治疗失眠的比率也尚未确定。我们试图阐明成年人使用放松技术和 CAM 的模式和原因，这些成年人有失眠症状。
我们使用 2007 年全国健康访谈调查（n=23358）来估计有失眠症状的成年人的使用率，这些成年人通过自我报告的失眠症状状况来进行评估。在报告有失眠症状的成年人（n=4415）中，我们检查了使用原因和向医疗专业人员披露的情况。我们采用逻辑回归来确定使用放松技术、CAM 使用与失眠症状之间的调整关联。
在有失眠症状的成年人中，有 23%的人每年使用放松技术，有 45%的人使用 CAM。经过调整后，与没有失眠的成年人相比，有失眠症状的成年人使用放松技术（调整后的比值比[OR]1.48，95%置信区间[CI]1.32，1.66）和 CAM（调整后的 OR1.29，95% CI1.15，1.44）的可能性更高。深呼吸运动是最常用的放松技术。不到 2%的失眠成年人使用 CAM 专门治疗失眠。只有 26%有失眠症状的成年人向医疗专业人员透露了他们使用放松技术的情况。在有失眠症状的成年人中，男性、较低的教育和身体活动水平、收入<20000 美元、居住在南部地区以及患有高血压与使用放松技术的可能性降低有关。
尽管有失眠症状的成年人普遍使用放松技术和 CAM，但很少有人将其用于治疗失眠。促进关于放松技术的讨论可能会促进针对失眠的有针对性使用。
