Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany.
Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany.
Sleep Med. 2019 Apr;56:151-156. doi: 10.1016/j.sleep.2019.01.008. Epub 2019 Jan 18.
Being a major health risk and very prevalent in the population, sleep problems are an important health care issue.
We used the 2017 National Health Interview Survey (NHIS) to study the prevalence of sleep problems and the use of mind body medicine (MBM) among individuals with sleep problems in a representative sample of the US population (N = 26,742). Using chi-squared tests and backward stepwise multiple logistic regression analyses, predictors of sleep problems and of MBM use in the past 12 months were identified.
The prevalence of sleep problems was 49.3%, with higher prevalence being associated with higher age, being female, being non-Hispanic White, and higher education. Among individuals with sleep problems, 29.8% used MBM vs. only 17.5% without. Being less than 30 years of age, female, non-Hispanic White, living in the Western US, having a higher education, and being diagnosed with heart disease predicted MBM use among individual's with sleep problems. Yoga (16.3%), spiritual meditation (13.6%), and mindfulness meditation (7.5%) were the most used MBM approaches.
The characteristics of individuals with sleep problems were largely in line with the literature, while notably Whites were more prone to sleep problems than other ethnicities. MBM treatments commonly used were yoga, spiritual meditation and mindfulness meditation; although evidence supports its use for sleep problems, tai chi was used rarely by the wider population. Further studies should explore reasons for ethnical differences in MBM use and why some effective MBM approaches are not commonly used.
睡眠问题是一个主要的健康风险，在人群中非常普遍，因此是一个重要的医疗保健问题。
我们使用 2017 年全国健康访谈调查（NHIS）的数据，研究了美国代表性人群中（N=26742）患有睡眠问题的个体中睡眠问题的流行程度以及身心医学（MBM）的使用情况。使用卡方检验和向后逐步多元逻辑回归分析，确定了睡眠问题和过去 12 个月中 MBM 使用的预测因素。
睡眠问题的患病率为 49.3%，年龄较高、女性、非西班牙裔白人和受教育程度较高与更高的患病率相关。在患有睡眠问题的个体中，有 29.8%使用了 MBM，而没有睡眠问题的个体中只有 17.5%使用了 MBM。年龄小于 30 岁、女性、非西班牙裔白人、居住在美国西部、受教育程度较高和被诊断患有心脏病的个体更有可能使用 MBM。瑜伽（16.3%）、精神冥想（13.6%）和正念冥想（7.5%）是最常用的 MBM 方法。
患有睡眠问题的个体的特征在很大程度上与文献一致，而值得注意的是，白人比其他族裔更容易出现睡眠问题。常用的 MBM 治疗方法是瑜伽、精神冥想和正念冥想；尽管有证据支持其用于治疗睡眠问题，但太极拳在更广泛的人群中使用较少。进一步的研究应探讨 MBM 使用方面的种族差异的原因，以及为什么一些有效的 MBM 方法没有得到广泛应用。
