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一项关于睡眠干预治疗自杀意念疗效的系统评价与荟萃分析。

A systematic review and meta-analysis on the efficacy of sleep interventions to treat suicidal ideation.

作者信息

Mournet Annabelle M, Kleiman Evan M

机构信息

Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.

出版信息

J Sleep Res. 2024 Aug;33(4):e14133. doi: 10.1111/jsr.14133. Epub 2024 Jan 2.

Abstract

Researchers at the intersection of sleep and suicide research have advocated for investigation of sleep disturbances as a therapeutic target for the purposes of treating and preventing suicide. This study aims to provide the first systematic review and meta-analysis on the efficacy of sleep interventions to treat suicidal ideation. This systematic review and meta-analysis, registered with the International Prospective Register of Systematic Reviews, was conducted in PsycINFO, through Ovid. A sample of eight articles were deemed eligible and a total of 21 effect sizes were included. Egger's test suggested that no publication bias was present (b = 0.3695; p = 0.0852). The pooled effect size for sleep treatments on suicidal ideation was small (g = -0.0931, p = 0.3047). Significant heterogeneity was present (I = 44.13%), indicating the need for moderator analyses. Treatment type (medication versus psychotherapy; g = -0.2487, p = 0.3368), sex (g = -0.0007; p = 0.9263), and race (g = -0.0081; p = 0.1624) were all considered as moderators and were all found to be insignificant. This meta-analysis revealed that initial studies exploring the efficacy of sleep interventions on suicidal ideation demonstrate small effect sizes. Despite this, the handful of studies included in this review nonetheless highlight this as an important area for continued exploration. The use of larger and more diverse samples, as well as intentionally designing sleep-related interventions to improve ideation and behaviour, have the potential to enhance the efficacy of sleep interventions for this novel purpose.

摘要

睡眠与自杀研究领域的研究人员主张,将睡眠障碍作为治疗和预防自杀的治疗靶点进行研究。本研究旨在首次对睡眠干预治疗自杀意念的疗效进行系统评价和荟萃分析。这项系统评价和荟萃分析已在国际前瞻性系统评价注册库注册,通过Ovid在PsycINFO中进行。八篇文章被认为符合条件,共纳入21个效应量。Egger检验表明不存在发表偏倚(b = 0.3695;p = 0.0852)。睡眠治疗对自杀意念的合并效应量较小(g = -0.0931,p = 0.3047)。存在显著的异质性(I = 44.13%),表明需要进行调节分析。治疗类型(药物治疗与心理治疗;g = -0.2487,p = 0.3368)、性别(g = -0.0007;p = 0.9263)和种族(g = -0.0081;p = 0.1624)均被视为调节因素,且均无显著意义。这项荟萃分析表明,初步研究探索睡眠干预对自杀意念的疗效,效应量较小。尽管如此,本综述中纳入的少数研究仍强调这是一个需要继续探索的重要领域。使用更大、更多样化的样本,以及有意设计与睡眠相关的干预措施来改善意念和行为,有可能提高睡眠干预对这一新目的的疗效。

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