Treatments for somnambulism in adults: Assessing the evidence

被引：42

作者：

Harris, Melanie ^{[1
]}

Grunstein, Ronald R. ^{[2
,3
]}

机构：

[1] Flinders Univ S Australia, Adelaide Inst Sleep Hlth, Australasian Sleep Trials Network, Adelaide, SA, Australia

[2] Univ Sydney, Woolcock Inst Med Res, Sydney, NSW 2006, Australia

[3] Univ Sydney, Ctr Resp & Sleep Med, Natl Hlth & Med Res Council, Sydney, NSW 2006, Australia

来源：

SLEEP MEDICINE REVIEWS | 2009年 / 13卷 / 04期

关键词：

Somnambulism; Clinical trials; Evidence based medicine; NIGHT-TERRORS; SLEEPWALKING; SLEEP; PARASOMNIAS; POPULATION; HYPNOSIS;

D O I：

10.1016/j.smrv.2008.09.003

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Somnambulism, or sleepwalking, is a parasomnia of non-rapid eye movement (NREM) sleep where movement behaviours usually confined to wakefulness are displayed during sleep. Generally, if sleepwalking is causing distress or danger in spite of safety measures, medical or psychological treatment is indicated. Clinicians will need to assess the evidence for treatment options. MEDLINE, EMBASE, PsycINFO and the Ovid Evidence-Based Medicine Reviews (EBM) multifile databases were searched. No properly powered rigorous controlled trials were found for treatment of sleepwalking in adults. Seven reports described small trials with some kind of control arm, or retrospective case series which included 30 or more patients. With no high quality evidence to underpin recommendations for treatments of somnambulism, full discussion with patients is advised. Adequately powered, well-designed clinical trials are now needed, and multi-centre collaborations may be required to obtain the sample sizes required. (C) 2008 Elsevier Ltd. All rights reserved.

引用

页码：295 / 297

页数：3

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