Abstract：
BACKGROUND:The popularity of biofeedback as a non-pharmacological treatment option for insomnia has increased in recent times despite inconsistent empirical evidence for its therapeutic efficacy. OBJECTIVE:The purpose of the current review was to systematically assess the efficacy of using biofeedback to treat insomnia. METHODS AND RESULTS:A search of electronic databases (PubMED, MEDLINE, OvidSP, Ovid EMBASE, PsychInfo, The Cochrane Library including Cochrane Reviews), clinical trials databases and registries (Clinical Trials Database [US], Australian New Zealand Clinical Trials Registry [ANZCTR]) and online journal (eg, SLEEP, Sleep Medicine) identified 92 studies. Of these, 50 publications were descriptive or review papers about use of biofeedback for the treatment of insomnia, while an additional 37 did not meet the detailed inclusion criteria (ie not original research, participants do not meet the diagnostic criteria for insomnia). Six full-text articles met inclusion criteria and were included in this review. Methodological flaws including poor study design (small sample size, lack of control group) limit the validity of the body of work in this field to date and fail adequately to account for other unspecified factors likely to drive the observed changes, such as care and attention of those administering the treatment, as well as the expectations and motivations of the patient. CONCLUSION:There is an urgent need for future studies to clarify the role of unspecific placebo effects when reporting biofeedback effects for the treatment of insomnia.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Lovato N,Miller CB,Gordon CJ,Grunstein RR,Lack Ldoi
10.1016/j.sleep.2018.12.011subject
Has Abstractpub_date
2019-04-01 00:00:00pages
192-200eissn
1389-9457issn
1878-5506pii
S1389-9457(18)30913-4journal_volume
56pub_type
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