改善睡眠的草药和天然补充剂:文献综述。

IF 1.8 4区 医学 Q3 PSYCHIATRY Psychiatry Investigation Pub Date : 2024-08-01 Epub Date: 2024-08-02 DOI:10.30773/pi.2024.0121
Ji Won Yeom, Chul-Hyun Cho
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引用次数: 0

摘要

目的:草药和天然补充剂因其安全性和潜在的有效性,作为失眠和睡眠障碍的替代疗法而广受欢迎。本文献综述总结了目前有关常用睡眠补充剂的疗效、安全性和作用机制的证据,包括缬草、啤酒花、卡瓦、德国洋甘菊、樱桃、色氨酸、茶氨酸、褪黑素、镁和锌:我们对迄今为止有关睡眠草药和补充剂的临床研究进行了文献综述。我们总结了主要研究结果,并回顾了与临床疗效和副作用相关的结果:研究结果表明,某些补充剂,尤其是缬草、啤酒花和褪黑素,可以通过调节神经递质系统和睡眠-觉醒周期,有效改善睡眠质量和减轻失眠症状。然而,由于最佳剂量、配方和治疗持续时间尚未确定,因此证据的强度各不相同。尽管人们普遍认为这些保健品是安全的,但它们也并非没有风险,例如卡瓦罕见但严重的不良反应以及与处方药的潜在相互作用。由于缺乏严格的监管,保健品的质量和纯度也参差不齐:医疗服务提供者应随时了解最新研究成果,并与患者密切合作,制定个性化治疗方案。草药和天然补充剂可为失眠和睡眠障碍提供有前景的替代品或辅助治疗,但其使用应遵循现有的最佳证据和患者的个人需求。需要进行规模更大、设计更合理的临床试验,以确定这些保健品的疗效和安全性,供临床决策参考。
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Herbal and Natural Supplements for Improving Sleep: A Literature Review.

Objective: Herbal and natural supplements have gained popularity as alternative treatments to insomnia and sleep disorders due to their perceived safety and potential effectiveness. This literature review summarizes the current evidence on the efficacy, safety, and mechanisms of action of commonly used supplements for sleep, including valerian, hops, kava, German chamomile, cherry, tryptophan, theanine, melatonin, magnesium, and zinc.

Methods: We conducted literature review of clinical research on herbal and supplements for sleep reported to date. We summarized key findings and reviewed outcomes related to clinical efficacy and side effects.

Results: Findings suggest that certain supplements, particularly valerian, hops, and melatonin, could be effective in improving sleep quality and reducing insomnia symptoms through modulation of neurotransmitter systems and regulation of sleep-wake cycles. However, the strength of the evidence varies with unestablished optimal dosages, formulations, and treatment durations. Although generally considered safe, these supplements are not without risks, such as rare but serious adverse effects associated with kava and potential interactions with prescription medications. The quality and purity of supplements also vary widely due to a lack of strict regulations.

Conclusion: Healthcare providers should remain informed about the latest research and work closely with patients to develop personalized treatment plans. Herbal and natural supplements may offer promising alternatives or adjunct treatments for insomnia and sleep disorders, but their use should be guided by the best available evidence and individual patient requirements. Larger, well-designed clinical trials are needed to establish the efficacy and safety of these supplements for clinical decision-making.

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来源期刊
CiteScore
4.10
自引率
3.70%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.
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