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Londoño-Arredondo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Nora H." "apellidos" => "Londoño-Arredondo" ] 1 => array:1 [ "colaborador" => "colaboradores" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034745014601256?idApp=UINPBA00004N" "url" => "/00347450/0000004000000002/v1_201407150821/S0034745014601256/v1_201407150821/es/main.assets" ] "es" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artículos de revisión/actualización</span>" "titulo" => "Intervenciones no farmacológicas en el insomnio primario: la evidencia de los ensayos clínicos controlados en los últimos diez años (1998–2008)" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "310" "paginaFinal" => "335" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Silvia Aracely Tafoya Ramos, María del Carmen Lara Muñoz" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Silvia Aracely Tafoya" "apellidos" => "Ramos" "email" => array:1 [ 0 => "psiquiatria_unam@yahoo.com.mx" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "María del Carmen Lara" "apellidos" => "Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Maestra en Psicología. Departamento de Psiquiatría y Salud Mental de la Facultad de Medicina, Universidad Nacional Autónoma de México" "etiqueta" => "1" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Doctora en Ciencias Médicas. Departamento de Psiquiatría y Salud Mental de la Universidad Nacional Autónoma de México, y Facultad de Medicina de la Benemérita Universidad Autónoma de Puebla, México" "etiqueta" => "2" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondencia: Silvia Aracely Tafoya Ramos, Departamento de Psiquiatría y Salud Mental, Circuito Interior S/N, Edificio F de la Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), Ciudad Universitaria, México D. F. Código postal 04510" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Non-pharmacological Interventions in Primary Insomnia: Controlled Clinical Trial Findings (1998–2008)" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2011-02-06" "fechaAceptado" => "2011-04-20" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec333677" "palabras" => array:3 [ 0 => "Insomnio" 1 => "revisión" 2 => "intervención no farmacológica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec333678" "palabras" => array:3 [ 0 => "Primary" 1 => "review" 2 => "non-pharmacological intervention" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle" id="cestitle20">Introducción</span><p id="spara10" class="elsevierStyleSimplePara elsevierViewall">El insomnio es un trastorno del sueño que afecta al 10% de la población general e impacta a quien lo padece emocional, física y socialmente, por lo que es importante su adecuado diagnóstico y tratamiento.</p> <span class="elsevierStyleSectionTitle" id="cestitle30">Objetivo</span><p id="spara20" class="elsevierStyleSimplePara elsevierViewall">Describir los principales hallazgos de las intervenciones no farmacológicas sobre insomnio primario según la metodología de ensayos clínicos controlados.</p> <span class="elsevierStyleSectionTitle" id="cestitle40">Método</span><p id="spara30" class="elsevierStyleSimplePara elsevierViewall">Revisión sistemática durante febrero del 2009 en la base de datos de Ensayos Clínicos Controlados de Cochrane. Se seleccionaron artículos escritos en inglés, portugués o español publicados entre 1998 y 2008. Las palabras clave utilizadas fueron: <span class="elsevierStyleItalic">primary insomnia, management, treatment y nonpharmacological.</span> Se descartaron artículos sobre insomnio secundario, con sólo resultados preliminares y aquellos escritos en idioma diferente a los establecidos. Al final se analizaron 37 artículos.</p> <span class="elsevierStyleSectionTitle" id="cestitle50">Resultados</span><p id="spara40" class="elsevierStyleSimplePara elsevierViewall">La modalidad de intervención más usada fue la combinación de técnicas cognitivo-conductuales (TCC). De manera general, todas las intervenciones tuvieron resultados positivos en la calidad del sueño. Las mejorías fueron de moderadas a altas y se mantuvieron a través del seguimiento. Según lo obtenido, el mejor tratamiento para el insomnio es la TCC, aunque otras opciones, como la máscara de luz, presentan resultados alentadores.</p> <span class="elsevierStyleSectionTitle" id="cestitle60">Conclusiones</span><p id="spara50" class="elsevierStyleSimplePara elsevierViewall">Hay hallazgos ciertos sobre los beneficios de las intervenciones no farmacológicas en el insomnio primario, con más estudios referentes a la TCC. Se plantea la necesidad de realizar estudios que evalúen dosis respuesta y la costo-efectividad de estas intervenciones.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle" id="cestitle80">Introduction</span><p id="spara60" class="elsevierStyleSimplePara elsevierViewall">Insomnia is the most common sleep disorder and it affects approximately 10% of the world's population causing a negative impact on sufferers' emotional, physical, and social wellbeing. Several non–pharmacological treatments have been developed that appear to be effective.</p> <span class="elsevierStyleSectionTitle" id="cestitle90">Objective</span><p id="spara70" class="elsevierStyleSimplePara elsevierViewall">To analyze the main findings on primary insomnia. Methodology: During February 2009, a systematic review was undertaken using the Cochrane Database of Controlled Clinical Trials. A selection was made of articles written in English, Portuguese, and Spanish published between 1998 and 2008. The key words used were: <span class="elsevierStyleItalic">primary insomnia, management, treatment and non–pharmacological.</span> An analysis was carried out on 37 articles.</p> <span class="elsevierStyleSectionTitle" id="cestitle100">Results</span><p id="spara80" class="elsevierStyleSimplePara elsevierViewall">In general, all interventions had positive effects on the quality of sleep. With most of the combined techniques, the improvements were moderate–to–high and they were maintained through follow-up. According to the evidence gathered, the best non–pharmacological treatment was Cognitive Behavioral Therapy (CBT) although other intervention options such as Light Exposure produced encouraging results. The non–pharmacological approach gave better long–term results than pharmacological treatments.</p> <span class="elsevierStyleSectionTitle" id="cestitle110">Conclusions</span><p id="spara90" class="elsevierStyleSimplePara elsevierViewall">There is evidence of the benefits of non–pharmacological interventions for primary insomnia. Further research is necessary to evaluate the dose–response ratio and the cost–effectiveness of treatments.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara" id="cenpara10">Conflictos de interés: las autoras manifiestan que no tienen conflictos de interés en este artículo.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "cebibsec10" "bibliografiaReferencia" => array:61 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "American Academy of Sleep Medicine (AASM)" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:5 [ "edicion" => "2ed" "titulo" => "International classification of sleep disorders: Diagnostic and coding manual" "fecha" => "2005" "editorial" => "AASM" "editorialLocalizacion" => 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Silvia Aracely Tafoya Ramos1,
, María del Carmen Lara Muñoz2
Autor para correspondencia
psiquiatria_unam@yahoo.com.mx
Correspondencia: Silvia Aracely Tafoya Ramos, Departamento de Psiquiatría y Salud Mental, Circuito Interior S/N, Edificio F de la Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), Ciudad Universitaria, México D. F. Código postal 04510
Correspondencia: Silvia Aracely Tafoya Ramos, Departamento de Psiquiatría y Salud Mental, Circuito Interior S/N, Edificio F de la Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), Ciudad Universitaria, México D. F. Código postal 04510
1 Maestra en Psicología. Departamento de Psiquiatría y Salud Mental de la Facultad de Medicina, Universidad Nacional Autónoma de México
2 Doctora en Ciencias Médicas. Departamento de Psiquiatría y Salud Mental de la Universidad Nacional Autónoma de México, y Facultad de Medicina de la Benemérita Universidad Autónoma de Puebla, México