Schlaflos mit Herzerkrankung: Welche Hilfe ohne Tabletten wirkt

<h4>Background</h4>Cardiovascular disease (CVD) is caused by modifiable and non-modifiable risk factors and is consistently recognised as a leading cause of morbidity and mortality. Poor sleep caused by sleep disorders such as insomnia are linked to increased mortality in patients with CVD, yet it is routinely overlooked as a cause to treat. Furthermore, despite the impact of sleep disorders, management strategies are notably underrepresented in cardiac care guidelines and cardiac rehabilitation.<h4>Aim of review</h4>This scoping review aimed to assemble recent published literature to explore how behaviour change interventions could be utilised as a method to integrate sleep management strategies into state-of-the-art cardiac rehabilitation for patients with cardiovascular disease.<h4>Methods</h4>Four medical databases (Cochrane Library, MEDLINE, PsycINFO and CINAHL+) were searched using a PICO framework, publishing a total of 782 results. Of the 782 records identified, 23 were included to inform this review, including an additional article found from bibliography searching. A variety of study designs were identified, including randomised controlled trials, pilot trials, secondary data analysis and systematic reviews.<h4>Results</h4>Cognitive behavioural therapy emerged as the most consistently effective intervention, particularly in group and web-based formats. Brief behavioural treatment for insomnia was also identified as an emerging flexible and easily adaptable approach,