Insomnia symptoms following acquired brain injury are serious and common, associated with cognitive and emotional complaints. This systematic review aims to summarize and appraise the current knowledge regarding the efficacy of non-pharmacological treatments for insomnia after traumatic brain injury and stroke in adults. A systematic search in the electronic databases of Medline, PsycINFO and Embase was conducted on January 15, 2019. The search strategy included traumatic brain injury or stroke and a combination of keywords and Boolean operators to represent the concept of insomnia. Articles were restricted to those in English and study populations of human adults. A total of 4341 studies were found, of which 16 were included, representing seven different non-pharmacological treatments. While the quality and quantity of the studies does not allow for firm conclusions, the outcomes suggest that cognitive behavioural therapy improves insomnia and sleep quality. The results highlight the need for larger studies of better methodological quality on non-pharmacological interventions for insomnia following brain injury.

获得性脑损伤后的失眠症状是严重且普遍的，与认知和情绪主诉有关。本系统综述旨在总结和评估有关成人非创伤性脑损伤和中风后失眠的非药物治疗功效的当前知识。2019年1月15日在Medline，PsycINFO和Embase的电子数据库中进行了系统的搜索。搜索策略包括颅脑外伤或中风以及关键词和布尔运算符的组合，以代表失眠的概念。文章仅限于以英语撰写的文章和研究成年人口的文章。总共发现了4341项研究，其中包括16项，代表了7种不同的非药物治疗方法。尽管研究的质量和数量不能得出肯定的结论，但结果表明认知行为疗法可改善失眠和睡眠质量。结果强调，有必要对较大的方法学研究，以更好的方法学质量对脑损伤后失眠的非药物干预措施进行研究。