Narrow inclusion criteria limited applicability to patients with comorbid insomnia and other sleep problems, and accuracy of estimates at later time points was less clear.ĬBT-i is an effective treatment for adults with chronic insomnia, with clinically meaningful effect sizes. Changes seemed to be sustained at later time points. Approaches to CBT-i incorporated at least 3 of the following: cognitive therapy, stimulus control, sleep restriction, sleep hygiene, and relaxation. Main outcome measures were sleep onset latency (SOL), wake after sleep onset (WASO), total sleep time (TST), and sleep efficiency (SE%).Īmong 292 citations and 91 full-text articles reviewed, 20 studies (1162 participants ) were included. Study characteristics, quality, and data were assessed independently by 2 reviewers. Studies of insomnia comorbid with medical, sleep, or psychiatric disorders were excluded. Randomized, controlled trials assessing the efficacy of face-to-face, multimodal CBT-i compared with inactive comparators on overnight sleep in adults with chronic insomnia. Searches of MEDLINE, EMBASE, PsycINFO, CINAHL, the Cochrane Library, and PubMed Clinical Queries from inception to 31 March 2015, supplemented with manual screening. To determine the efficacy of CBT-i on diary measures of overnight sleep in adults with chronic insomnia. Because psychological approaches are likely to produce sustained benefits without the risk for tolerance or adverse effects associated with pharmacologic approaches, cognitive behavioral therapy for insomnia (CBT-i) is now commonly recommended as first-line treatment for chronic insomnia.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |