Cognitive behavioural therapy can help chronic insomnia, review finds

Wise, Jacqui

doi:10.1136/bmj.h3076

Cited by 3 publications

(4 citation statements)

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“…Cognitive behavioral therapy (CBT), which has recently been proposed as a first-line approach for the treatment of insomnia, primarily includes cognitive strategies (addressing dysfunctional beliefs regarding sleep and education related to sleep health) and behavioral strategies (stimulus control [SC], sleep restriction [SR], relaxation) [ 9 ]. CBT approach for insomnia (CBT-i) could improve poor sleep on several aspects (such as sleep latency, total sleep time, etc.…”

Section: Introductionmentioning

confidence: 99%

Internet-Based Cognitive Behavioral Therapy for Insomnia (ICBT-i) Improves Comorbid Anxiety and Depression—A Meta-Analysis of Randomized Controlled Trials

Zhang

Chen³

et al. 2015

PLoS ONE

144

103

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As the internet has become popularized in recent years, cognitive behavioral therapy for insomnia (CBT-i) has shifted from a face-to-face approach to delivery via the internet (internet-based CBT-i, ICBT-i). Several studies have investigated the effects of ICBT-i on comorbid anxiety and depression; however, the results remain inconclusive. Thus, a meta-analysis was conducted to determine the effects of ICBT-i on anxiety and depression. Electronic databases, including PubMed, EMBASE, PsycINFO and the Cochrane Library (throughout May 28, 2015), were systematically searched for randomized controlled trials (RCTs) of ICBT-i. Data were extracted from the qualified studies and pooled together. The standardized mean difference (SMD) and 95% confidence interval (95% CI) were calculated to assess the effects of ICBT-i on comorbid anxiety and depression. Nine records that included ten studies were ultimately qualified. The effect sizes (ESs) were -0.35 [-0.46, -0.25] for anxiety and -0.36 [-0.47, -0.26] for depression, which were stable using a between-group or within-group comparison and suggest positive effects of ICBT-i on both comorbid disorders. Although positive results were identified in this meta-analysis, additional high-quality studies with larger sample sizes are needed in the future.

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Section: Introductionmentioning

confidence: 99%

Internet-Based Cognitive Behavioral Therapy for Insomnia (ICBT-i) Improves Comorbid Anxiety and Depression—A Meta-Analysis of Randomized Controlled Trials

Zhang

Chen³

et al. 2015

PLoS ONE

144

103

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“…The specific manifestations of insomnia patients with an anxiety disorder include insomnia with significant anxiety symptoms or emotional disorders such as nervousness, worry, and irritability [ 2 ]. Clinical studies found that about 50% of insomnia patients are accompanied by mental disorders [ 3 , 4 ]. Compared with non-anxiety insomnia patients, insomnia patients with anxiety have significantly reduced sleep efficiency, total sleep time, and percentage of slow-wave sleep, which significantly reduces patients’ quality of life and brings severe social dysfunction and economic burden [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…studies found that about 50% of insomnia patients are accompanied by mental disorders [3,4]. Compared with non-anxiety insomnia patients, insomnia patients with anxiety have significantly reduced sleep efficiency, total sleep time, and percentage of slow-wave sleep, which significantly reduces patients' quality of life and brings severe social dysfunction and economic burden [5,6].…”

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confidence: 99%

Efficacy of the acupressure wrist-ankle strap in mild insomnia patients with anxiety disorders: study protocol for a randomized controlled trial

Yuan¹,

Zhou²,

Fang³

et al. 2021

Trials

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Background Insomnia is very common in current society, and patients are often accompanied by a certain degree of anxiety, depression, etc. Recent studies have found that the hypothalamic-pituitary-adrenal (HPA) axis excitement-inhibition state is an important indicator of sleep quality. Wrist-ankle acupuncture (WAA) is safe and effective for insomnia. Based on WAA theory, the acupressure wrist-ankle straps are portable WAA point compression straps that can treat diseases by automatically applying pressure to the treatment location and being operated by patients themselves. We design this trial to evaluate the clinical effect of the acupressure wrist-ankle strap in the treatment of mild insomnia patients with anxiety disorders. Methods/design This trial is a parallel-design, patients-assessor blinded, randomized, sham-controlled. In total, 114 patients diagnosed with mild insomnia and anxiety disorders will be randomly assigned into two groups, the acupressure wrist-ankle strap group or the non-acupressure wrist-ankle strap group; they will receive treatments for eight weeks with five sessions each week. Rating scales, sleep monitors, and laboratory tests will be used to observe the clinical effect. From the perspective of the circadian secretion of peripheral blood-related hormones in the hypothalamic-pituitary-adrenal (HPA) axis, the possible mechanism of acupressure wrist-ankle straps for treating insomnia is studied. Discussion The results of this study will confirm the efficacy of acupressure wrist-ankle strap in treating mild insomnia patients with anxiety disorder and whether its mechanism is related to the HPA axis. The acupressure wrist-ankle strap may become a pure physical, no side effect treatment of mild insomnia. Trial registration Chinese Clinical Trial Registry ChiCTR2000039352. Registered on 24 October 2020.

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“…CBT contains cognitive and behavioral techniques. Cognitive techniques include identifying and challenging subjects' dysfunctional attitudes and beliefs about sleep, cognitive reconstruction, and training related to sleep health, and behavioral techniques include stimulus control, sleep restriction, regular sleep planning, relaxation techniques during sleep and during the day, strengthening the connection between sleep and bed, meditation, stress reduction, and lifestyle modification (7).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Internet-Based Cognitive-Behavioral Therapy for Insomnia during Quarantine of Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: A Controlled Trial

Farrokhi¹,

Anbarani²,

Seyyedzadeh³

et al. 2021

JSS

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Background and Objective: In the late 2019, an acute respiratory syndrome [severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)] resulted in a pandemic coronavirus disease (COVID-19). This study was designed to compare the efficacy of internet-based cognitive behavioral therapy for insomnia (ICBT-I) with online relaxation training for management of insomnia during SARS-CoV-2 pandemic. Materials and Methods: This controlled trial was conducted on adults (18-65 years) with the complaint of insomnia who called psychology call centers in Mashhad, Iran, from March to June 2020. Participants with insomnia symptoms starting after SARS-CoV-2 pandemic who had Insomnia Severity Index (ISI) scores of ≥ 15 were included in the study. Five weekly sessions of ICBT-I as the intervention were compared with 5 weekly online relaxation training sessions in the control group. ISI before and after 5 weeks of follow-up was compared in both groups. Results: From a total cohort of 144 subjects included in the study, 98 were excluded and the remainder were allocated to 23 cases and 23 control subjects. During follow-up period, 5 individuals (21.7%) dropped out in each group. The mean ISI scores improved after therapy (20.6 to 8.5 and 21.8 to 13.0 for intervention and control groups, respectively). Conclusion: ICBT-I significantly improved insomnia severity during home quarantine of SARS-CoV-2 pandemic. We suggest that ICBT-I could be an effective and feasible alternative in pandemic of an infectious disease. Clients accepted ICBT-I with a minor drop-out in our study.

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Cognitive behavioural therapy can help chronic insomnia, review finds

Cited by 3 publications

References 1 publication

Internet-Based Cognitive Behavioral Therapy for Insomnia (ICBT-i) Improves Comorbid Anxiety and Depression—A Meta-Analysis of Randomized Controlled Trials

Internet-Based Cognitive Behavioral Therapy for Insomnia (ICBT-i) Improves Comorbid Anxiety and Depression—A Meta-Analysis of Randomized Controlled Trials

Efficacy of the acupressure wrist-ankle strap in mild insomnia patients with anxiety disorders: study protocol for a randomized controlled trial

Effectiveness of Internet-Based Cognitive-Behavioral Therapy for Insomnia during Quarantine of Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: A Controlled Trial

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