Comparative efficacy of digital cognitive behavioral therapy for insomnia: A systematic review and network meta-analysis

Tu, Yu‐Kang; Yang, Chien‐Ming; Gordon, Christopher J.; Wu, Dean; Lee, Hsin Chien; Yuliana, Lia Taurussia; Lucky, Herawati; Chen, Ting-Jhen

doi:10.1016/j.smrv.2021.101567

Cited by 62 publications

(39 citation statements)

References 85 publications

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“…However, the efficacy of digital CBTs seems only supported for a reduction in depression symptoms [ 41 , 42 ], since to date no review has been conducted to assess their efficacy in reducing anxiety or stress symptoms. On a similar note, the efficacy of digital CBTs in improving insomnia symptoms was reported for adults at large [ 43 ], yet there are no available reviews or meta-analyses focused on perinatal sleep issues.…”

Section: Introductionmentioning

confidence: 88%

The Efficacy of Digital Cognitive–Behavioral Interventions in Supporting the Psychological Adjustment and Sleep Quality of Pregnant Women with Sub-Clinical Symptoms: A Systematic Review and Meta-Analysis

Mancinelli

Bassi

Gabrielli

et al. 2022

IJERPH

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The present meta-analysis investigated the overall and differential efficacy of digital cognitive–behavioral therapies (CBTs) vs. third-generation CBTs deployed to pregnant women in reducing sub-clinical depression, anxiety, and stress symptoms while fostering sleep quality and quality of life. A PRISMA-guided systematic search was used, including randomized controlled trials (RCTs) evaluating the above-mentioned interventions. Data were pooled using either the mean difference (MD) or standardized MD (SMD). Sub-group analyses were carried out when appropriate. The primary outcomes were depression, anxiety, and stress symptoms, as well as sleep quality and quality of life. The interventions’ acceptability was evaluated through the odds ratio (OR) of drop-out rates. Seven RCTs were included, comprising 1873 pregnant women. The results showed the interventions’ efficacy in terms of reducing depression symptoms (SMD = −0.36, CI = 0.61, −0.11, k = 9) at the endpoint, although it was not maintained at follow-up during the postpartum period. The interventions’ efficacy in terms of reducing anxiety symptoms (SMD = 1.96, CI = −2.72, −1.21, k = 3) at the endpoint was also significant, while having no effect on sleep quality. The interventions were well accepted (OR = 1.68; 95% CI = 0.84, 3.35; k = 7). Although no sound conclusions can be drawn concerning the joint or differential efficacy of the considered interventions, this study was useful in highlighting the need to develop evidence-based digital prevention programs for pregnant women with sub-clinical symptoms.

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Section: Introductionmentioning

confidence: 88%

The Efficacy of Digital Cognitive–Behavioral Interventions in Supporting the Psychological Adjustment and Sleep Quality of Pregnant Women with Sub-Clinical Symptoms: A Systematic Review and Meta-Analysis

Mancinelli

Bassi

Gabrielli

et al. 2022

IJERPH

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“…The number of annual publication papers increased every year, from 11 papers in 2004 to 138 in 2021. The study included papers on randomized clinical/controlled trials (RCT) (307), original research other than RCT (234), meta-analysis with systematic reviews (32), meta-analyses (19), systematic reviews (31) and reviews other than systematic reviews and meta-analysis (113). Figure 2 shows yearly trends and top 10 journals publishing CBTI papers from 2004 to 2021.…”

Section: Number Of Publicationsmentioning

confidence: 99%

Thematic trends and knowledge structure on cognitive behavior therapy for insomnia: A bibliometric and visualization analysis

Xin

Paudel²,

et al. 2022

Front. Psychiatry

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ObjectiveTo find publications trend about cognitive behavior therapy for insomnia (CBTI) using bibliometric and visualization analysis. In this study, the authors sought to identify the publication trends of peer-reviewed articles about CBTI.Materials and methodsAnalyses were focused on the past 18 years from 2004 to 2021. All searches were performed on the Web of Science Core Collection database. The search was repeated to include structural cognitive behavior therapy for insomnia. Quantitative analysis was assessed using the bibliometric tool. Visualization analysis was carried out using VOSviewer.ResultsIn the 736 articles reviewed, the number of publications has been increasing every year for the past 18 years. Behavioral sleep medicine and sleep were the most active journals published on CBTI. The United States and Canada had the highest scientific publications in the field. Morin CM and Espie CA were the most active authors. The study type mostly observed were randomized controlled trials, meta-analyses, and epidemiological. Publications on digital-based cognitive behavior therapy and accessibility to primary care settings represent the future trends of research on CBTI.ConclusionPossible explanations for CBTI publication trends were discussed, including the emergence of the evidence-based therapy, feasibility, and scalability. Potential CBTI publications trends in the future and clinical implications were also discussed.

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“…14 15 A recent network meta-analysis shows that dCBT-I with therapist support improves sleep parameters with prolonged total sleep time (TST), shortened SOL, reduced WASO and enhanced SE compared with fully self-guided dCBT-I programmes. 16 Indeed, recent cost-benefit analysis assumed that 64% of cognitive-behavioural therapy (CBT) provided using a computer is translated into significant cost savings of between £116 million and £136 million per annum in England compared with therapist face-to-face provision. 17 This may therefore suggest that dCBT-I could be equally cost-effective, enabling wider access to therapy for individuals with sleep problems.…”

Section: Open Accessmentioning

confidence: 99%

“…To overcome these barriers, digital CBT-I (dCBT-I) was introduced which allows cost-effective and scalable access to psychological therapy compared with standard face-to-face therapy,14 with moderate to large insomnia symptom improvements and effect sizes in the range of those found for face-to-face interventions 14 15. A recent network meta-analysis shows that dCBT-I with therapist support improves sleep parameters with prolonged total sleep time (TST), shortened SOL, reduced WASO and enhanced SE compared with fully self-guided dCBT-I programmes 16…”

Section: Introductionmentioning

confidence: 99%

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Effects of a hybrid digital cognitive–behavioural therapy for insomnia and emotion regulation in the workplace (SLEEP): study protocol for a randomised waitlist control trial

et al. 2022

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IntroductionThis trial tests the efficacy of implementing a hybrid digital cognitive–behavioural therapy for insomnia (dCBT-I) and emotion regulation (ER) in the workplace. The study protocol follows the SPIRIT (Standard Protocol Items: Recommendations for Intervention Trials) 2013 recommendations.Methods and analysisThis is a mixed methods evaluation with a two-arm randomised waitlist control design of a 6-week dCBT-I+ER intervention through self-guided online platform and four videoconferencing therapy sessions. A process evaluation will examine the fidelity of delivery and experiences of the intervention. The primary outcomes are the Insomnia Severity Index, the Patient Health Questionnaire-9 and the Generalised Anxiety Disorder-7. The secondary outcomes are job productivity, job satisfaction, well-being, quality of life, self-reported (sleep diary data) and objective (actigraphy) sleep parameters, and usage of online intervention platform. Assessments take place at baseline (T0), week 8 post-treatment (T1) and week 12 postrandomisation (T2). We will recruit 156 workers with sleep and ER problems ranging from subclinical to clinical levels not engaged in treatment at the time of the trial.Ethics and disseminationFull approval was given by the University of Warwick Biomedical and Research Ethics Committee (BSREC 45/20-21). The current protocol version is 2.9_Dec21. Publication of results will inform the scientific, clinical and business communities through peer-reviewed articles, webinars, conferences and newsletters.Trial registration numberISRCTN13596153.

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Comparative efficacy of digital cognitive behavioral therapy for insomnia: A systematic review and network meta-analysis

Cited by 62 publications

References 85 publications

The Efficacy of Digital Cognitive–Behavioral Interventions in Supporting the Psychological Adjustment and Sleep Quality of Pregnant Women with Sub-Clinical Symptoms: A Systematic Review and Meta-Analysis

The Efficacy of Digital Cognitive–Behavioral Interventions in Supporting the Psychological Adjustment and Sleep Quality of Pregnant Women with Sub-Clinical Symptoms: A Systematic Review and Meta-Analysis

Thematic trends and knowledge structure on cognitive behavior therapy for insomnia: A bibliometric and visualization analysis

Effects of a hybrid digital cognitive–behavioural therapy for insomnia and emotion regulation in the workplace (SLEEP): study protocol for a randomised waitlist control trial

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