UM
Cognitive Behavioural Therapy for Insomnia Monotherapy in Patients with Medical or Psychiatric Comorbidities: a Meta-Analysis of Randomized Controlled Trials
Zhou,Fu Chun1; Yang,Yuan2,3; Wang,Yuan Yuan4; Rao,Wen Wang2; Zhang,Shu Fang5; Zeng,Liang Nan2,6; Zheng,Wei7; Ng,Chee H.8; Ungvari,Gabor S.9,10; Zhang,Ling1; Xiang,Yu Tao2
2020-12-01
Source PublicationPsychiatric Quarterly
ISSN0033-2720
Volume91Issue:4Pages:1209-1224
AbstractThis is a meta-analysis of randomized controlled trials (RCTs) comparing cognitive behaviour therapy for insomnia (CBT-I) monotherapy with active control treatment for insomnia in patients with medical or psychiatric comorbidities. Both international (PubMed, EMBASE, PsycINFO, Cochrane Library) and Chinese (WanFang, and CNKI) databases were systematically searched. The random effects model was used. Thirteen RCTs comparing CBT-I (n = 441) and active controls (n = 412) groups were included. CBT-I group showed significant advantage over active controls at post-treatment assessment in terms of Insomnia Severity Index (ISI; SMD = -0.74), sleep onset latency (SMD = -0.36), wake after sleep onset (SMD = -0.21), sleep quality (SMD = 0.56), Pittsburgh sleep quality index total scores (PSQI; SMD = -0.76) and the total score of dysfunctional beliefs and attitudes about sleep scale (DBAS; SMD = -1.09). Subgroup analyses revealed significant improvement in sleep onset latency in patients with psychiatric disorders (SMD = -0.45), while significant reduction of number of wakeup after sleep onset was found in patients with medical conditions (SMD = -0.31). This meta-analysis found that CBT-I monotherapy had greater efficacy than other active control treatment for insomnia in patients with medical or psychiatric comorbidities.
KeywordCognitive behavioural therapy Comorbidities Insomnia Meta-analysis
DOI10.1007/s11126-020-09820-8
URLView the original
Language英语
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Cited Times [WOS]:0   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorZhang,Ling
Affiliation1.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders,Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection,Capital Medical University,Beijing,China
2.Center for Cognition and Brain Sciences,University of Macau,Macao
3.Department of Psychiatry,Southern Medical University Nanfang Hospital,Guangzhou,China
4.Faculty of Health and Life Sciences,De Montfort University,Leicester,United Kingdom
5.Research Center for Psychological and Health Sciences,China University of Geosciences,Wuhan,China
6.Department of Neurosurgery,The Affiliated Hospital of Southwest Medical University,Luzhou,China
7.The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital),Guangzhou,China
8.Department of Psychiatry,The Melbourne Clinic and St Vincent’s Hospital,University of Melbourne,Melbourne,Australia
9.University of Notre Dame Australia / Graylands Hospital,Perth,Australia
10.Division of Psychiatry,University of Western Australia Medical School,Perth,Australia
Recommended Citation
GB/T 7714
Zhou,Fu Chun,Yang,Yuan,Wang,Yuan Yuan,et al. Cognitive Behavioural Therapy for Insomnia Monotherapy in Patients with Medical or Psychiatric Comorbidities: a Meta-Analysis of Randomized Controlled Trials[J]. Psychiatric Quarterly,2020,91(4):1209-1224.
APA Zhou,Fu Chun,Yang,Yuan,Wang,Yuan Yuan,Rao,Wen Wang,Zhang,Shu Fang,Zeng,Liang Nan,Zheng,Wei,Ng,Chee H.,Ungvari,Gabor S.,Zhang,Ling,&Xiang,Yu Tao.(2020).Cognitive Behavioural Therapy for Insomnia Monotherapy in Patients with Medical or Psychiatric Comorbidities: a Meta-Analysis of Randomized Controlled Trials.Psychiatric Quarterly,91(4),1209-1224.
MLA Zhou,Fu Chun,et al."Cognitive Behavioural Therapy for Insomnia Monotherapy in Patients with Medical or Psychiatric Comorbidities: a Meta-Analysis of Randomized Controlled Trials".Psychiatric Quarterly 91.4(2020):1209-1224.
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