Network meta-analysis examining efficacy of components of cognitive behavioural therapy for insomnia
| Titel: | Network meta-analysis examining efficacy of components of cognitive behavioural therapy for insomnia |
|---|---|
| Verfasser: | ; ; ; ; ; ; ; ; ; |
| Veröffentlicht: | Freiburg : Universität, 2024 |
| Umfang: | 1 Online-Ressource |
| Format: | E-Book |
| Sprache: | Englisch |
X
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D. $4aut $7112267600X $8Ebert, David Daniel$Z1979- [Tp1] $9397423942 028C $BVerfasser $4aut $717373104X $8Baumeister, Harald$Z1974- [Tp3] $9297900749 028C $aBenz $BVerfasser $dFee $4aut 028C $BVerfasser $4aut $713631998X $8Spiegelhalder, Kai$Z1977- [Tp3] $9204465281 033A $pFreiburg $nUniversität 034D $a1 Online-Ressource 037A $aClinical psychology review. - 114 (2024) , 102507, ISSN: 1873-7811 037I $uhttp://vocabularies.coar-repositories.org/access_rights/c_abf2 $fUnrestricted online access 037J $aOpen Access $2star $uhttp://purl.org/coar/access_right/c_abf2 $fUnrestricted online access 045B $a616.84 $ADNB $e23kdnb $Emaschinell gebildet $K0,13883 045E $c610 046X $aArchivierung/Langzeitarchivierung gewährleistet $5DE-101 047I $aAbstract: Cognitive behavioural therapy for insomnia (CBTsingle bondI) is recommended as first-line treatment for insomnia. CBT-I is a multi-component intervention comprising psychoeducation, sleep restriction, stimulus control, cognitive, and relaxation therapy. The relative efficacy of its components has yet to be investigated with state-of-the-art meta-analytic methods. PubMed, MEDLINE, PsycINFO, PsycARTICLES, and CINAHL were searched according to a pre-registered protocol using search terms indicative of insomnia and CBTsingle bondI. Baseline-to-post-treatment effect sizes (Cohen's d) were calculated in a component network meta-analysis. Eighty studies representing 15,351 participants (mean age 44.9 years, 70.1 % female) were included. For the primary outcome insomnia severity, a significant positive effect for sleep restriction therapy (d = −0.45; 95 % CI: [−0.63; −0.36]) was found. Overall, the results suggest that sleep restriction therapy improves self-reported sleep continuity and sleep quality, and stimulus control therapy improves self-reported and objective total sleep time. No significant effects of psychoeducation, relaxation therapy, and cognitive therapy, and no further significant effects of any CBT-I component on objective sleep parameters were found. The most common sources of bias were a lack of blinding, missing outcome data, and the absence of study protocols. 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