Cognitive and behavioral therapies in the treatment of insomnia: A meta-analysis.
Identifieur interne : 000B84 ( Main/Corpus ); précédent : 000B83; suivant : 000B85Cognitive and behavioral therapies in the treatment of insomnia: A meta-analysis.
Auteurs : Annemieke Van Straten ; Tanja Van Der Zweerde ; Annet Kleiboer ; Pim Cuijpers ; Charles M. Morin ; Jaap LanceeSource :
- Sleep medicine reviews [ 1532-2955 ] ; 2018.
English descriptors
- KwdEn :
- MESH :
Abstract
Insomnia is a major public health problem considering its high prevalence, impact on daily life, co-morbidity with other disorders and societal costs. Cognitive behavioral treatment for insomnia (CBTI) is currently considered to be the preferred treatment. However, no meta-analysis exists of all studies using at least one component of CBTI for insomnia, which also uses modern techniques to pool data and to analyze subgroups of patients. We included 87 randomized controlled trials, comparing 118 treatments (3724 patients) to non-treated controls (2579 patients). Overall, the interventions had significant effects on: insomnia severity index (g = 0.98), sleep efficiency (g = 0.71), Pittsburgh sleep quality index (g = 0.65), wake after sleep onset (g = 0.63) and sleep onset latency (SOL; g = 0.57), number of awakenings (g = 0.29) and sleep quality (g = 0.40). The smallest effect was on total sleep time (g = 0.16). Face-to-face treatments of at least four sessions seem to be more effective than self-help interventions or face-to-face interventions with fewer sessions. Otherwise the results seem to be quite robust (similar for patients with or without comorbid disease, younger or older patients, using or not using sleep medication). We conclude that CBTI, either its components or the full package, is effective in the treatment of insomnia.
DOI: 10.1016/j.smrv.2017.02.001
PubMed: 28392168
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Electronic address: a.van.straten@vu.nl.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Zweerde, Tanja" sort="Van Der Zweerde, Tanja" uniqKey="Van Der Zweerde T" first="Tanja" last="Van Der Zweerde">Tanja Van Der Zweerde</name><affiliation><nlm:affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Kleiboer, Annet" sort="Kleiboer, Annet" uniqKey="Kleiboer A" first="Annet" last="Kleiboer">Annet Kleiboer</name><affiliation><nlm:affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Cuijpers, Pim" sort="Cuijpers, Pim" uniqKey="Cuijpers P" first="Pim" last="Cuijpers">Pim Cuijpers</name><affiliation><nlm:affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Morin, Charles M" sort="Morin, Charles M" uniqKey="Morin C" first="Charles M" last="Morin">Charles M. Morin</name><affiliation><nlm:affiliation>Université Laval, École de Psychologie, Québec City, QC, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Lancee, Jaap" sort="Lancee, Jaap" uniqKey="Lancee J" first="Jaap" last="Lancee">Jaap Lancee</name><affiliation><nlm:affiliation>Department of Clinical Psychology, University of Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:28392168</idno><idno type="pmid">28392168</idno><idno type="doi">10.1016/j.smrv.2017.02.001</idno><idno type="wicri:Area/Main/Corpus">000B84</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000B84</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Cognitive and behavioral therapies in the treatment of insomnia: A meta-analysis.</title><author><name sortKey="Van Straten, Annemieke" sort="Van Straten, Annemieke" uniqKey="Van Straten A" first="Annemieke" last="Van Straten">Annemieke Van Straten</name><affiliation><nlm:affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands. Electronic address: a.van.straten@vu.nl.</nlm:affiliation></affiliation></author><author><name sortKey="Van Der Zweerde, Tanja" sort="Van Der Zweerde, Tanja" uniqKey="Van Der Zweerde T" first="Tanja" last="Van Der Zweerde">Tanja Van Der Zweerde</name><affiliation><nlm:affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Kleiboer, Annet" sort="Kleiboer, Annet" uniqKey="Kleiboer A" first="Annet" last="Kleiboer">Annet Kleiboer</name><affiliation><nlm:affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Cuijpers, Pim" sort="Cuijpers, Pim" uniqKey="Cuijpers P" first="Pim" last="Cuijpers">Pim Cuijpers</name><affiliation><nlm:affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Morin, Charles M" sort="Morin, Charles M" uniqKey="Morin C" first="Charles M" last="Morin">Charles M. Morin</name><affiliation><nlm:affiliation>Université Laval, École de Psychologie, Québec City, QC, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Lancee, Jaap" sort="Lancee, Jaap" uniqKey="Lancee J" first="Jaap" last="Lancee">Jaap Lancee</name><affiliation><nlm:affiliation>Department of Clinical Psychology, University of Amsterdam, The Netherlands.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Sleep medicine reviews</title><idno type="eISSN">1532-2955</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cognitive Behavioral Therapy (methods)</term><term>Humans (MeSH)</term><term>Randomized Controlled Trials as Topic (MeSH)</term><term>Sleep Initiation and Maintenance Disorders (therapy)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cognitive Behavioral Therapy</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Sleep Initiation and Maintenance Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Randomized Controlled Trials as Topic</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Insomnia is a major public health problem considering its high prevalence, impact on daily life, co-morbidity with other disorders and societal costs. Cognitive behavioral treatment for insomnia (CBTI) is currently considered to be the preferred treatment. However, no meta-analysis exists of all studies using at least one component of CBTI for insomnia, which also uses modern techniques to pool data and to analyze subgroups of patients. We included 87 randomized controlled trials, comparing 118 treatments (3724 patients) to non-treated controls (2579 patients). Overall, the interventions had significant effects on: insomnia severity index (g = 0.98), sleep efficiency (g = 0.71), Pittsburgh sleep quality index (g = 0.65), wake after sleep onset (g = 0.63) and sleep onset latency (SOL; g = 0.57), number of awakenings (g = 0.29) and sleep quality (g = 0.40). The smallest effect was on total sleep time (g = 0.16). Face-to-face treatments of at least four sessions seem to be more effective than self-help interventions or face-to-face interventions with fewer sessions. Otherwise the results seem to be quite robust (similar for patients with or without comorbid disease, younger or older patients, using or not using sleep medication). We conclude that CBTI, either its components or the full package, is effective in the treatment of insomnia.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28392168</PMID><DateCompleted><Year>2018</Year><Month>10</Month><Day>29</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2955</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><PubDate><Year>2018</Year><Month>04</Month></PubDate></JournalIssue><Title>Sleep medicine reviews</Title><ISOAbbreviation>Sleep Med Rev</ISOAbbreviation></Journal><ArticleTitle>Cognitive and behavioral therapies in the treatment of insomnia: A meta-analysis.</ArticleTitle><Pagination><MedlinePgn>3-16</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1087-0792(17)30034-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.smrv.2017.02.001</ELocationID><Abstract><AbstractText>Insomnia is a major public health problem considering its high prevalence, impact on daily life, co-morbidity with other disorders and societal costs. Cognitive behavioral treatment for insomnia (CBTI) is currently considered to be the preferred treatment. However, no meta-analysis exists of all studies using at least one component of CBTI for insomnia, which also uses modern techniques to pool data and to analyze subgroups of patients. We included 87 randomized controlled trials, comparing 118 treatments (3724 patients) to non-treated controls (2579 patients). Overall, the interventions had significant effects on: insomnia severity index (g = 0.98), sleep efficiency (g = 0.71), Pittsburgh sleep quality index (g = 0.65), wake after sleep onset (g = 0.63) and sleep onset latency (SOL; g = 0.57), number of awakenings (g = 0.29) and sleep quality (g = 0.40). The smallest effect was on total sleep time (g = 0.16). Face-to-face treatments of at least four sessions seem to be more effective than self-help interventions or face-to-face interventions with fewer sessions. Otherwise the results seem to be quite robust (similar for patients with or without comorbid disease, younger or older patients, using or not using sleep medication). We conclude that CBTI, either its components or the full package, is effective in the treatment of insomnia.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van Straten</LastName><ForeName>Annemieke</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands. Electronic address: a.van.straten@vu.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Zweerde</LastName><ForeName>Tanja</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kleiboer</LastName><ForeName>Annet</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cuijpers</LastName><ForeName>Pim</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Clinical Psychology & EMGO Institute for Health and Care Research, VU University, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morin</LastName><ForeName>Charles M</ForeName><Initials>CM</Initials><AffiliationInfo><Affiliation>Université Laval, École de Psychologie, Québec City, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lancee</LastName><ForeName>Jaap</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Clinical Psychology, University of Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>02</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Sleep Med Rev</MedlineTA><NlmUniqueID>9804678</NlmUniqueID><ISSNLinking>1087-0792</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Sleep Med Rev. 2018 Apr;38:1-2</RefSource><PMID Version="1">28655580</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D015928" MajorTopicYN="N">Cognitive Behavioral Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="N">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007319" MajorTopicYN="N">Sleep Initiation and Maintenance Disorders</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Behavior therapy</Keyword><Keyword MajorTopicYN="Y">Cognitive behavior therapy</Keyword><Keyword MajorTopicYN="Y">Cognitive therapy</Keyword><Keyword MajorTopicYN="Y">Insomnia</Keyword><Keyword MajorTopicYN="Y">Sleep initiation or maintenance disorder</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>08</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>01</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>02</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>10</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28392168</ArticleId><ArticleId IdType="pii">S1087-0792(17)30034-5</ArticleId><ArticleId IdType="doi">10.1016/j.smrv.2017.02.001</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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