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Cognitive Therapy and Research
Published in: Cognitive Therapy and Research 2/2024

Open Access 13-01-2024 | Insomnia | Original Article

Efficacy of Remote Cognitive Behavioural Therapy for Insomnia in Improving Health Status of Patients with Insomnia Symptoms: A Meta-analysis

Authors: Dawei Xu, Zhanjiang Li, Unnah Leitner, Jing Sun

Published in: Cognitive Therapy and Research | Issue 2/2024

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Abstract

Background

Insomnia is highly prevalent and cognitive behavioural therapy is the first-line treatment for it. This study aimed to assess the efficacy of remote cognitive behavioural therapy for insomnia, specifically, treatment fully delivered through the internet, mobile phones and telephones for sleep and other health outcomes in adults diagnosed with insomnia or reporting insomnia symptoms. This study also aimed to evaluate the effect of various intervention components as subgroup variables to explain the efficacy of remote cognitive behavioural therapy on health outcomes.

Methods

Randomised controlled trial studies were obtained from five electronic databases. The PEDro scale was used to assess the quality of the studies. A random effect model was used to assess the mean difference, standardised mean difference and standard deviation of the outcome variables. Heterogeneity among the study articles was assessed using I2 and Q tests. Egger regression analysis was used to assess publication bias.

Results

Remote cognitive behavioural therapy for insomnia had significant and positive effects on improving sleep outcomes, depression, anxiety, fatigue and mental health compared with the control conditions. Its effect on physical health was not significant. The effect of the therapy was enhanced when the total length of intervention was shorter than 6 weeks, delivered via the internet and did not include therapist support.

Conclusion

Remote cognitive behavioural therapy for insomnia is effective in improving sleep quality, depression, anxiety, fatigue and mental health in insomnia patients.
Appendix
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Metadata
Title
Efficacy of Remote Cognitive Behavioural Therapy for Insomnia in Improving Health Status of Patients with Insomnia Symptoms: A Meta-analysis
Authors
Dawei Xu
Zhanjiang Li
Unnah Leitner
Jing Sun
Publication date
13-01-2024
Publisher
Springer US
Published in
Cognitive Therapy and Research / Issue 2/2024
Print ISSN: 0147-5916
Electronic ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-023-10458-6

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