Comparative efficacy of onsite, digital, and other settings for cognitive behavioral therapy for insomnia: a systematic review and network meta-analysis
Abstract: Given the limited availability and accessibility of onsite cognitive behavioral therapy for insomnia (CBT-I), other CBT-I settings, such as internet-delivered CBT-I (iCBT-I), have been proposed. The primary aim of the study was to compare the efficacy of available CBT-I settings on insomnia severity. A systematic review and frequentist network meta-analysis of available CBT-I settings was performed. PsycINFO, PsycARTICLES, MEDLINE, PubMed, and CINAHL were searched for randomized controlled trials (RCTs) investigating any CBT-I settings in adults with insomnia disorder. The systematic literature search (3851 references) resulted in 52 RCTs. For the primary outcome insomnia severity, all examined CBT-I settings except smartphone-delivered CBT-I yielded significant effects when compared to WL. Large standardized mean differences were found for individual onsite CBT-I (− 1.27;95%CI − 1.70, − 0.84), group-delivered CBT-I (− 1.00;95%CI − 1.42. − 0.59), telehealth (− 1.28;95%CI − 2.06, − 0.50), and guided bibliotherapy (− 0.99;95%CI − 1.67, − 0.32). Both guided iCBT-I (− 0.71;95%CI − 1.18, − 0.24) and unguided iCBT-I (− 0.78;95%CI − 1.18, − 0.38) yielded medium effect sizes. The results underline that health care systems should intensify their efforts to provide synchronously-delivered CBT-I (individual onsite, group-delivered, and telehealth), and particularly individual onsite CBT-I, given its solid evidence base. Medium to large effect sizes for iCBT-I and guided bibliotherapy indicate that self-help settings may be a viable alternative when synchronously-delivered CBT-I is not available
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Notes
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Scientific reports. - 13, 1 (2023) , 1929, ISSN: 2045-2322
- Event
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Veröffentlichung
- (where)
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Freiburg
- (who)
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Universität
- (when)
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2023
- Creator
- DOI
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10.1038/s41598-023-28853-0
- URN
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urn:nbn:de:bsz:25-freidok-2340173
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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25.03.2025, 1:53 PM CET
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Simon, Laura
- Steinmetz, Lisa
- Feige, Bernd
- Benz, Fee
- Spiegelhalder, Kai
- Baumeister, Harald
- Universität
Time of origin
- 2023
Other Objects (12)
Comparative efficacy of onsite, digital, and other settings for cognitive behavioral therapy for insomnia: a systematic review and network meta‑analysis
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The relationship between PSG and morning/evening emotional parameters in patients with insomnia disorder and good sleepers
The effects of cognitive behavioral therapy for insomnia on multidimensional perfectionism
Insomnia with objective short sleep duration is associated with longer duration of insomnia in the Freiburg Insomnia Cohort compared to insomnia with normal sleep duration, but not with hypertension
Comparative efficacy of onsite, digital, and other settings for cognitive behavioral therapy for insomnia: a systematic review and network meta‑analysis
Oszillatorische Gehirnaktivität und ihre Analyse auf der Basis von MEG und EEG : = Oscillatory brain activity and its analysis on the basis of MEG and EEG
Insomnia and REM sleep instability
Oscillatory brain activity and its analysis of MEG and EEG
The importance and limitations of polysomnography in insomnia disorder — a critical appraisal
The psychoneurobiology of insomnia: hyperarousal and REM sleep instability
Subtypen der Insomnie – exemplarische Ansätze und offene Fragen : = Insomnia subtypes - exemplary approaches and open questions
The effect of physical exercise interventions on insomnia: a systematic review and meta-analysis
Cognitive behavioral therapy for insomnia in patients with mental disorders and comorbid insomnia: a systematic review and meta-analysis
The relationship between PSG and morning/evening emotional parameters in patients with insomnia disorder and good sleepers
The effects of cognitive behavioral therapy for insomnia on multidimensional perfectionism
Insomnia with objective short sleep duration is associated with longer duration of insomnia in the Freiburg Insomnia Cohort compared to insomnia with normal sleep duration, but not with hypertension
Comparative efficacy of onsite, digital, and other settings for cognitive behavioral therapy for insomnia: a systematic review and network meta‑analysis
Oszillatorische Gehirnaktivität und ihre Analyse auf der Basis von MEG und EEG : = Oscillatory brain activity and its analysis on the basis of MEG and EEG
Insomnia and REM sleep instability
Oscillatory brain activity and its analysis of MEG and EEG
The importance and limitations of polysomnography in insomnia disorder — a critical appraisal
The psychoneurobiology of insomnia: hyperarousal and REM sleep instability
Subtypen der Insomnie – exemplarische Ansätze und offene Fragen : = Insomnia subtypes - exemplary approaches and open questions
The effect of physical exercise interventions on insomnia: a systematic review and meta-analysis
Cognitive behavioral therapy for insomnia in patients with mental disorders and comorbid insomnia: a systematic review and meta-analysis
The relationship between PSG and morning/evening emotional parameters in patients with insomnia disorder and good sleepers
The effects of cognitive behavioral therapy for insomnia on multidimensional perfectionism