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

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Dawei Xu, Zhanjiang Li, Unnah Leitner, Jing Sun
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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.

Abstract Image

远程失眠认知行为疗法在改善失眠症状患者健康状况方面的疗效:一项元分析
背景失眠症发病率很高,认知行为疗法是治疗失眠症的一线疗法。本研究旨在评估远程失眠认知行为疗法的疗效,特别是通过互联网、手机和电话对确诊失眠或报告有失眠症状的成年人的睡眠和其他健康状况进行全面治疗的疗效。本研究还旨在评估作为亚组变量的各种干预成分的效果,以解释远程认知行为疗法对健康结果的疗效。方法从五个电子数据库中获取随机对照试验研究。采用PEDro量表评估研究质量。采用随机效应模型评估结果变量的平均差、标准化平均差和标准差。研究文章之间的异质性采用 I2 和 Q 检验进行评估。结果与对照组相比,失眠症远程认知行为疗法对改善睡眠质量、抑郁、焦虑、疲劳和心理健康有显著的积极作用。对身体健康的影响不明显。结论远程失眠认知行为疗法能有效改善失眠患者的睡眠质量、抑郁、焦虑、疲劳和心理健康。
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来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
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