Efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults with insomnia: A systematic review and meta-analysis.

Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists Pub Date : 2022-10-01 Epub Date: 2022-08-13 DOI:10.1177/10398562221118516

Kexin Huang, Su Li, Rendong He, Tangsheng Zhong, Haiqi Yang, Li Chen, Hui Gao, Yong Jia

{"title":"Efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults with insomnia: A systematic review and meta-analysis.","authors":"Kexin Huang, Su Li, Rendong He, Tangsheng Zhong, Haiqi Yang, Li Chen, Hui Gao, Yong Jia","doi":"10.1177/10398562221118516","DOIUrl":null,"url":null,"abstract":"Objectives: The aim is to evaluate the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults. We searched six databases to identify articles published in English or Chinese until January 30th, 2022. Methods: The two authors of the review independently selected the studies, assessed the risk of bias, and extracted the data. Fourteen studies were included. Results: Based on the results from sleep logs, a significant pooled effect size was observed for sleep efficiency (SE%) (MD = 8.36; 95% CI, 5.96-10.76; I2 = 77%; p < .00001), sleep onset latency (SOL) (MD = -9.29; 95% CI, -13.62 to -4.96; I2 = 64%; p < 0.0001), wake after sleep onset (WASO) (MD = -23.44; 95% CI, -32.41 to -14.47; I2= 85%; p < .00001), and total sleep time (TST) (MD = -12.35; 95% CI, -21.27 to -3.42; I2 = 63%; p = 0.007). Conclusions: Our study suggests that CBT-I may be a safe and effective approach for improving insomnia in older adults.","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"592-597"},"PeriodicalIF":0.0000,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"9","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10398562221118516","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/8/13 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 9

Abstract

Objectives: The aim is to evaluate the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults. We searched six databases to identify articles published in English or Chinese until January 30^th, 2022. Methods: The two authors of the review independently selected the studies, assessed the risk of bias, and extracted the data. Fourteen studies were included. Results: Based on the results from sleep logs, a significant pooled effect size was observed for sleep efficiency (SE%) (MD = 8.36; 95% CI, 5.96-10.76; I² = 77%; p < .00001), sleep onset latency (SOL) (MD = -9.29; 95% CI, -13.62 to -4.96; I² = 64%; p < 0.0001), wake after sleep onset (WASO) (MD = -23.44; 95% CI, -32.41 to -14.47; I²= 85%; p < .00001), and total sleep time (TST) (MD = -12.35; 95% CI, -21.27 to -3.42; I² = 63%; p = 0.007). Conclusions: Our study suggests that CBT-I may be a safe and effective approach for improving insomnia in older adults.

查看原文本刊更多论文

认知行为疗法治疗失眠症(CBT-I)对老年人失眠症的疗效:系统回顾和荟萃分析。

目的:目的是评估认知行为疗法(CBT-I)对老年人失眠的疗效。我们检索了六个数据库，以确定在2022年1月30日之前以英文或中文发表的文章。方法:两位作者独立选择研究，评估偏倚风险，并提取数据。纳入了14项研究。结果:根据睡眠记录的结果，观察到睡眠效率(SE%)存在显著的合并效应量(MD = 8.36;95% ci, 5.96-10.76;I2 = 77%;p < 0.00001)，睡眠发作潜伏期(SOL) (MD = -9.29;95% CI， -13.62 ~ -4.96;I2 = 64%;p < 0.0001)，睡眠后醒来(WASO) (MD = -23.44;95% CI， -32.41 ~ -14.47;I2 = 85%;p < 0.00001)，总睡眠时间(TST) (MD = -12.35;95% CI， -21.27 ~ -3.42;I2 = 63%;P = 0.007)。结论:我们的研究表明CBT-I可能是一种安全有效的改善老年人失眠的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

自引率

0.00%

发文量