Kexin Huang, Su Li, Rendong He, Tangsheng Zhong, Haiqi Yang, Li Chen, Hui Gao, Yong Jia
{"title":"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。","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":"<p><p><b>Objectives:</b> 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<sup>th</sup>, 2022. <b>Methods:</b> The two authors of the review independently selected the studies, assessed the risk of bias, and extracted the data. Fourteen studies were included. <b>Results:</b> 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; <i>I</i><sup><i>2</i></sup> <i>=</i> 77%; <i>p</i> < .00001), sleep onset latency (SOL) (MD = -9.29; 95% CI, -13.62 to -4.96; <i>I</i><sup><i>2</i></sup> = 64%; <i>p</i> < 0.0001), wake after sleep onset (WASO) (MD = -23.44; 95% CI, -32.41 to -14.47; <i>I</i><sup><i>2</i></sup><i>=</i> 85%; <i>p</i> < .00001), and total sleep time (TST) (MD = -12.35; 95% CI, -21.27 to -3.42; <i>I</i><sup><i>2</i></sup> = 63%; <i>p</i> = 0.007). <b>Conclusions:</b> Our study suggests that CBT-I may be a safe and effective approach for improving insomnia in older adults.</p>","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":"{\"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\":\"<p><p><b>Objectives:</b> 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<sup>th</sup>, 2022. <b>Methods:</b> The two authors of the review independently selected the studies, assessed the risk of bias, and extracted the data. Fourteen studies were included. <b>Results:</b> 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; <i>I</i><sup><i>2</i></sup> <i>=</i> 77%; <i>p</i> < .00001), sleep onset latency (SOL) (MD = -9.29; 95% CI, -13.62 to -4.96; <i>I</i><sup><i>2</i></sup> = 64%; <i>p</i> < 0.0001), wake after sleep onset (WASO) (MD = -23.44; 95% CI, -32.41 to -14.47; <i>I</i><sup><i>2</i></sup><i>=</i> 85%; <i>p</i> < .00001), and total sleep time (TST) (MD = -12.35; 95% CI, -21.27 to -3.42; <i>I</i><sup><i>2</i></sup> = 63%; <i>p</i> = 0.007). <b>Conclusions:</b> Our study suggests that CBT-I may be a safe and effective approach for improving insomnia in older adults.</p>\",\"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}","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}
Efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults with insomnia: A systematic review and meta-analysis.
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.