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BMJ Open. 2016 Nov 30;6(11):e010707. doi: 10.1136/bmjopen-2015-010707.

Internet-based cognitive-behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials.

Author information

1
Department of Neurology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China.
2
Department of Neurology, PLA 187 Hospital, Haikou, China.
3
Department of Neurology, PLA 123 Hospital, Bengbu, China.

Abstract

OBJECTIVE:

To evaluate the effectiveness of internet-based cognitive-behavioural therapy for insomnia (ICBT-i) in adults.

DESIGN:

A meta-analysis of ICBT-i.

DATA SOURCES:

Systematic searches of randomised controlled trials of ICBT-i were performed in the PubMed, EMBASE, PsycINFO and Cochrane Library databases up to 19 June 2016.

REVIEW METHOD:

2 reviewers independently performed study selection, quality assessment and data extraction. Outcomes of interest included sleep onset latency (SOL), total sleep time (TST), sleep efficiency (SE), wake after sleep onset (WASO), number of nocturnal awakenings (NWAK), and Insomnia Severity Index (ISI). RevMan 5.2 and Stata 13.0 meta-analysis software were used to perform statistical analysis.

RESULTS:

14 records for 15 studies (1013 experimental group participants, 591 waiting list group participants) were included. The meta-analysis indicated that, at the post-test time point, SOL decreased by 18.41 min (95% CI 13.60 to 23.21), TST increased by 22.30 min (95% CI 16.38 to 28.23), SE increased by 9.58% (95% CI 7.30% to 11.85%), WASO decreased by 22.31 min (95% CI 13.50 to 31.11), NWAK decreased by 0.52 (95% CI 0.28 to 0.76), and ISI decreased by 5.88 points (95% CI 4.29 to 7.46). Additionally SOL, TST, SE, and WASO exhibited statistically significant improvements at follow-up versus before treatment.

CONCLUSIONS:

ICBT-i is an effective treatment for adults with insomnia. This conclusion should be verified in further studies.

KEYWORDS:

Cognitive behavioral therapy; insomnia; internet; meta-analysis

PMID:
27903557
PMCID:
PMC5168528
DOI:
10.1136/bmjopen-2015-010707
[Indexed for MEDLINE]
Free PMC Article

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