Cognitive behavioural therapy for primary insomnia: a systematic review

Wang, Mei Yeh; Wang, Shuyi; Tsai, Pei‐Shan

doi:10.1111/j.1365-2648.2005.03433.x

Cited by 98 publications

(52 citation statements)

References 26 publications

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“…Stress and arousal have been previously associated with poor sleep efficiency (Morin, Rodrigue, & Ivers, 2003), and therefore identifying the determinants of avoiding anxiety and stress-provoking activity before bed is important. Previous cognitive-behavioural therapy based interventions have successfully improved insomnia (Wang, et al, 2005), which suggests that cognitive and reasoned constructs such as attitudes, subjective norms and perceived behavioural control as found in the theory of planned behaviour (Ajzen, 1985) may be more relevant in stress-related sleep hygiene behaviours.…”

Section: Discussionmentioning

confidence: 99%

“…However, there has been very little research into sleep hygiene and factors that may influence these behaviours, and the research that exists has predominantly focussed on sleep hygiene knowledge. For example, Wang, Wang, and Tsai (2005) reviewed studies using cognitive behavioural therapy to treat insomnia, and whilst sleep hygiene education was a component of some of these studies, sleep hygiene behaviours were not included as a treatment outcome. In addition, abbreviated cognitive behavioural therapy was generally more effective at improving insomnia symptoms than sleep hygiene education .…”

Section: Introductionmentioning

confidence: 99%

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The role of self-regulation in predicting sleep hygiene in university students

Todd

Mullan

2013

Psychology, Health & Medicine

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University students have poor sleep hygiene, leading to poorer health. Facets of self-regulation such as planning, behavioural inhibition, cognitive flexibility and working memory were explored in relation to three sleep hygiene behaviours: avoiding stress or anxiety before bed, avoiding going to bed hungry or thirsty, and making the bedroom restful. One hundred and thirty-seven participants took part in an internet-based survey over two time points separated by a period of 2 weeks. Only cognitive flexibility and behavioural inhibition correlated with sleep hygiene. Cognitive flexibility significantly predicted an aspect of sleep hygiene after controlling for past behaviour. However, when past behaviour was controlled for, behavioural inhibition no longer predicted sleep hygiene. Thus cognitive flexibility may play a role in explaining sleep hygiene, however behavioural inhibition does not appear as important as previously assumed.Further research could build on this study to determine whether cognitive flexibility can be experimentally improved.Acknowledgements:

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The role of self-regulation in predicting sleep hygiene in university students

Todd

Mullan

2013

Psychology, Health & Medicine

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“…For a full review of the CBT-I protocol, see Perlis, Jungquist, Smith, and Posner's (2005) manual on administering CBT-I. Evidence suggests that CBT-I is most effective when its components are administered simultaneously (Riemann & Perlis, 2009;Wang, Wang, & Tsai, 2005); however, some CBT-I components have garnered support as stand-alone treatments and will be discussed next.…”

Section: Psychotherapymentioning

confidence: 99%

No Need to Count Sheep: Investigating an Online Insomnia Intervention among Older Adults

Johanson

Bohlen

Feliciano

2018

The American Journal of Geriatric Psychiatry

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Sleep problems are pervasive among the United States population with insomnia being the most common sleep complaint among adults and older adults. Between 20 and 40 percent of older adults have symptoms of insomnia, which impacts quality of life, inflates healthcare costs, and is associated with a greater risk of chronic disease, comorbid mood disorders, and premature mortality. While pharmacotherapy offers immediate relief from insomnia, it is associated with adverse side effects and risks.Behavioral interventions, such as cognitive-behavioral therapy for insomnia (CBT-I), have longer-term benefits and fewer side effects. However, the full CBT-I protocol is resource intensive and can be difficult to access. The present study examined the ability of a brief Internet-based sleep intervention, stimulus control therapy (SCT; N = 26), to effectively reduce symptoms of insomnia and improve mood in a sample of 46 adults aged 60 years and older compared to a sleep hygiene psychoeducation-only group (N = 20). Participants were recruited from community sources and completed telephone screens. Eligible participants watched a 20-minute video (SCT or sleep hygiene) online and completed three surveys across a one-month period (baseline, 1-week, and 1-month) about mood and sleep. Results revealed no significant group differences but rather decreases in both groups on sleepiness, fatigue, anxiety, depression, and sleep locus of control over time, as well as a group-time interaction for anxiety and stress. Findings imply that both sleep hygiene and SCT have equivalent efficacy and that minimal insomnia treatments may effectively treat comorbid insomnia and anxiety and depression.

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“…Conversely, there is a need for medication to be continued in order to maintain the therapeutic effects of the medication. 45 …”

Section: Economic Costmentioning

confidence: 99%

Insomnia: A Review of the Use of Eszopiclone

Dautovich

Williams

McCrae

2009

Clinical Medicine. Therapeutics

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Abstract:The present paper presents a review of the literature examining the efficacy of eszopiclone for treating insomnia. The purpose of the paper was to evaluate both the statistical and clinical efficacy of eszopiclone for treating insomnia. Both subjective and objective assessments of insomnia were evaluated across various sleep variables. Additionally, the efficacy of eszopiclone for treating insomnia comorbid with other conditions (sleep disordered breathing, psychiatric diagnoses, peri/post-menopause, rheumatoid arthritis), transient insomnia, and across diverse samples (adults, older adults, and samples pooled by race) was reviewed. Finally, the impact of eszopiclone use on daytime functioning was examined.

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Cognitive behavioural therapy for primary insomnia: a systematic review

Cited by 98 publications

References 26 publications

The role of self-regulation in predicting sleep hygiene in university students

The role of self-regulation in predicting sleep hygiene in university students

No Need to Count Sheep: Investigating an Online Insomnia Intervention among Older Adults

Insomnia: A Review of the Use of Eszopiclone

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