A meta-analysis of group cognitive behavioral therapy for insomnia
Open accessAbstract
Insomnia is the most common sleep disorder among the general population. Although cognitive behavioral therapy for insomnia (CBT-I) is the psychological treatment of choice, the availability of individual therapy is often not sufficient to meet the demand for treatment. Group treatment can increase the efficiency of delivery, but its efficacy has not been well-established. Randomized controlled trials (RCTs) comparing group CBT-I to a control group in patients with insomnia were identified. A review of 670 unique citations resulted in eight studies that met criteria for analysis. Outcome variables included both qualitative (e.g., sleep quality) and quantitative (e.g., sleep diary) outcomes, as well as depression and pain severity, at both pre- to post-treatment and follow-up (3-12 mo post-treatment). Overall, we found medium to large effect sizes for sleep onset latency, sleep efficiency, and wake after sleep onset and small effect sizes for pain outcomes. Effect sizes remained significant at follow-up, suggesting that treatment gains persist over time. Other variables, including total sleep time, sleep quality, and depression, showed significant improvements, but these findings were limited to the within treatment group analyses. It is clear that group CBT-I is an efficacious treatment. Implications for stepped care models for insomnia are discussed.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The effect on depression symptoms identified is comparable to the effects on depression symptoms reported in previous meta-analyses of CBT-I for insomnia.
“As would be expected given that most eligible trials were of CBT-I, or CBT-informed interventions for insomnia, the effect on depression symptoms we identified is comparable to the effects on depression symptoms reported in previous meta-analyses of CBT-I for insomnia [36][37][38].”
From The effect of non-pharmacological sleep interventions on depression symptoms: a meta-analysis of randomised controlled trials (2019) · cites this paper as [37]
Previous meta-analyses suggest that both internet-delivered and group-based CBT-I have small but significant effects on depression symptoms.
“The results of previous meta-analyses suggest that both internet-delivered [36] and group-based [37] CBT-I have small but significant effects on depression symptoms, despite these symptoms not being specifically targeted.”
From The effect of non-pharmacological sleep interventions on depression symptoms: a meta-analysis of randomised controlled trials (2019) · cites this paper as [37]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
(2012) · Springer eBooks · doi:10.1007/springerreference_121117 · Cited by 20,769 · see citing works
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
(2000) · Cited by 9,198 · see citing works
The International Classification of Sleep Disorders
Daroff, R. B. (1991) · Neurology · doi:10.1212/wnl.41.1.160 · Cited by 5,025 · see citing works
The International Classification of Sleep Disorders: Diagnostic and Coding Manual
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-115-5-413_1 · Cited by 2,416 · see citing works
A Fail-Safe N for Effect Size in Meta-Analysis
Orwin, R. G. (1983) · Journal of Educational Statistics · doi:10.2307/1164923 · Cited by 2,064 · see citing works
Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young Adults
Breslau, N., Roth, T., Rosenthal, L., & Andreski, P. (1996) · Biological Psychiatry · doi:10.1016/0006-3223(95)00188-3 · Cited by 1,831 · see citing works
Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields
Kmet, L. M., Cook, L. S., & Lee, R. C. (2004) · University of Alberta Library · doi:10.7939/r37m04f16 · Cited by 1,682 · see citing works
Nonpharmacological interventions for insomnia: a meta-analysis of treatment efficacy
(1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.8.1172 · Cited by 1,098 · see citing works
Overnight therapy? The role of sleep in emotional brain processing
Walker, M. P., & van der Helm, E. (2009) · Psychological Bulletin · doi:10.1037/a0016570 · Cited by 1,087 · see citing works
Comparative Meta-Analysis of Pharmacotherapy and Behavior Therapy for Persistent Insomnia
Smith, M. T., Perlis, M. L., Park, A., Smith, M. S., Pennington, J., Giles, D. E., & Buysse, D. J. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.1.5 · Cited by 863 · see citing works
Ancoli‐Israel, S., & Roth, T. G. (1999) · PubMed · Cited by 776 · see citing works
National Institutes of Health State of the Science Conference Statement
(2005) · Sleep · doi:10.1093/sleep/28.9.1049 · Cited by 745 · see citing works
Identifying effective psychological treatments for insomnia: A meta-analysis.
Murtagh, D. R. R., & Greenwood, K. M. (1995) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.63.1.79 · Cited by 664 · see citing works
Role of Sleep Duration and Quality in the Risk and Severity of Type 2 Diabetes Mellitus
Knutson, K. L. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.16.1768 · Cited by 641 · see citing works
Comparative effectiveness of cognitive behavioral therapy for insomnia: a systematic review
Mitchell, M. D., Gehrman, P., Perlis, M., & Umscheid, C. A. (2012) · BMC Family Practice · doi:10.1186/1471-2296-13-40 · Cited by 617 · see citing works
Efficacy of Brief Behavioral Treatment for Chronic Insomnia in Older Adults
Buysse, D. J., Germain, A., Moul, D. E., Franzen, P. L., Brar, L. K., Fletcher, M. E., Begley, A. E., Houck, P. R., Mazumdar, S., Reynolds, C. F., et al. (2011) · Archives of Internal Medicine · doi:10.1001/archinternmed.2010.535 · Cited by 552 · see citing works
(Mis)perception of Sleep in Insomnia: A Puzzle and a Resolution
Harvey, A. G., & Tang, N. K. Y. (2012) · Psychological Bulletin · doi:10.1037/a0025730 · Cited by 529 · see citing works
Davis, M. S. (2002) · The Concise Dictionary of Crime and Justice · doi:10.4135/9781452229300.n390 · Cited by 507 · see citing works
Mallon, L., Broman, J. ‐., & Hetta, J. (2002) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2002.00941.x · Cited by 495 · see citing works
Espie, C. A. (2009) · SLEEP · doi:10.1093/sleep/32.12.1549 · Cited by 422 · see citing works
Vitiello, M. V., Rybarczyk, B., Von Korff, M., & Stepanski, E. J. (2009) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27547 · Cited by 321 · see citing works
OKAJIMA, I., KOMADA, Y., & INOUE, Y. (2011) · Sleep and Biological Rhythms · doi:10.1111/j.1479-8425.2010.00481.x · Cited by 306 · see citing works
Schwartz, S. W., Anderson, W. M., Cole, S. R., Cornoni‐Huntley, J. C., Hays, J. C., & Blazer, D. G. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00029-x · Cited by 302 · see citing works
Cognitive–behavioral treatment of insomnia secondary to chronic pain.
Currie, S. R., Wilson, K. G., Pontefract, A. J., & deLaplante, L. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.3.407 · Cited by 301 · see citing works
Cognitive-behavioral treatment of insomnia secondary to chronic pain.
Currie, S. R., Wilson, K. G., Pontefract, A. J., & deLaplante, L. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.68.3.407 · Cited by 299 · see citing works
Espie, C. A., Macmahon, K., Kelly, H.-L., Broomfield, N. M., Douglas, N. J., Engleman, H. M., McKinstry, B., Morin, C. M., Walker, A., & Wilson, P. (2007) · SLEEP · doi:10.1093/sleep/30.5.574 · Cited by 297 · see citing works
Manber, R., Bernert, R. A., Suh, S. A., Nowakowski, S., Siebern, A. T., & Ong, J. C. (2011) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.1472 · Cited by 278 · see citing works
INSOMNIA: SYMPTOM OR DIAGNOSIS?
Harvey, A. G. (2001) · Clinical Psychology Review · doi:10.1016/s0272-7358(00)00083-0 · Cited by 274 · see citing works
Cognitive-behavior therapy for late-life insomnia.
Morin, C. M., Kowatch, R. A., Barry, T., & Walton, E. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.1.137 · Cited by 274 · see citing works
Bastien, C. H., Morin, C. M., Ouellet, M.-C., Blais, F. C., & Bouchard, S. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.4.653 · Cited by 243 · see citing works
Insomnia, Psychiatric Disorders, and the Transdiagnostic Perspective
Harvey, A. G. (2008) · Current Directions in Psychological Science · doi:10.1111/j.1467-8721.2008.00594.x · Cited by 232 · see citing works
Dose-Response Effects of Cognitive-Behavioral Insomnia Therapy: A Randomized Clinical Trial
Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Coffman, C. J., & Carney, C. E. (2007) · SLEEP · doi:10.1093/sleep/30.2.203 · Cited by 228 · see citing works
Do Insomnia Complaints Cause Hypertension or Cardiovascular Disease?
Phillips, B. A., & Mannino, D. M. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26913 · Cited by 227 · see citing works
Treatment preference and patient satisfaction in chronic insomnia
Vincent, N., & Lionberg, C. (2001) · SLEEP · doi:10.1093/sleep/24.4.411 · Cited by 221 · see citing works
Insomnia in primary care patients.
Shochat, T., Umphress, J. L., Israel, A. G., & Ancoli‐Israel, S. (1999) · PubMed · Cited by 215 · see citing works
Patients' acceptance of psychological and pharmacological therapies for insomnia
Morin, C. M., Gaulier, B., Barry, T., & Kowatch, R. A. (1992) · SLEEP · doi:10.1093/sleep/15.4.302 · Cited by 211 · see citing works
Estimating sleep parameters: A multitrait-multimethod analysis.
Coates, T. J., Killen, J. D., George, J., Marchini, E., Silverman, S., & Thoresen, C. E. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.50.3.345 · Cited by 211 · see citing works
Cognitive-behavior therapy for late-life insomnia.
Morin, C. M., Kowatch, R. A., Barry, T., et al. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.61.1.137 · Cited by 211 · see citing works
Ulmer, C. S., Edinger, J. D., & Calhoun, P. S. (2011) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.28042 · Cited by 207 · see citing works
Nighttime insomnia symptoms and perceived health in the America Insomnia Survey (AIS).
Walsh, J., Coulouvrat, C., Hajak, G., Lakoma, M. D., Petukhova, M., Roth, T., Sampson, N., Shahly, V., Shillington, A., Stephenson, J., et al. (2011) · Sleep · doi:10.5665/sleep.1150 · Cited by 193 · see citing works
Casement, M. D., & Swanson, L. M. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.06.002 · Cited by 192 · see citing works
Clinical Management of Insomnia with Brief Behavioral Treatment (BBTI)
Troxel, W., Germain, A., & Buysse, D. J. (2012) · Behavioral Sleep Medicine · doi:10.1080/15402002.2011.607200 · Cited by 180 · see citing works
Efficacy of two behavioral treatment programs for comorbid geriatric insomnia.
Rybarczyk, B. D., Lopez, M., Benson, R., Alsten, C. R., & Stepanski, E. J. (2002) · Psychology and Aging · doi:10.1037/0882-7974.17.2.288 · Cited by 160 · see citing works
Randomized trial of a cognitive-behavioral intervention for insomnia in breast cancer survivors
Epstein, D. R., & Dirksen, S. R. (2007) · Oncology nursing forum · doi:10.1188/07.onf.e51-e59 · Cited by 152 · see citing works
Buscemi, N., Vandermeer, B., Friesen, C., Bialy, L. M., Tubman, M., Ospina, M. B., Klassen, T. P., & Witmans, M. (2005) · PsycEXTRA Dataset · doi:10.1037/e439752005-001 · Cited by 134 · see citing works
Miró, E., Lupiáñez, J., Martínez, M. P., Sánchez, A. I., Díaz-Piedra, C., Guzmán, M. A., & Buela-Casal, G. (2011) · Journal of Health Psychology · doi:10.1177/1359105310390544 · Cited by 87 · see citing works
Jansson‐Fröjmark, M., & Linton, S. J. (2005) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-005-1217-9 · Cited by 72 · see citing works
Verbeek, I., Konings, G., Aldenkamp, A. P., Declerck, A. C., & Klip, E. C. (2006) · Behavioral Sleep Medicine · doi:10.1207/s15402010bsm0403_1 · Cited by 36 · see citing works
Yamadera, W., Sato, M., Harada, D., Iwashita, M., Aoki, R., Obuchi, K., Ozone, M., Itoh, H., & Nakayama, K. (2013) · Sleep and Biological Rhythms · doi:10.1111/sbr.12019 · Cited by 34 · see citing works
Is it Time to Step Up to Stepped Care with our Cognitive-Behavioral Insomnia Therapies?
Edinger, J. D. (2009) · SLEEP · doi:10.1093/sleep/32.12.1539 · Cited by 26 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
European guideline for the diagnosis and treatment of insomnia
Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G., Espie, C. A., Garcia‐Borreguero, D., Gjerstad, M., Gonçalves, M., et al. (2017) · Journal of Sleep Research · doi:10.1111/jsr.12594 · Cited by 2,049 · see citing works
Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment
Fang, H., Tu, S., Sheng, J., & Shao, A. (2019) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.14170 · Cited by 1,152 · see citing works
Cognitive Behavioral Therapy for Chronic Insomnia: A Systematic Review and Meta-analysis
Trauer, J. M., Qian, M. Y., Doyle, J. S., Rajaratnam, S. M. W., & Cunnington, D. (2015) · Annals of Internal Medicine · doi:10.7326/m14-2841 · Cited by 1,053 · see citing works
The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023
Riemann, D., Espie, C. A., Altena, E., Arnardottir, E. S., Baglioni, C., Bassetti, C. L. A., Bastien, C., Berzina, N., Bjorvatn, B., Dikeos, D., et al. (2023) · Journal of Sleep Research · doi:10.1111/jsr.14035 · Cited by 834 · see citing works
Zachariae, R., Lyby, M. S., Ritterband, L. M., & O'Toole, M. S. (2016) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2015.10.004 · Cited by 704 · see citing works
Kalmbach, D. A., Anderson, J. R., & Drake, C. L. (2018) · Journal of Sleep Research · doi:10.1111/jsr.12710 · Cited by 620 · see citing works
Wu, J. Q., Appleman, E. R., Salazar, R. D., & Ong, J. C. (2015) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2015.3006 · Cited by 527 · see citing works
Koffel, E., Bramoweth, A. D., & Ulmer, C. S. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4390-1 · Cited by 391 · see citing works
Geenen, R., Overman, C. L., Christensen, R., Åsenlöf, P., Capela, S., Huisinga, K., Husebø, M. E., Köke, A. J. A., Paskins, Z., Pitsillidou, I. A., et al. (2018) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2017-212662 · Cited by 383 · see citing works
Johnson, J. A., Rash, J. A., Campbell, T. S., Savard, J., Gehrman, P. R., Perlis, M., Carlson, L. E., & Garland, S. N. (2016) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2015.07.001 · Cited by 371 · see citing works
S3-Leitlinie Nicht erholsamer Schlaf/Schlafstörungen
Riemann, D. W., Baum, E., Cohrs, S., Crönlein, T., Hajak, G., Hertenstein, E., Klose, P., Langhorst, J., Mayer, G., Nissen, C., et al. (2017) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-016-0097-x · Cited by 339 · see citing works
Hyperarousal and sleep reactivity in insomnia: current insights
Kalmbach, D. A., Cuamatzi-Castelan, A. S., Tonnu, C. V., Tran, K. M., Anderson, J. R., Roth, T. G., & Drake, C. L. (2018) · Nature and Science of Sleep · doi:10.2147/nss.s138823 · Cited by 343 · see citing works
Cognitive Behavioral Therapy in Persons with Comorbid Insomnia: A Meta-Analysis
Geiger-Brown, J. M., Rogers, V. E., Liu, W., Ludeman, E. M., Downton, K. D., & Diaz-Abad, M. (2015) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2014.11.007 · Cited by 331 · see citing works
Edinger, J. D., Arnedt, J. T., Bertisch, S. M., Carney, C. E., Harrington, J. J., Lichstein, K. L., Sateia, M. J., Troxel, W. M., Zhou, E. S., Kazmi, U., et al. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.8988 · Cited by 309 · see citing works
Baglioni, C., Altena, E., Bjorvatn, B., Blom, K., Bothelius, K., Devoto, A., Espie, C. A., Frase, L., Gavriloff, D., Tuuliki, H., et al. (2020) · Journal of Sleep Research · doi:10.1111/jsr.12967 · Cited by 259 · see citing works
The assessment and management of insomnia: an update
Krystal, A. D., Prather, A. A., & Ashbrook, L. H. (2019) · World Psychiatry · doi:10.1002/wps.20674 · Cited by 256 · see citing works
Effect of insomnia treatments on depression: A systematic review and meta-analysis
Gebara, M. A., Siripong, N., DiNapoli, E. A., Maree, R. D., Germain, A., Reynolds, C. F., Kasckow, J. W., Weiss, P. M., & Karp, J. F. (2018) · Depression and Anxiety · doi:10.1002/da.22776 · Cited by 247 · see citing works
Systematic Review and Meta-analysis of Adolescent Cognitive–Behavioral Sleep Interventions
Blake, M. J., Sheeber, L. B., Youssef, G. J., Raniti, M. B., & Allen, N. B. (2017) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-017-0234-5 · Cited by 242 · see citing works
“There is strong evidence from multiple systematic reviews and meta-analyses that CBT-I improves sleep in adults, usually with medium–large effect sizes (Koffel et al. 2015; Murtagh and Greenwood 1995; Morin et al. 1994; Trauer et al. 2015; van Straten et al. 2017).”
BackgroundMethodResultInfluentialBabiloni, A. H., Koninck, B. P. D., Beetz, G., Beaumont, L. D., Martel, M. O., & Lavigne, G. J. (2019) · Journal of Neural Transmission · doi:10.1007/s00702-019-02067-z · Cited by 242 · see citing works
Friedrich, A., & Schlarb, A. A. (2018) · Journal of Sleep Research · doi:10.1111/jsr.12568 · Cited by 241 · see citing works
Mindfulness meditation for insomnia: A meta-analysis of randomized controlled trials
Gong, H., Ni, C., Liu, Y., Zhang, Y., Su, W., Lian, Y., Peng, W. J., & Jiang, C. (2016) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2016.07.016 · Cited by 231 · see citing works
Murawski, B., Wade, L., Plotnikoff, R. C., Lubans, D. R., & Duncan, M. J. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2017.12.003 · Cited by 225 · see citing works
Gee, B., Orchard, F., Clarke, E., Joy, A., Clarke, T., & Reynolds, S. (2019) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2018.09.004 · Cited by 212 · see citing works
Selvanathan, J., Pham, C., Nagappa, M., Peng, P. W. H., Englesakis, M., Espie, C. A., Morin, C. M., & Chung, F. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101460 · Cited by 206 · see citing works
Mitchell, L. J., Bisdounis, L., Ballesio, A., Omlin, X., & Kyle, S. D. (2019) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2019.06.002 · Cited by 171 · see citing works
Lancee, J., van Straten, A., Nexhmedin Morina, B., Kaldo, V., & Kamphuis, J. H. (2015) · SLEEP · doi:10.5665/sleep.5344 · Cited by 173 · see citing works
Ballesio, A., Aquino, M. R. J. V., Feige, B., Johann, A. F., Kyle, S. D., Spiegelhalder, K., Lombardo, C., Rücker, G., Riemann, D., & Baglioni, C. (2018) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2017.01.006 · Cited by 172 · see citing works
Blom, K., Tillgren, H. T., Wiklund, T., Danlycke, E., Forssén, M., Söderström, A., Johansson, R., Hesser, H., Jernelöv, S., Lindefors, N., et al. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.05.002 · Cited by 172 · see citing works
Ebert, D. D., Berking, M., Thiart, H., Riper, H., Laferton, J. A. C., Cuijpers, P., Sieland, B., & Lehr, D. (2015) · Health Psychology · doi:10.1037/hea0000277 · Cited by 161 · see citing works
Digital Cognitive Behavioral Therapy (dCBT) for Insomnia: a State-of-the-Science Review
Luik, A. I., Kyle, S. D., & Espie, C. A. (2017) · Current Sleep Medicine Reports · doi:10.1007/s40675-017-0065-4 · Cited by 156 · see citing works
Efficacy of cognitive behavioral therapy for insomnia in breast cancer: A meta-analysis
Ma, Y., Hall, D. L., Ngo, L. H., Liu, Q., Bain, P. A., & Yeh, G. Y. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2020.101376 · Cited by 151 · see citing works
Brasure, M., Fuchs, E. L., MacDonald, R. H., Nelson, V. A., Koffel, E., Olson, C. M., Khawaja, I. S., Diem, S. J., Carlyle, M. H., Wilt, T. J., et al. (2016) · Annals of Internal Medicine · doi:10.7326/m15-1782 · Cited by 148 · see citing works
Ree, M., Junge, M., & Cunnington, D. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.03.017 · Cited by 145 · see citing works
Sadler, P., McLaren, S., Klein, B., Harvey, J. T., & Jenkins, M. (2018) · SLEEP · doi:10.1093/sleep/zsy104 · Cited by 147 · see citing works
Benz, F., Knoop, T., Ballesio, A., Bacaro, V., Johann, A. F., Rücker, G., Feige, B., Riemann, D., & Baglioni, C. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101873 · Cited by 142 · see citing works
Rios, P. D. L., Cardoso, R., Morra, D. E., Nincic, V., Goodarzi, Z., Farah, B., Harricharan, S., Morin, C. M., Leech, J. A., Straus, S. E., et al. (2019) · Systematic Reviews · doi:10.1186/s13643-019-1163-9 · Cited by 141 · see citing works
Heart rate variability in insomnia patients: A critical review of the literature
Dodds, K. L., Miller, C. B., Kyle, S. D., Marshall, N. S., & Gordon, C. J. (2016) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.06.004 · Cited by 134 · see citing works
Accortt, E. E., & Wong, M. S. (2017) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0000000000000477 · Cited by 122 · see citing works
Cognitive Behavioral Therapy for Insomnia (CBT-i) in School-Aged Children and Adolescents
Dewald‐Kaufmann, J., de Bruin, E. J., & Michael, G. (2019) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2019.02.002 · Cited by 129 · see citing works
Blake, M., Waloszek, J. M., Schwartz, O., Raniti, M., Simmons, J. G., Blake, L., Murray, G., Dahl, R. E., Bootzin, R., Dudgeon, P., et al. (2016) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000142 · Cited by 114 · see citing works
Arnedt, J. T., Conroy, D. A., Mooney, A., Furgal, A. K. C., Sen, A., & Eisenberg, D. (2020) · SLEEP · doi:10.1093/sleep/zsaa136 · Cited by 109 · see citing works
Boullin, P., Ellwood, C., & Ellis, J. G. (2016) · Brain Sciences · doi:10.3390/brainsci7010001 · Cited by 108 · see citing works
Non-pharmacological Approaches for Management of Insomnia
Chan, N. Y., Chan, J. W. Y., Li, S. X., & Wing, Y. K. (2021) · Neurotherapeutics · doi:10.1007/s13311-021-01029-2 · Cited by 117 · see citing works
Cognitive Behavioral Therapy for Insomnia (CBT-I): A Primer
Walker, J., Muench, A., Perlis, M. L., & Vargas, I. (2022) · Clinical Psychology and Special Education · doi:10.17759/cpse.2022110208 · Cited by 106 · see citing works
“Specifically, the literature supports that it is as effective in treating insomnia symptoms as sedative-hypnotics during acute treatment (4–8 weeks [12; 15; 29]) and is more effective than sedative-hypnotics in the long term (e.”
BackgroundÅslund, L., Arnberg, F. K., Kanstrup, M., & Lekander, M. (2018) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7498 · Cited by 104 · see citing works
Sleep disorders and chronic craniofacial pain: Characteristics and management possibilities.
Almoznino, G., Benoliel, R., Sharav, Y., & Haviv, Y. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.04.005 · Cited by 96 · see citing works
Li, C., Xu, D., Hu, M., Tan, Y., Zhang, P., Li, G., & Chen, L. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.02.006 · Cited by 90 · see citing works
Natsky, A. N., Vakulin, A., Chai-Coetzer, C. L., Lack, L., McEvoy, R. D., Lovato, N., Sweetman, A., Gordon, C. J., Adams, R. J., & Kaambwa, B. (2020) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2020.101351 · Cited by 91 · see citing works
Cognitive Behavioral Therapy in Movement Disorders: A Review
Berardelli, I., Pasquini, M., Roselli, V., Biondi, M., Berardelli, A., & Fabbrini, G. (2015) · Movement Disorders Clinical Practice · doi:10.1002/mdc3.12160 · Cited by 91 · see citing works
We know CBT-I works, now what?
Muench, A., Vargas, I., Grandner, M. A., Ellis, J. G., Posner, D. A., Bastien, C., Drummond, S. P. A., & Perlis, M. L. (2022) · Faculty Reviews · doi:10.12703/r/11-4 · Cited by 91 · see citing works
Gao, Y., Ge, L., Liu, M., Niu, M., Chen, Y., Sun, Y., Chen, J., Yao, L., Wang, Q., Li, Z., et al. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101648 · Cited by 89 · see citing works
Lee, S., Oh, J. W., Park, K., Lee, E. M., & Lee, E. M. (2023) · npj Digital Medicine · doi:10.1038/s41746-023-00800-3 · Cited by 94 · see citing works
Taylor, D. J., Peterson, A. L., Pruiksma, K. E., Young‐McCaughan, S., Nicholson, K. L., & Mintz, J. (2017) · SLEEP · doi:10.1093/sleep/zsx075 · Cited by 87 · see citing works
Cognitive behavioral group therapy for anxiety: recent developments
Wolgensinger, L. (2015) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2015.17.3/lwolgensinger · Cited by 84 · see citing works
Wong, S. Y. S., Zhang, D., Chi-kwan, C. L., Yip, B. H. K., Chan, D. C.-C., Ling, Y.-M., Lo, C. S. L., Woo, D. M.-S., Sun, Y., Ma, H., et al. (2017) · Psychotherapy and Psychosomatics · doi:10.1159/000470847 · Cited by 76 · see citing works
Cognitive behavioural treatment for insomnia in primary care: a systematic review of sleep outcomes
Davidson, J. R., Dickson, C., & Han, H. (2019) · British Journal of General Practice · doi:10.3399/bjgp19x705065 · Cited by 74 · see citing works
Cognitive‐Behavioral Therapy for Insomnia to Reduce Chronic Migraine: A Sequential Bayesian Analysis
Smitherman, T. A., Kuka, A. J., Calhoun, A. H., Walters, A. B. P., Davis-Martin, R. E., Ambrose, C. E., Rains, J. C., & Houle, T. T. (2018) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13313 · Cited by 73 · see citing works
Scott, A. J., Webb, T. L., & Rowse, G. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016873 · Cited by 72 · see citing works
The Interrelationship between Sleep and Chronic Pain in Adolescents
Badawy, S., Law, E., & Palermo, T. (2019) · Current Opinion in Physiology · doi:10.1016/j.cophys.2019.04.012 · Cited by 57 · see citing works
Sleep and Dreaming in Posttraumatic Stress Disorder
Miller, K. E., Brownlow, J. A., Woodward, S., & Gehrman, P. (2017) · Current Psychiatry Reports · doi:10.1007/s11920-017-0827-1 · Cited by 67 · see citing works
Kallestad, H., Scott, J. L., Vedaa, Ø., Lydersen, S., Vethe, D., Morken, G., Stiles, T. C., Sivertsen, B., & Langsrud, K. (2020) · SLEEP · doi:10.1093/sleep/zsab185 · Cited by 64 · see citing works
Sleep profiles and CBT-I response in schizophrenia and related psychoses
Chiu, V., Ree, M. J., Janča, A., Iyyalol, R., Dragović, M., & Waters, F. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.07.027 · Cited by 62 · see citing works
Long-term clinical effect of group cognitive behavioral therapy for insomnia: a case series study
Castronovo, V., Galbiati, A., Sforza, M., Poletti, M., Giarolli, L., Kuo, T., Zucconi, M., Manconi, M., Hensley, M., Morin, C., et al. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.03.017 · Cited by 58 · see citing works
Chien, H., Chung, Y., Yeh, M., & Lee, J. (2015) · Journal of Clinical Nursing · doi:10.1111/jocn.12972 · Cited by 59 · see citing works
Abelson, S., Lipson, S. K., & Eisenberg, D. (2022) · Higher education · doi:10.1007/978-3-030-76660-3_6 · Cited by 61 · see citing works
Lappalainen, P., Langrial, S., Oinas-Kukkonen, H., Muotka, J., & Lappalainen, R. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.04.001 · Cited by 57 · see citing works
Sleep disturbance as a therapeutic target to improve opioid use disorder treatment.
Huhn, A. S., & Finan, P. H. (2021) · Experimental and Clinical Psychopharmacology · doi:10.1037/pha0000477 · Cited by 58 · see citing works
Brief Behavioral Treatment of Insomnia
Gunn, H. E., Tutek, J., & Buysse, D. J. (2019) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2019.02.003 · Cited by 57 · see citing works
Parthasarathy, S., Carskadon, M. A., Jean‐Louis, G., Owens, J. A., Bramoweth, A. D., Combs, D., Hale, L. E., Harrison, E. M., Hart, C. N., Hasler, B. P., et al. (2016) · SLEEP · doi:10.5665/sleep.6300 · Cited by 57 · see citing works
Norell‐Clarke, A., Jansson‐Fröjmark, M., Tillfors, M., Holländare, F., & Engström, I. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.09.005 · Cited by 56 · see citing works
Griggs, S. A., Conley, S., Batten, J., & Grey, M. J. (2020) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2020.101356 · Cited by 55 · see citing works
Blue-light filtering spectacle lenses for visual performance, sleep, and macular health in adults
Singh, S., Keller, P. R., Busija, L., McMillan, P., Makrai, E., Lawrenson, J. G., Hull, C. C., & Downie, L. E. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013244.pub2 · Cited by 69 · see citing works
Chen, P., Jan, Y.-W., & Yang, C. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.04.003 · Cited by 51 · see citing works
Fordham, B., Sugavanam, T., Edwards, K., Hemming, K., Howick, J., Copsey, B. J., Lee, H., Kaidesoja, M., Kirtley, S., Hopewell, S., et al. (2021) · Health Technology Assessment · doi:10.3310/hta25090 · Cited by 59 · see citing works
Self‐administered acupressure for insomnia disorder: a pilot randomized controlled trial
Yeung, W., Ho, F. Y., Chung, K., Zhang, Z., Yu, B. Y., Suen, L. K. P., Chan, L., Chen, H., Ho, L., & Lao, L. (2017) · Journal of Sleep Research · doi:10.1111/jsr.12597 · Cited by 50 · see citing works
Cognitive Behavioral Therapy in the Treatment of Insomnia
Haynes, J., Talbert, M., Fox, S., & Close, E. (2018) · Southern Medical Journal · doi:10.14423/smj.0000000000000769 · Cited by 50 · see citing works
Perrault, A. A., Pomares, F. B., Smith, D., Cross, N. E., Gong, K., Maltezos, A., McCarthy, M., Madigan, E., Tarelli, L., McGrath, J. J., et al. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.05.010 · Cited by 50 · see citing works
Hwang, J., Lee, G. E., Woo, J. H., Kim, S. M., & Kwon, J. Y. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01514-4 · Cited by 50 · see citing works
Hwang, D.-K., Nam, M., & Lee, Y.-J. G. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.02.002 · Cited by 48 · see citing works
Sandlund, C., Hetta, J. E., Nilsson, G. H., Ekstedt, M., & Westman, J. (2017) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2017.03.007 · Cited by 47 · see citing works
Jansson‐Fröjmark, M., & Norell‐Clarke, A. (2018) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2018.05.001 · Cited by 49 · see citing works
Zia, S., & Fields, B. G. (2016) · CHEST Journal · doi:10.1016/j.chest.2016.02.670 · Cited by 44 · see citing works
Hom, M. A., Chu, C., Schneider, M. E., Lim, I. C., Hirsch, J. K., Gutierrez, P. M., & Joiner, T. E. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.11.032 · Cited by 44 · see citing works
Jernelöv, S., Blom, K., Isacsson, N. H., Bjurner, P., Rosén, A., Kraepelien, M., Forsell, E., & Kaldo, V. (2022) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2021.2009019 · Cited by 41 · see citing works
Janků, K., Šmotek, M., Fárková, E., & Kopřivová, J. (2019) · Chronobiology International · doi:10.1080/07420528.2019.1692859 · Cited by 44 · see citing works
Gehrman, P., Shah, M. T., Miles, A., Kuna, S. T., & Godleski, L. (2016) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2016.0032 · Cited by 42 · see citing works
Perspectives on increasing the impact and reach of CBT-I
Manber, R., Simpson, N. S., & Gumport, N. B. (2023) · SLEEP · doi:10.1093/sleep/zsad168 · Cited by 41 · see citing works
Koffel, E., McCurry, S. M., Smith, M. T., & Vitiello, M. V. (2018) · Pain · doi:10.1097/j.pain.0000000000001423 · Cited by 41 · see citing works
Zuo, X., Dong, Z., Zhang, P., Zhang, P., Chang, G., Xiang, Q., Zhu, X., Zhou, J., Qiao, C., Yang, Y., et al. (2020) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2020.06.024 · Cited by 42 · see citing works
Crönlein, T., Lehner, A., SCHÜSSLER, P., Geisler, P., Rupprecht, R., & Wetter, T. C. (2019) · Behavior Therapy · doi:10.1016/j.beth.2019.03.002 · Cited by 39 · see citing works
Covariance patterns between sleep health domains and distributed intrinsic functional connectivity
Wang, Y., Genon, S., Dong, D., Zhou, F., Li, C., Yu, D., Yuan, K., He, Q., Qiu, J., Feng, T., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-42945-5 · Cited by 39 · see citing works
Network meta-analysis examining efficacy of components of cognitive behavioural therapy for insomnia
Steinmetz, L., Simon, L., Feige, B., Riemann, D. W., Johann, A. F., Ell, J., Ebert, D. D., Baumeister, H., Benz, F., & Spiegelhalder, K. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102507 · Cited by 40 · see citing works
Kamen, C. S., Garland, S. N., Heckler, C. E., Peoples, A. R., Kleckner, I. R., Cole, C. L., Perlis, M. L., Morrow, G. R., Mustian, K. M., & Roscoe, J. A. (2017) · Behavioral Sleep Medicine · doi:10.1080/15402002.2016.1276019 · Cited by 36 · see citing works
Delivering Cognitive Behavioral Therapy for Insomnia in the Real World
Buenaver, L. F., Townsend, D. R., & Ong, J. C. (2019) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2019.01.008 · Cited by 35 · see citing works
Janků, K., Šmotek, M., Fárková, E., & Kopřivová, J. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13064 · Cited by 35 · see citing works
A step towards stepped care: delivery of CBT-I with reduced clinician time
Manber, R., Simpson, N. S., & Bootzin, R. R. (2015) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2014.09.003 · Cited by 32 · see citing works
Schiller, H., Söderström, M., Lekander, M., Rajaleid, K., & Kecklund, G. (2018) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-018-1291-x · Cited by 32 · see citing works
Hall, D. L., Arditte Hall, K. A., Gorman, M. J., Comander, A., Goldstein, M. R., Cunningham, T. J., Wieman, S., Mizrach, H. R., Juhel, B. C., Li, R., et al. (2022) · Cancer · doi:10.1002/cncr.34066 · Cited by 31 · see citing works
Reynolds, S. A., Orchard, F., Midgley, N., Kelvin, R. G., & Goodyer, I. M. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.10.029 · Cited by 32 · see citing works
Klasser, G. D., Almoznino, G., & Fortuna, G. (2018) · Dental Clinics of North America · doi:10.1016/j.cden.2018.06.005 · Cited by 31 · see citing works
- Authors
- Koffel, E. A., Koffel, J. B., & Gehrman, P. R.
- Affiliations
- University of Minnesota (US)
- Philadelphia VA Medical Center (US)
- Corresponding author
- Koffel, Erin A.
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 19
- Pages
- 6-16
- ISSN
- 1087-0792 (ISSN-L)
- PMC
- PMC4910506
- OpenAlex
- W2148760176
- Cited by
- 356
- References
- 50
- Citations by year
- 2026: 13 · 2025: 32 · 2024: 31 · 2023: 31 · 2022: 34 · 2021: 36 · 2020: 33 · 2019: 38 · 2018: 31 · 2017: 33 · 2016: 23 · 2015: 16 · 2014: 4 · 2013: 1
- FWCI
- 3.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs
- National Institutes of Health (VA999999)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy for insomnia, group therapy, insomnia, sleep latency, sleep efficiency, wake after sleep onset, total sleep time, sleep quality, pain, depression, treatment efficacy, treatment retention, stepped care
- MeSH terms
- Adult, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Outcome and Process Assessment, Health Care, Psychotherapy, Group, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
