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Cited by 356Sleep and related disordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and Applications

The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index, and 1 are not checked yet.

A meta-analysis of group cognitive behavioral therapy for insomnia

Open access
Koffel, Erin A., Koffel, Jonathan B., Gehrman, Philip R.·2015·Sleep Medicine Reviews
DOI 10.1016/j.smrv.2014.05.001PMC PMC4910506
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Abstract

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.

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  1. National Institutes of Health, 2005, Manifestations and management of chronic insomnia in adults, Sleep, 28, 1049

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Metadata

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.
ORCID
Venue
Sleep Medicine Reviews
Publisher
Elsevier BV
Published
2015-02
Volume
19
Pages
6-16
ISSN
1087-0792 (ISSN-L)
DOI
10.1016/j.smrv.2014.05.001
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
FWCI
3.43
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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

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