Changes in dysfunctional beliefs about sleep after cognitive behavioral therapy for insomnia: A systematic literature review and meta-analysis
Open accessAbstract
Cognitive behavioral therapy for insomnia (CBT-I) is the preferred treatment for chronic insomnia and sleep-related cognitions are one target of treatment. There has been little systematic investigation of how sleep-related cognitions are being assessed in CBT-I trials and no meta-analysis of the impact of CBT-I on dysfunctional beliefs about sleep, a core cognitive component of treatment. Academic Search Complete, Medline, CINAHL and PsychInfo from 1990 to 2018 were searched to identify randomized controlled trials of CBT-I in adults (≥18 years) reporting some measure of sleep-related cognitions. Sixteen randomized controlled trials were identified comparing 1134 CBT-I and 830 control subjects. The Dysfunctional Beliefs and Attitudes about Sleep Scale was utilized almost exclusively to assess sleep-related cognitions in these trials. Hedge's g at 95% confidence interval (CI) was calculated to assess CBT-I effect size at post-treatment compared to controls. CBT-I significantly reduced dysfunctional beliefs about sleep (g = -0.90, 95% CI -1.19, -0.62) at post-treatment. Three trials contributed data to estimate effect size for long-term effects (g = -1.04, 95% CI -2.07, -0.02) with follow up time ranging from 3 to 18 mo. We concluded that cognitive behavioral therapy for insomnia has moderate to large effects on dysfunctional beliefs about sleep.
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?
Dysfunctional beliefs and attitudes about sleep improve after a period of CBT-I in adults, with a large effect.
“a meta-analysis by Thakral et al. (2020) found dysfunctional beliefs and attitudes about sleep improve after a period of CBT-I in adults, with a large effect reported.”
From Do non-pharmacological sleep interventions affect anxiety symptoms? A meta-analysis (2022) · cites this paper as Thakral et al., 2020
A similar meta-analysis investigating the effects of CBT-I on dysfunctional beliefs and attitudes about sleep found a large effect.
“This reflects a similar meta-analysis investigating the effects of CBT-I on dysfunctional beliefs and attitudes about sleep, where a large effect was found (Thakral et al., 2020).”
From Do non-pharmacological sleep interventions affect anxiety symptoms? A meta-analysis (2022) · cites this paper as Thakral et al., 2020
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
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722 · see citing works
PRISMA-P Group, Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015) · Systematic Reviews · doi:10.1186/2046-4053-4-1 · Cited by 26,223 · see citing works
Duval, S., & Tweedie, R. (2000) · Biometrics · doi:10.1111/j.0006-341x.2000.00455.x · Cited by 14,099 · see citing works
Validation of the Insomnia Severity Index as an outcome measure for insomnia research
Bastien, C. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00065-4 · Cited by 8,067 · see citing works
Self-citationKrupp, L. B. (1989) · Archives of Neurology · doi:10.1001/archneur.1989.00520460115022 · Cited by 6,172 · see citing works
Effect size estimates: Current use, calculations, and interpretation.
Fritz, C. O., Morris, P. E., & Richler, J. J. (2012) · Journal of Experimental Psychology: General · doi:10.1037/a0024338 · Cited by 5,199 · see citing works
Psychological and behavioral treatment of insomnia: update of the recent evidence (1998-2004)
Morin, C. M., Bootzin, R. R., Buysse, D. J., Edinger, J. D., Espie, C. A., & Lichstein, K. L. (2006) · Sleep · doi:10.1093/sleep/29.11.1398 · Cited by 1,345 · see citing works
Self-citationHaass-Koffler, C., & Kenna, G. (2013) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2013.00086 · Cited by 1,126 · see citing works
Estimation of effect size from a series of independent experiments.
Hedges, L. V. (1982) · Psychological Bulletin · doi:10.1037/0033-2909.92.2.490 · Cited by 1,065 · see citing works
Edinger, J. D., Bonnet, M. H., Bootzin, R. R., Doghramji, K., Dorsey, C. M., Espie, C. A., Jamieson, A. O., McCall, W. V., Morin, C. M., & Stepanski, E. J. (2004) · Sleep · doi:10.1093/sleep/27.8.1567 · Cited by 1,039 · see citing works
Self-citationDysfunctional Beliefs and Attitudes about Sleep (DBAS): Validation of a Brief Version (DBAS-16)
Morin, C. M., Vallières, A., & Ivers, H. (2007) · SLEEP · doi:10.1093/sleep/30.11.1547 · Cited by 865 · see citing works
Self-citationZachariae, 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
Cognitive and behavioral therapies in the treatment of insomnia: A meta-analysis
van Straten, A., van der Zweerde, T., Kleiboer, A., Cuijpers, P., Morin, C. M., & Lancee, J. (2018) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2017.02.001 · Cited by 676 · see citing works
Self-citationComparative 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
Irwin, M. R., Cole, J. C., & Nicassio, P. M. (2006) · Health Psychology · doi:10.1037/0278-6133.25.1.3 · Cited by 537 · see citing works
Espie, C. A., Broomfield, N. M., MacMahon, K. M. A., Macphee, L. M., & Taylor, L. M. (2006) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2006.03.002 · Cited by 532 · see citing works
Al-Kodmany, K. M. (2020) · The Urban Book Series · doi:10.1525/fsr.2005.17.4.277 · Cited by 531
Morin, C., Stone, J., Trinkle, D., Mercer, J., & Remsberg, S. (1993) · Psychology and Aging · doi:10.1037/0882-7974.8.3.463 · Cited by 492 · see citing works
Self-citationInsomnia: A Clinical Guide to Assessment and Treatment
Haynes, P. L. (2004) · SLEEP · doi:10.1093/sleep/27.2.343 · Cited by 381 · see citing works
Taylor, D. J., & Pruiksma, K. E. (2014) · International Review of Psychiatry · doi:10.3109/09540261.2014.902808 · Cited by 359 · 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 · cited 1× · see citing works
“We also reviewed the reference lists of 5 review articles (1,4,31,32).”
Morin, C. M., Blais, F., & Savard, J. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00055-9 · Cited by 313 · see citing works
Self-citationInternet-Based Treatment for Insomnia: A Controlled Evaluation.
Ström, L., Pettersson, R., & Andersson, G. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.1.113 · Cited by 311 · 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
Computerised Cognitive Behavioural Therapy for Insomnia: A Systematic Review and Meta-Analysis
Cheng, S. K., & Dizon, J. (2012) · Psychotherapy and Psychosomatics · doi:10.1159/000335379 · Cited by 241 · see citing works
Espie, C. A., Inglis, S. J., Harvey, L., & Tessier, S. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00090-2 · Cited by 241 · see citing works
Towards a valid, reliable measure of sleep effort
BROOMFIELD, N. M., & ESPIE, C. A. (2005) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2005.00481.x · Cited by 224 · see citing works
Effects of Cognitive Arousal and Physiological Arousal on Sleep Perception
Tang, N. K. Y., & Harvey, A. G. (2004) · SLEEP · doi:10.1093/sleep/27.1.69 · Cited by 221 · see citing works
Self-help treatment for insomnia: bibliotherapy with and without professional guidance.
Mimeault, V., & Morin, C. (1999) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.67.4.511 · Cited by 220 · see citing works
Self-citationDoes cognitive-behavioral insomnia therapy alter dysfunctional beliefs about sleep?
Edinger, J. D., Wohlgemuth, W., Radtke, R., Marsh, G., & Quillian, R. (2001) · Sleep · doi:10.1093/sleep/24.5.591 · Cited by 213 · see citing works
Meta-analytic review of the impact of cognitive-behavior therapy for insomnia on concomitant anxiety
Belleville, G., Cousineau, H., Levrier, K., & St-Pierre-Delorme, M.-È. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.02.004 · Cited by 207 · see citing works
Relaxation and sleep compression for late-life insomnia: A placebo-controlled trial.
Lichstein, K. L., Riedel, B. W., Wilson, N. M., Lester, K. W., & Aguillard, R. N. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.69.2.227 · Cited by 193 · see citing works
Efficacy of an insomnia intervention on fatigue, mood and quality of life in breast cancer survivors
Dirksen, S. R., & Epstein, D. R. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04560.x · Cited by 185 · see citing works
A Cognitive Theory and Therapy for Chronic Insomnia
Harvey, A. G. (2005) · Journal of Cognitive Psychotherapy · doi:10.1891/jcop.19.1.41.66332 · Cited by 183 · see citing works
Effects of a Brief Behavioral Treatment for Late-Life Insomnia: Preliminary Findings
Germain, A., Moul, D. E., Franzen, P. L., Miewald, J. M., Reynolds, C. F., Monk, T. H., & Buysse, D. J. (2006) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26654 · 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 · cited 1× · see citing works
“We also reviewed the reference lists of 5 review articles (1,4,31,32).”
Vitiello, M. V., McCurry, S. M., Shortreed, S. M., Balderson, B. H., Baker, L. D., Keefe, F. J., Rybarczyk, B. D., & Von Korff, M. (2013) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12275 · Cited by 165 · see citing works
Self-citationHorsch, C. H., Lancee, J., Griffioen-Both, F., Spruit, S., Fitrianie, S., Neerincx, M. A., Beun, R. J., & Brinkman, W.-P. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6524 · Cited by 164 · see citing works
Behavioral and cognitive treatments of geriatric insomnia.
Morin, C. M., & Azrin, N. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.5.748 · Cited by 154 · see citing works
Self-citationCarnes, D., Homer, K. E., Miles, C. L., Pincus, T., Underwood, M., Rahman, A., & Taylor, S. J. C. (2012) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e31822ed2f3 · Cited by 141 · see citing works
The contribution of worry to insomnia.
Watts, F., Coyle, K., & East, M. P. (1994) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1994.tb01115.x · Cited by 139 · see citing works
Schwartz, D. R., & Carney, C. E. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.06.006 · Cited by 137 · see citing works
Development and Perceived Utility and Impact of an Internet Intervention for Insomnia
Thorndike, F. P., Saylor, D. K., Bailey, E. T., Gonder-Frederick, L. A., Morin, C. M., & Ritterband, L. M. (2008) · E-Journal of Applied Psychology · doi:10.7790/ejap.v4i2.133 · Cited by 136 · see citing works
Self-citationSavard, J., Ivers, H., Savard, M.-H., & Morin, C. M. (2014) · Sleep · doi:10.5665/sleep.3918 · Cited by 136 · see citing works
Self-citationIdentifying critical beliefs about sleep in primary insomnia.
Carney, C., & Edinger, J. (2006) · Sleep · doi:10.1093/sleep/29.3.342 · Cited by 136 · see citing works
Epstein, D. R., Sidani, S., Bootzin, R. R., & Belyea, M. J. (2012) · SLEEP · doi:10.5665/sleep.1878 · Cited by 127 · see citing works
Jernelöv, S., Lekander, M., Blom, K., Rydh, S., Ljótsson, B., Axelsson, J., & Kaldo, V. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-5 · Cited by 127 · see citing works
The Relation between Insomnia Symptoms, Mood, and Rumination about Insomnia Symptoms
Carney, C. E., Harris, A. L., Falco, A., & Edinger, J. D. (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2752 · Cited by 121 · see citing works
Taylor, D. J., Zimmerman, M. R., Gardner, C. E., Williams, J. M., Grieser, E. A., Tatum, J. I., Bramoweth, A. D., Francetich, J. M., & Ruggero, C. (2014) · Behavior Therapy · doi:10.1016/j.beth.2013.12.010 · Cited by 119 · see citing works
Cognitive-Behavioral Therapy for Comorbid Insomnia and Chronic Pain
Finan, P. H., Buenaver, L. F., Runko, V. T., & Smith, M. T. (2014) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2014.02.007 · Cited by 117 · see citing works
Evaluation of a Brief Treatment Program of Cognitive Behavior Therapy for Insomnia in Older Adults
Lovato, N., Lack, L. C., Wright, H., & Kennaway, D. J. (2014) · SLEEP · doi:10.5665/sleep.3320 · Cited by 98 · see citing works
Lancee, J., Eisma, M. C., van Straten, A., & Kamphuis, J. H. (2015) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2015.1026386 · Cited by 93 · see citing works
Lorenz, N., Heim, E., Rötger, A., Birrer, E., & Maercker, A. R. A. (2018) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465818000486 · Cited by 90 · see citing works
Eidelman, P., Talbot, L. S., Ivers, H., Bélanger, L., Morin, C. M., & Harvey, A. G. (2015) · Behavior Therapy · doi:10.1016/j.beth.2015.10.002 · Cited by 89 · see citing works
Self-citationHo, F. Y., Chung, K., Yeung, W., Ng, T. H., & Cheng, S. K.-W. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.10.002 · Cited by 86 · see citing works
Jansson‐Fröjmark, M., Harvey, A. G., Lundh, L., Norell‐Clarke, A., & Linton, S. J. (2011) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2010.538432 · Cited by 78 · see citing works
Casault, L., Savard, J., Ivers, H., & Savard, M. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.02.003 · Cited by 65 · see citing works
Edinger, J., & Wohlgemuth, W. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(01)00078-8 · Cited by 63 · see citing works
Edinger, J., Fins, A., Sullivan, R. J., Marsh, G., Dailey, D., & Young, M. (1996) · Sleep · doi:10.1093/sleep/19.5.442 · Cited by 55 · see citing works
Sánchez-Ortuño, M. M., & Edinger, J. D. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.10.003 · Cited by 52 · see citing works
Chow, P. I., Ingersoll, K. S., Thorndike, F. P., Lord, H. R., Gonder-Frederick, L. A., Morin, C. M., & Ritterband, L. M. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.11.1140 · Cited by 46 · cited 1× · see citing works
“Chow (2018) also found no significant difference between groups in Sleep Self-efficacy at post-intervention (40).”
BackgroundSelf-citationChung, K., Ho, F. Y., & Yeung, W. (2016) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.5878 · Cited by 41 · see citing works
Sleep Locus of Control: Report on a New Scale
Vincent, N., Sande, G., Read, C. N., & Giannuzzi, T. (2004) · Behavioural Sleep Medicine · doi:10.1207/s15402010bsm0202_1 · Cited by 39 · see citing works
Redeker, N., Jeon, S., Andrews, L. K., Cline, J., Mohsenin, V., & Jacoby, D. (2017) · Behavioural Sleep Medicine · doi:10.1080/15402002.2017.1357120 · Cited by 38 · see citing works
Sunnhed, R., & Jansson-Fröjmark, M. (2014) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2013.846399 · Cited by 32 · see citing works
Sunnhed, R., & Jansson‐Fröjmark, M. (2015) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9698-0 · Cited by 29 · see citing works
Sandlund, C., Hetta, J. E., Nilsson, G. H., Ekstedt, M., & Westman, J. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.05.002 · Cited by 27 · see citing works
The Role of Sleep‐Related Beliefs to Improvement in Early Cognitive Behavioral Therapy for Insomnia
Jansson‐Fröjmark, M., & Linton, S. J. (2008) · Cognitive Behaviour Therapy · doi:10.1080/16506070801907013 · Cited by 25 · see citing works
Jansson‐Fröjmark, M., Lind, M., & Sunnhed, R. (2011) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.2011.02018.x · Cited by 22 · see citing works
Fairholme, C. P., & Manber, R. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.01.001 · Cited by 21 · see citing works
Norell‐Clarke, A., Tillfors, M., Jansson‐Fröjmark, M., Holländare, F., & Engström, I. (2017) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2017.10.4.304 · Cited by 15 · see citing works
Flagged first, then by citations
4 of the 75 references couldn’t be matched to a known paper.
Research works printed but not linked: 4
- Morin CM. Insomnia: Psychological assessment and management [ Internet]. New York:NY: Guilford Press New York; 1993 [ cited 2019 Mar 14]. Available from: https://psycnet.apa.org/record/1993-98362-000
- [25]Lacks P Behavioral treatment for persistent insomnia. New York: Pergamon Press; 1987.
- [55]Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub; 2013. 24413388
- [59]Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The Fatigue Severity Scale. Arch Neurol. 1989; 46: 1121– 3. 2803071
Cited by
Sorted by citations
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
“…outcomes, CBT-I also has positive effects on associated subclinical depressive symptoms, anxiety, daytime sleepiness and fatigue (Benz et al., 2020), dysfunctional cognitions related to sleep (Thakral et al., 2020), worry (Ballesio et al., 2021), and quality of life (Alimoradi et al., 2022).”
BackgroundSun, Y., Laksono, I., Selvanathan, J., Saripella, A., Nagappa, M., Pham, C., Englesakis, M. F., Peng, P., Morin, C. M., & Chung, F. F. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101467 · Cited by 186 · see citing works
Self-citationBabiloni, A. H., Bellemare, A., Beetz, G., Vinet, S.-A., Martel, M. O., Lavigne, G. J., & Beaumont, L. D. (2020) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2020.101381 · Cited by 124 · 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
Rosenberg, R. P., Citrome, L., & Drake, C. L. (2021) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s297504 · Cited by 77 · see citing works
Parsons, C. E., Zachariae, R. H., Landberger, C., & Young, K. S. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.102027 · Cited by 75 · see citing works
Cognitive factors and processes in models of insomnia: A systematic review
Tang, N. K. Y., Saconi, B., Jansson‐Fröjmark, M., Ong, J. C., & Carney, C. E. (2023) · Journal of Sleep Research · doi:10.1111/jsr.13923 · Cited by 66 · see citing works
“A 2020 meta-analysis of 16 RCTs found a large effect of CBT-I in reducing dysfunctional beliefs about sleep at post-treatment, with effect maintained at follow-up from 3 to 18 months (Thakral et al., 2020).”
MethodKallestad, 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
“…both groups had large reductions in dysfunctional beliefs about sleep during the intervention, with similar effect sizes as typically found in trials of CBT-I [40] and no difference between the two groups at week 9, indicating that both interventions addressed core therapeutic components of CBT-I.”
ResultMechanisms of cognitive behavioural therapy for insomnia
Altena, E., Ellis, J. G., Camart, N., Guichard, K., & Bastien, C. (2023) · Journal of Sleep Research · doi:10.1111/jsr.13860 · Cited by 52 · see citing works
“…with insomnia, changes in beliefs and attitudes about sleep as well as locus of control have been shown to be key aspects linked to effective CBT-I, and to diminished insomnia complaints as well as improvements in objective sleep (Chow et al., 2018; Edinger et al., 2001a; Thakral et al., 2020).”
BackgroundThe significance of cognitive-behavioral therapy on suicide: An umbrella review
Wu, H., Liu, L., Qian, Y., Jin, X., Yu, H., Du, L., Fu, X., Zhu, B., & Chen, H. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.08.067 · Cited by 57 · see citing works
Do non-pharmacological sleep interventions affect anxiety symptoms? A meta-analysis
Staines, A. C., Broomfield, N., Pass, L., Orchard, F., & Bridges, J. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13451 · Cited by 37 · see citing works
“This reflects a similar meta-analysis investigating the effects of CBT-I on dysfunctional beliefs and attitudes about sleep, where a large effect was found (Thakral et al., 2020).”
BackgroundResultInfluentialBrief Behavioral Treatment for Insomnia: A Meta-Analysis
Kwon, M., Wang, J., Wilding, G. E., Dickerson, S. S., & Dean, G. E. (2021) · Behavioral Sleep Medicine · doi:10.1080/15402002.2021.1982715 · Cited by 38 · see citing works
Gkintoni, E., Vassilopoulos, S. P., Nikolaou, G., & Boutsinas, B. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14072265 · Cited by 34 · see citing works
Ell, J., Brückner, H. A., Johann, A. F., Steinmetz, L., Güth, L. J., Feige, B., Järnefelt, H., Vallières, A., Frase, L., Domschke, K., et al. (2024) · Journal of Sleep Research · doi:10.1111/jsr.14193 · Cited by 27 · see citing works
How people think about being alone shapes their experience of loneliness
Rodriguez, M., Schertz, K. E., & Kross, E. (2025) · Nature Communications · doi:10.1038/s41467-025-56764-3 · Cited by 29 · see citing works
“…literature to outline specific strategies for fostering more adaptive beliefs about solitude (e.g., cognitive reappraisal, mindfulness) and discuss the potential benefits and challenges of implementing such interventions in different contexts (e.g., schools, workplaces, retirement communities).”
He, D., Guo, Z., McClure, M. A., Mu, Q., & Jiang, B. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101736 · Cited by 27 · see citing works
Song, Y., Kelly, M. R., Fung, C. H., Dzierzewski, J. M., Grinberg, A. M., Mitchell, M. N., Josephson, K. R., Martin, J. L., & Alessi, C. (2021) · Annals of Behavioral Medicine · doi:10.1093/abm/kaab030 · Cited by 34 · see citing works
Palagini, L., Alfì, G., Gurrieri, R., Annuzzi, E., Caruso, V., Gambini, M., Grenno, G., Trivella, M., Presta, S., Miniati, M., et al. (2024) · Journal of Sleep Research · doi:10.1111/jsr.14196 · Cited by 28 · see citing works
“In this framework, changes in dysfunctional beliefs or arousal have been considered mediators of CBT-I insomnia treatment response (Thakral et al., 2020).”
Palagini, L., Manni, R., Liguori, C., Gennaro, L. D., Gemignani, A., Fanfulla, F., Ferri, R., Nobili, L., & Ferini‐Strambi, L. (2023) · Journal of Neurology · doi:10.1007/s00415-023-12112-3 · Cited by 34 · see citing works
“From January 2020, 11 meta-analyses showed that it is effective not only on night-time symptoms but also on daytime symptoms and on comorbid conditions [66–68 , 68– 73 ].”
Lu, Y.-A., Lin, H., & Tsai, P. (2025) · Journal of Medical Internet Research · doi:10.2196/69657 · Cited by 26 · see citing works
“Digital interventions effectively reduced dysfunctional beliefs and attitudes about sleep, consistent with findings reported by Thakral et al [59], who indicated the effectiveness of CBT-i in helping individuals develop healthier sleep-related beliefs and attitudes.”
Bedtime procrastination mediates the relation between anxiety and sleep problems
Campbell, R. L., & Bridges, A. J. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23440 · Cited by 31 · see citing works
Lindsay, J. A. B., McGowan, N. M., King, N., Rivera, D., Li, M., Byun, J., Cunningham, S., Saunders, K. E. A., & Duffy, A. C. (2022) · BJPsych Open · doi:10.1192/bjo.2022.48 · Cited by 24 · see citing works
Alikhani, M., Ebrahimi, A., Farnia, V., Khazaie, H., Radmehr, F., Mohamadi, E., Davarinejad, O., Dürsteler, K. M., Bahmani, D. S., & Brand, S. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.07.043 · Cited by 27 · see citing works
Zhai, S., Hash, J. B., Ward, T. M., Yuwen, W., & Sonney, J. (2023) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2023.07.011 · Cited by 32 · see citing works
Faaland, P. M., Vedaa, Ø., Langsrud, K., Sivertsen, B., Lydersen, S., Saksvik, S. B., Vestergaard, C. L., Kjørstad, K., Vethe, D., Ritterband, L. M., et al. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.07.018 · Cited by 18 · see citing works
Carney, A. E., Wescott, D. L., Carmona, N. E., Carney, C. E., & Roecklein, K. A. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.05.092 · Cited by 18 · see citing works
El Rafihi-Ferreira, R., do Brasil do Carmo, M. M. I., Bassolli, L., Hasan, R., Aizawa, I. M. N., & Toscanini, A. C. (2022) · Psicologia: Reflexão e Crítica · doi:10.1186/s41155-022-00243-x · Cited by 17 · see citing works
“Several studies have shown a reduction in dysfunctional beliefs about sleep, with a concomitant reduction in the severity of insomnia (Lance et al., 2019; Thakral et al., 2020).”
BackgroundInfluentialPan, M., Dong, M., Zhang, S., Liu, L., Li, H., Wang, Y., & Qian, Q. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05673-8 · Cited by 16 · see citing works
“This study indicated the effectiveness of CBT in reducing maladaptive cognitions in patients with ADHD, in line with those patients with depression [56], insomnia [57], and agoraphobia [58].”
ResultNielson, S. A., Perez, E., Soto, P. F., Boyle, J. T., & Dzierzewski, J. M. (2023) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2023.101856 · Cited by 15 · see citing works
Peng, J., Zhang, T., Li, Y., Wu, L., Peng, X., Li, C., Lin, X., Yu, J., Li, M., Sun, J., et al. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1129322 · Cited by 13 · see citing works
Cho, E., Song, J., Lee, J., Cho, I., Lee, D., Choi, H., Kim, H., & Chung, S. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.978001 · Cited by 15 · see citing works
Yang, L., Zhang, J., Luo, X., Yang, Y., Zhao, Y., Feng, F., Liu, S., Zhang, C., Li, Z., Wang, C., et al. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115066 · Cited by 17 · see citing works
Tubbs, A., Taneja, K., Ghani, S. B., Nadorff, M. R., Drapeau, C. W., Karp, J., Fernandez, F., Perlis, M., & Grandner, M. (2023) · Journal of American College Health · doi:10.1080/07448481.2022.2155828 · Cited by 14 · see citing works
Does psychological capital mediate the impact of dysfunctional sleep beliefs on well-being?
Sabot, D., & Hicks, R. E. (2020) · Heliyon · doi:10.1016/j.heliyon.2020.e04314 · Cited by 18 · see citing works
Recent Advances in Diagnosis and Treatment of Insomnia Disorder
Kim, S. J. (2020) · 신경정신의학 · doi:10.4306/jknpa.2020.59.1.2 · Cited by 17 · see citing works
Kuhn, T., Karsan, S., Heisz, J. J., & Middleton, L. E. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1396579 · Cited by 12 · see citing works
Clemente, V., Marques, D. R., Miller-Mendes, M., Morin, C., Serra, J., & Gomes, A. A. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.03.021 · Cited by 11 · see citing works
Self-citationAttitudes Towards Sleep as a Time Commitment are Associated with Sleep Regularity
Windred, D. P., Stone, J., McGlashan, E. M., Cain, S. W., & Phillips, A. J. K. (2021) · Behavioral Sleep Medicine · doi:10.1080/15402002.2020.1860989 · Cited by 14 · see citing works
Leitlinie „Insomnie bei Erwachsenen“ – Update 2025 (AWMF-Registernummer 063-003)
Spiegelhalder, K., Baum, E., Becker, M., Cornaro, C., Crönlein, T., Frase, L., Harth, V., Hertenstein, E., Johann, A. F., Mertel, I., et al. (2025) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-025-00530-6 · Cited by 8 · see citing works
Kim, K., Chung, S., Cho, E., Choi, J.-M., Lee, D., & Cho, I.-K. (2022) · Sleep Medicine Research · doi:10.17241/smr.2022.01403 · Cited by 10 · see citing works
“While applying digital CBT-I using digital therapeutic application to patients with insomnia, brief measure tools are needed to assess insomnia-related symptoms or psychological problems such as depression, anxiety, insomnia severity, and dysfunctional beliefs about sleep.”
BackgroundInfluentialAssociations between sleep problems in children with ADHD and parental insomnia and ADHD symptoms
Bondopandhyay, U., McGrath, J., & Coogan, A. N. (2024) · PLoS ONE · doi:10.1371/journal.pone.0298377 · Cited by 8 · see citing works
Li, J., Lin, S., She, Z., Wen, L., Liang, Z., & Tan, Y. Y. (2025) · Scientific Reports · doi:10.1038/s41598-025-19135-y · Cited by 4 · see citing works
“CBT-I can significantly improve sleep efficiency, reduce the time to fall asleep and the number of nocturnal awakenings 40,41 .”
Chung, S., Kim, S., Cho, I.-K., Lee, D., Kim, J., & Cho, E. (2023) · Psychiatry Investigation · doi:10.30773/pi.2023.0220 · Cited by 7 · see citing works
“26,27 In this study, however, we observed that change in insomnia severity was significantly associated with change in sleep-related cognitions.”
BackgroundSpina, M.-A., Bei, B., Rajaratnam, S. M. W., Krystal, A. D., Edinger, J. D., Buysse, D. J., Thase, M. E., & Manber, R. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.12.014 · Cited by 6 · see citing works
Maccora, J., Bean, H. R., Diggens, J., Ftanou, M., Alexander, M., Lü, Q., Stafford, L., Francis, P. A., Bei, B., & Wiley, J. F. (2022) · Behavioral Sleep Medicine · doi:10.1080/15402002.2022.2075364 · Cited by 6 · see citing works
“, 2014), they deviate from the wider literature (Thakral et al., 2020).”
BackgroundResultWang, P., Xie, C., Qian, J., Cai, S., Xu, L., Jiang, X., Chen, G., & Wang, K. (2025) · BMC Psychology · doi:10.1186/s40359-025-03210-0 · Cited by 7 · see citing works
“Prior studies demonstrate that cognitive-behavioral interventions aimed at correcting DBAS effectively improve sleep quality [30–32].”
Impact of Adherence to Digital Cognitive Behavioral Therapy for Insomnia Effectiveness
Lee, S., Park, K., Lee, D. H., Choi, E. C., Lee, Y., & Lee, E. M. (2025) · Yonsei Medical Journal · doi:10.3349/ymj.2024.0398 · Cited by 4 · see citing works
“29,33 In contrast to the results of other studies, we did not find significant between-group differences in ISI scores from baseline to post intervention.”
Kutzer, Y., Whitehead, L., Quigley, E., Fu, S. C., & Stanley, M. J. (2023) · Psychogeriatrics · doi:10.1111/psyg.12931 · Cited by 6 · see citing works
Wang, X., Wang, P., Liu, C., Qin, S., Wan, Q., Luo, S., & Wu, W. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1087706 · Cited by 6 · see citing works
Neilson, B. D., Shepherd, M. H., Dickerson, C., Chaconas, E. J., Young, J. L., & Rhon, D. I. (2022) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000001051 · Cited by 12 · see citing works
Pain-related beliefs about sleep as a predictor of insomnia symptoms and treatment acceptability
Ravyts, S. G., Perez, E., & Dzierzewski, J. M. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.05.008 · Cited by 6 · see citing works
Liang, S.-H., Yu, Y.-X., Liu, S., Song, Z.-J., & Song, L.-Z. (2025) · Journal of Behavioral Addictions · doi:10.1556/2006.2025.00086 · Cited by 5 · see citing works
“Speci fi cally, while both interventions likely addressed AT through CBT components (Nicolai, 2014; Thakral, Von Korff, McCurry, Morin, & Vitiello, 2020) and anxiety to some extent, the addition of MBI in the combined group may have offered a more comprehensive strategy for managing anxiety.”
Roland, A., Windal, M., Briganti, G., Kornreich, C., & Maîresse, O. (2023) · Nature and Science of Sleep · doi:10.2147/nss.s432944 · Cited by 5 · see citing works
Chung, K., Lee, C., Au, C. W., Kam, K., Lee, C., Yeung, W., Lau, E. Y. Y., Ho, F. Y., & Ho, L. (2023) · Early Intervention in Psychiatry · doi:10.1111/eip.13435 · Cited by 6 · see citing works
“Both sleep and non-sleep symptoms, quality of life, and dysfunctional beliefs about sleep can be helped with CBTI (Manber et al., 2016; Thakral et al., 2020).”
BackgroundPei, W., He, T., Yang, P., Lv, X., Jiao, B., Meng, F., Yan, Y.-S., Cui, L., He, G., Zhou, X. J., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-063442 · Cited by 6 · see citing works
Matricciani, L., Paquet, C., Dumuid, D., Lushington, K., & Olds, T. (2022) · The Science of Diabetes Self-Management and Care · doi:10.1177/26350106221137896 · Cited by 5 · see citing works
Effects of schedule exercise therapy on chronic insomnia
Liao, Y., Huang, F., Ni, X., Ke, H.-Y., Tian, Y., Yu, M., Jin, G., & Chen, G. (2022) · Medicine · doi:10.1097/md.0000000000030792 · Cited by 7 · see citing works
“[14,15] Since Spielman first proposed the concept of behavioral treatment for insomnia,[16] an increasing number of studies have examined its mechanism of action and clinical applications.[17-21] Clinical research has demonstrated that CBT-I can be a safe and effective treatment option for patients with CID with vario…”
BackgroundAdjunctive smart ring monitoring during digital cognitive behavioral therapy for insomnia
Moon, D. U., Lee, Y., Lütt, A., Lee, S., & Lee, E. M. (2025) · Scientific Reports · doi:10.1038/s41598-025-24312-0 · Cited by 4 · see citing works
“Cognitive factors, such as heightened sleep-related worry and selective monitoring, may lead to exaggerated perceptions of sleep deficits 69,70 .”
Identifying the association of hyperarousal and insomnia symptoms: A network perspective
Zhu, K., & Xue, S. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.06.017 · Cited by 4 · see citing works
Chan, K. L., Pau, N. H. Y., Poon, S. F. O., Lam, B. L. H., Lam, C. B., & Chan, K. K. S. (2025) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.70047 · Cited by 5 · see citing works
“This finding aligns with previous research demonstrating that CBT-I can address misconceptions about the causes and consequences of insomnia, unrealistic sleep expectations, and faulty beliefs about sleep control and practices (Furukawa et al., 2024; Thakral et al., 2020).”
Wang, B., Wang, Z., Zhang, X., Ji, Y., Shuai, Y., Shen, Y., Shen, Z., & Chen, W. (2025) · Sleep And Breathing · doi:10.1007/s11325-025-03283-6 · Cited by 5 · see citing works
“Providing accurate sleep information or cognitive restructuring strategies may prevent short-term sleep issues from escalating into long-term problems, particularly during high-stress events like the COVID-19 pandemic [28, 53].”
Gao, Z., Gao, Z., Chen, Z., Ma, J., Zhao, Y., Zhang, L., & Guo, L. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05580-y · Cited by 4 · see citing works
“The false cognition of sleep in cancer patients creates a serious psychological burden in cancer patients, triggering anxiety, worry, and ultimately non-adaptive behaviors [29, 30].”
BackgroundVeteran Acceptance of Sleep Health Information Technology: a Mixed-Method Study
Kaitz, J. E., Robinson, S. A., Petrakis, B. A., Reilly, E. D., Chamberlin, E. S., Wiener, R. S., & Quigley, K. S. (2022) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-022-00287-x · Cited by 4 · see citing works
Assessing the Sleep-wake Pattern in Cancer Patients for Predicting a Short Sleep Onset Latency
Yi, K., Lee, J., Yeo, S., Kim, K., & Chung, S. (2022) · Clinical Psychopharmacology and Neuroscience · doi:10.9758/cpn.2022.20.2.364 · Cited by 6 · see citing works
“Cognitive-behavioral therapy for insomnia (CBT-I) improves insomnia by targeting perpetuating factors, such as dysfunctional beliefs [7], and is an effective treatment for insomnia secondary to cancer [8].”
BackgroundThe Network of Dysfunctional Beliefs About Sleep: A Structural Re-Analysis of the DBAS-16
Carmo, M., Morin, C. M., Hasan, R., Toscanini, A. C., & Ferreira, R. E. R. (2026) · Behavioral Sleep Medicine · doi:10.1080/15402002.2026.2711286 · Cited by 3 · see citing works
Self-citationInvestigating the Effectiveness of CBT-i Coach, a Free, Publicly Available mHealth App for Insomnia
Dolezal, M. L., Wielgosz, J., Miller, K. E., Taylor, K. L., Owen, J. E., & Kuhn, E. R. (2024) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-024-00459-x · Cited by 3 · see citing works
“…restriction (Maurer et al., 2021; Miller et al., 2014), stimulus control (Jansson-Fröjmark et al., 2024), relaxation (Lichstein et al., 2011), sleep hygiene/psychoeducation (Chung et al., 2018; van Straten et al., 2018), and cognitive restructuring (Thakral et al., 2020) all improve sleep outcomes.”
Nielson, S. A., Boyle, J. T., Dautovich, N. D., & Dzierzewski, J. M. (2024) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2024.102032 · Cited by 4 · see citing works
Relationship between Psychological Capital and Sleep Quality in Intensive Care Unit Nurses
Sajedi, S., Jafarjalal, E., & Haghani, S. (2022) · Journal of Client-centered Nursing Care · doi:10.32598/jccnc.8.2.418.1 · Cited by 3
Cognitive Behavior Therapy Effects in Patients with Insomnia: A Literature Review
Kurnianto, S., Abidin, Z., & Puspitasari, H. D. (2022) · Fundamental and Management Nursing Journal · doi:10.20473/fmnj.v5i1.38908
Tang, T., Zhang, N., Qu, L., Zhang, J., Yang, D., Shen, S., Du, B., Du, X., Liu, N., & Cui, L. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-109402 · Cited by 2 · see citing works
Zhu, H., Wen, Q., Zhang, F., Li, S., Wang, X., & Li, J. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.108678 · Cited by 2 · see citing works
Islam, M. Z., Rafi, M. F. A., Podder, P., Siddika, A., Kabir, M., Khan, E. M., Islam, A. K. M. N., & Mukta, S. H. (2025) · Data and Information Management · doi:10.1016/j.dim.2025.100104 · Cited by 2 · see citing works
Park, K., Lee, S., Lee, Y., Moon, D. U., & Lee, E. M. (2025) · Journal of Medical Internet Research · doi:10.2196/70722 · Cited by 2 · see citing works
“The treatment effects of the WELT-I intervention align with findings from recent meta-analyses, supporting the efficacy of digital CBT-I [51-53].”
You, S., Xie, Y., Wang, X., Tang, S., & Wu, D. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1744418
“For individuals with high scores on dysfunctional sleep beliefs and attitudes, integrating core modules of CBT-I, such as cognitive restructuring, stimulus control, and sleep restriction, can be used for intervention, with a focus on strengthening cognitive reappraisal components (65).”
Yang, S., Zhang, Z., & Lei, X. (2026) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2026.01.029 · Cited by 1 · see citing works
Ossipova, I., Pössel, P., & Fernandez-Botrán, R. (2025) · Research in Nursing & Health · doi:10.1002/nur.70019 · Cited by 1 · see citing works
Factors Linking Interoception and Sleep Across the Adult Lifespan
Seo, A., Nishiyama, R., Lee, K., & Duarte, A. (2025) · Psychophysiology · doi:10.1111/psyp.70120 · Cited by 1 · see citing works
“…have emphasized this arousal before sleep as a target for insomnia interventions (Harvey 2002), shaping one of the core principles of cognitive-behavioral therapy for insomnia (CBT-I; Cincotta et al. 2011; Ong et al. 2018; Sunnhed and Jansson-Fröjmark 2015; as reviewed in Thakral et al. 2020).”
Roh, Y., Yoon, A. S., & Oh, H. (2026) · JMIR Formative Research · doi:10.2196/79242 · Cited by 1 · see citing works
“CBT-I targets maladaptive beliefs about sleep and conditioned arousal, and prior studies have shown that cognitive changes achieved through CBT-I are relatively stable after treatment completion [17].”
Isaksson, S., Henriksson, V., Salim, O., Bäccman, C., & Norell, A. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.106595 · Cited by 1 · see citing works
Sleep misperception in women with myofascial temporomandibular disorder
Chan, C. C., Dubrovsky, B., Bouchard, M., Tartter, V. C., & Raphael, K. G. (2024) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.11330 · Cited by 1 · see citing works
“40 Future investigations could focus on the effect of cognitive behavioral therapy for insomnia on self-reported sleep and pain experience in patients with TMD and insomnia, with and without the misperception component.”
Psychological repercussions of COVID-19 on health care workers, Sudan
Salman, F. H., Elmahdi, Z. Z. M., & Elnour, S. M. B. (2023) · International Journal of Social Psychiatry · doi:10.1177/00207640231199406 · Cited by 1 · see citing works
“…(Killgore et al., 2020), anxiety was evaluated using the Generalised Anxiety Disorder 7-item (GAD-7) scale (Lechner et al., 2020), and insomnia was assessed using the validated version of the Insomnia Severity Index (Thakral et al., 2020), both of which are validated measuring techniques.”
MethodAmani, O., Mazaheri, M. A., Malekzadeh, M., & Zarani, F. (2023) · Biological Rhythm Research · doi:10.1080/09291016.2023.2242063 · Cited by 1 · see citing works
“This evidence-based non-pharmacological treatment is a multi-component treat-ment that changes the sleep quality of the affected person by changing dysfunctional cognitions and behaviors (Thakral et al. 2020).”
BackgroundHardman, J. R., Rees, C. S., Bonnar, D., & Ree, M. J. (2023) · Clinical Psychologist · doi:10.1080/13284207.2022.2155034 · Cited by 1 · see citing works
Hartley, S., Dagneaux, S., Palethorpe, C., Londe, V., Liane, M.-T., Decalf, L., Aussert, F., Francs, C. C. D., Leymarie, R., & Royant‐Parola, S. (2022) · L Encéphale · doi:10.1016/j.encep.2022.08.022 · Cited by 1 · see citing works
陈, 福. (2024) · Advances in Psychology · doi:10.12677/ap.2024.148547 · Cited by 2 · see citing works
Lu, Y. M., Huo, Y. L., Zhang, Y., Liu, J. C., & Zhang, G. (2026) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2026.102784
Lofitou, K., Kouki, E., Gavriel, C., Achilleos, H., Themistokleous, V., Bargiotas, P., Haarbauer-Krupa, J., Paraskevopoulos, E., & Constantinidou, F. (2026) · Brain and Behavior · doi:10.1002/brb3.71556
“Research indicates that structured behavioral interventions, such as CBT-I, help realign the sleep–w ake cycle, enhance self-regulation, and mitigate insomnia symptoms by targeting dysfunctional sleep beliefs (Thakral et al. 2020 ).”
Sharma, G. S., Gupta, R. M., Kulshreshtha, P., Dhamija, P., Mohan, L., & Rao, M. R. (2026) · Sleep and Vigilance · doi:10.1007/s41782-026-00368-4
Circadian–immune crosstalk in insomnia disorder: mechanisms and therapeutic implications
Huang, Y., Wang, X., Chen, X., & Liu, Y. (2026) · Frontiers in Neuroscience · doi:10.3389/fnins.2026.1881195
“From the perspective of circadian–immune interactions, CBT-I may stabilize behavioral rhythms by improving sleep continuity, reducing pre-sleep arousal, and attenuating stress responses (Irwin et al., 2014; Thakral et al., 2020; Palagini et al., 2022).”
Zou, C., Lan, Y., Liu, X., & Zhu, X. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1804213
“Evidence that CBT-I modi fi es dysfunctional beliefs about sleep Frontiers in Psychiatry frontiersin.org provides a mechanistic rationale for improved patient expectations and subsequent engagement (35).”
Hu, J., Yang, Z.-Z., Zhang, X., Sun, X.-Y., Hou, Y., & Zhang, X.-Y. (2026) · Sleep Medicine · doi:10.1016/j.sleep.2026.109011
Lee, N., Ahn, J., Kim, H., & Kim, S. (2026) · Chronobiology in Medicine · doi:10.33069/cim.2026.0013
“Given that restructuring these mal-adaptive cognitions is a core component in Cognitive Behavioral Therapy for Insomnia, which is a treatment of choice for chronic insomnia [2,39].”
Ndekezi, D., Kyomugisha, R., Nyangoma, B., Namirembe, P., Nanyonga, B., Nyaruhuma, A., Ateo, C., Rutainama, C. R., Thomas, K. A., Batuusa, R., et al. (2026) · SLEEP Advances · doi:10.1093/sleepadvances/zpag029
“Improvements in sleep knowledge,total time in bed,longer sleep duration, and healthier attitudes reflect dur able cognitive and behavioral change [53, 54].”
Shi, X., Fan, X., Cai, Y., Luo, Z., Liu, Y., Feng, S., Gan, L., Wang, Q., Chen, L., & Pan, J. (2026) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2026.111678
Sleep Knowledge and Cognitions and Their Relation to Behavioural Sleep Indices
Boog, K., Bartholomay, E. M., & Fehr, K. K. (2026) · Journal of Sleep Research · doi:10.1111/jsr.70320
“Cognitive-behavioural therapy for insomnia (CBT-I; Thakral et al. 2020) is an evidence-based treatment for adults with insomnia that addresses both sleep-related behaviours and cognitions to improve sleep (Friedrich and Schlarb 2018).”
An app responding to behavior of people to promote mental wellbeing in anxious youth
Hagalwadi, J., Sutherland, D., Dölek, S., Marin-Dragu, S., Bagnell, A. L., Wozney, L., Orji, R., & Sandra, M. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121503
del Giudice, R., Daccordo, T., Mandelli, L., Gallucci, M., Madeddu, F., Maffeis, M., d'Albore, M., Conforti, L., Grimaudo, D., Scirica, M., et al. (2025) · Journal of Sleep Research · doi:10.1111/jsr.70261
“In line with previous research, we expected a clinically significant post-treatment insomnia symptoms reduction (Hertenstein et al. 2022; Thakral et al. 2020; van Straten et al. 2018).”
InfluentialKim, Y., Tsai, T. C., Steel, J. L., Ramos, A. R., Laurenceau, J., & Troxel, W. (2025) · Pilot and Feasibility Studies · doi:10.1186/s40814-025-01671-z
“CBT-I is the gold standard behavioral intervention endorsed by the American Academy of Sleep Medicine for treating sleep disturbance and/or insomnia in the general population [50–52].”
Whale, K., Johnson, E. C., & Gooberman‐Hill, R. (2025) · Musculoskeletal Care · doi:10.1002/msc.70088
Dysfunctional Beliefs About Sleep in Suicidal Adolescents: Associations and Treatment Implications
Bullinger, L., Gazor, A., Buerkert, S., Dieste, S. M., Brown, W. D., & Stewart, S. M. (2025) · Behavior Therapy · doi:10.1016/j.beth.2025.03.005 · Cited by 1 · see citing works
- Authors
- Thakral, M., Von Korff, M., McCurry, S. M., Morin, C. M., & Vitiello, M. V.
- Affiliations
- University of Washington (US)
- Université Laval (CA)
- Corresponding author
- Thakral, Manu
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2020-02
- Volume
- 49
- Pages
- 101230
- ISSN
- 1087-0792 (ISSN-L)
- PMC
- PMC7012685
- OpenAlex
- W2985404547
- Cited by
- 117
- References
- 75
- Citations by year
- 2026: 15 · 2025: 21 · 2024: 13 · 2023: 28 · 2022: 25 · 2021: 10 · 2020: 5
- FWCI
- 1.48
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy for insomnia, dysfunctional beliefs about sleep, sleep-related cognitions, chronic insomnia, treatment effect size, long-term follow-up
- MeSH terms
- Humans, Sleep Initiation and Maintenance Disorders, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome
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
