The DOI matches its Crossref record; 91 of the 91 references it cites were found in a registry or an index.
Comparative efficacy of digital cognitive behavioral therapy for insomnia: A systematic review and network meta-analysis
Abstract
The comparative efficacy of various approaches of digital cognitive behavioral therapy for insomnia (CBTi) is still unclear. This network meta-analysis explored the comparative efficacy of digital CBTi approaches in adults with insomnia. Four electronic databases were searched from inception to June 27, 2020. Primary outcomes were self-reported total sleep time (TST), sleep onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE), and insomnia symptoms; these were measured using sleep diaries or valid questionnaires. A random-effects network meta-analysis in a frequentist framework was used. Fifty-four randomized controlled trials comprising 11,815 participants were included. Compared with usual care, web-based CBTi with a therapist demonstrated significantly longer TST (mean difference [MD]: 23.19 min, 95% confidence interval [CI]: 18.98-27.39 min), shorter SOL (MD: -18.76 min, 95% CI -24.20 to -13.31 min), lower WASO (MD: -31.40 min, 95% CI: -36.26 to -26.55 min), and greater SE (MD: 10.37%, 95% CI: 8.08%-12.65%). The surface under the cumulative ranking curve indicates that web-based CBTi with therapists is most likely to be ranked the highest among all treatments, and thus, this network meta-analysis suggests that such a treatment is the optimal intervention for improving sleep duration and SE as well as the reductions in SOL and WASO. PROSPERO REGISTRATION NUMBER: CRD42020171134.
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“A recent meta-analysis suggested clinician support is preferred when CBT-I is administered digitally. 42”
From Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial (2024) · cites this paper as [42]
Citations
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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
“A further recent meta-analysis by Hasan et al. (2022) also suggests that personal support is to be preferred when CBT-I is administered digitally.”
BackgroundInsomnia disorder: State of the science and challenges for the future
Riemann, D. W., Benz, F., Dressle, R. J., Espie, C. A., Johann, A. F., Blanken, T. F., Leerssen, J., Wassing, R., Henry, A. L., Kyle, S. D., et al. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13604 · Cited by 398
“between different digital CBT-I formats (Hasan et al., 2022).”
BackgroundSimon, L., Steinmetz, L., Feige, B., Benz, F., Spiegelhalder, K., & Baumeister, H. (2023) · Scientific Reports · doi:10.1038/s41598-023-28853-0 · Cited by 145
“These findings contrast a recently published network meta-analysis where guided iCBT-I achieved a higher ranking than unguided iCBT-I for subjective sleep-related outcome data 103 .”
Hasan, F., Tu, Y., Lin, C.-M., Chuang, L., Jeng, C., Yuliana, L. T., Chen, T., & Chiu, H. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101673 · Cited by 121
Self-citationCognitive behavioural therapy for insomnia disorder: Extending the stepped care model
Baglioni, C., Espie, C. A., Altena, E., Gavriloff, D., Jernelöv, S., Holzinger, B., Schlarb, A. A., & Riemann, D. W. (2023) · Journal of Sleep Research · doi:10.1111/jsr.14016 · Cited by 65
Metadata
- Authors
- Hasan, F., Tu, Y.-K., Yang, C.-M., James Gordon, C., Wu, D., Lee, H.-C., Yuliana, L. T., Herawati, L., Chen, T.-J., & Chiu, H.-Y.
- Affiliations
- Taipei Medical University (TW)
- National Taiwan University (TW)
- National Chengchi University (TW)
- Taipei Medical University-Shuang Ho Hospital (TW)
- Taipei Medical University Hospital (TW)
- Kementerian Kesehatan Republik Indonesia (ID)
- Corresponding author
- Chiu, Hsiao-Yean
- ORCID
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2022-02
- Volume
- 61
- Pages
- 101567
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W3214315566
- Cited by
- 137
- References
- 91
- Citations by year
- 2026: 26 · 2025: 38 · 2024: 30 · 2023: 29 · 2022: 13
- FWCI
- 2.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Science and Technology, Taiwan (110-2628-B-038-017)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Keywords
- digital cognitive behavioral therapy for insomnia, insomnia, online therapy, total sleep time, sleep latency, wake after sleep onset, sleep efficiency, sleep duration, insomnia symptoms, treatment efficacy comparison
- MeSH terms
- Adult, Humans, Sleep Initiation and Maintenance Disorders, Sleep, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome, Polysomnography, Self Report
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