Cited by 212Sleep and related disordersDigital Mental Health InterventionsCancer survivorship and care

The DOI matches its Crossref record; 42 of the 43 references it cites were found in a registry or an index.

Internet-Delivered Cognitive-Behavioral Therapy for Insomnia in Breast Cancer Survivors: A Randomized Controlled Trial

Open access

Zachariae, Robert, Amidi, Ali, Damholdt, Malene F, Clausen, Cecilie D R, Dahlgaard, Jesper, Lord, Holly, Thorndike, Frances P, Ritterband, Lee M·2018·JNCI: Journal of the National Cancer Institute

DOI 10.1093/jnci/djx293PMC PMC6093474

Open this paper in CoChat — free account Open PDF

Abstract

Background: Insomnia is two to three times more prevalent in cancer survivors than in the general population, where it is estimated to be 10% to 20%. Cognitive-behavioral therapy for insomnia (CBT-I) is the recommended treatment for chronic insomnia, but meeting survivor needs remains a challenge. Internet-delivered CBT-I (iCBT-I) has been shown efficacious in otherwise healthy adults. We tested the efficacy of iCBT-I in breast cancer survivors with clinically significant sleep disturbance. Methods: Women from a national sample of Danish breast cancer survivors who experienced clinically significant sleep disturbance were randomly allocated to iCBT-I or waitlist control (55:45). The fully automated iCBT-I program consisted of six cores. Online measures of insomnia severity, sleep quality, and fatigue were collected at baseline, postintervention (nine weeks), and follow-up (15 weeks). Online sleep diaries were completed over two-week periods pre- and postintervention. Intention-to-treat analyses (time × group interactions) were conducted with mixed linear models and corrected for multiple outcomes. All statistical tests were two-sided. Results: A total of 255 women were randomly allocated to iCBT-I (n = 133) or waitlist control (n = 122). Statistically significant (P ≤ .02) time × group interactions were found for all sleep-related outcomes from pre- to postintervention. Effect sizes (Cohen's d) ranged from 0.33 (95% confidence interval [CI] = 0.06 to 0.61) for wake after sleep onset to 1.17 (95% CI = 0.87 to 1.47) for insomnia severity. Improvements were maintained for outcomes measured at follow-up (d = 0.66-1.10). Conclusions: iCBT-I appears to be effective in breast cancer survivors, with additional benefit in terms of reduced fatigue. This low-cost treatment could be incorporated in cancer rehabilitation programs.

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

Crossref · 10.1093/jnci/djx293

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Figure 1. Study flow diagram. iCBT-I = internet-delivered cognitive-behavioral therapy for insomnia; PSQI = Pittsburgh Sleep Quality Index.CC BY-NC · PubMed Central

Figure 2. Proportion of participants reporting clinically significant insomnia severity (Insomnia Severity Index > 10), impaired sleep quality (Pittsburgh Sleep Quality Index > 5), clinically significant fatigue (FACIT Fatigue Scale < 34), and poor sleep efficiency (sleep efficiency < 85%) at baseline, post-treatment, and follow-up (generalized estimating equation; time × group interactions). All statistical tests were two-sided. FACIT-F = Functional Assessment of Chronic Illness Therapy Fatigue Scale; GEE = generalized estimating equation; ISI = Insomnia Severity Index; PSQI = Pittsburgh Sleep Quality Index; SE = sleep efficiency.CC BY-NC · PubMed Central

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?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing
Benjamini, Y., & Hochberg, Y. (1995) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.2517-6161.1995.tb02031.x · Cited by 109,482
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,603
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,417
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234
A Simple Sequentially Rejective Multiple Test Procedure
(1979) · Scandinavian Journal of Statistics · doi:10.2307/4615733 · Cited by 21,526
Missing data: our view of the state of the art
Schafer, J. L., & Graham, J. W. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.2.147 · Cited by 11,638
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
The Insomnia Severity Index: Psychometric Indicators to Detect Insomnia Cases and Evaluate Treatment Response
Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2011) · Sleep · doi:10.1093/sleep/34.5.601 · Cited by 4,620
Untitled work
(1993) · Medical Entomology and Zoology · Cited by 2,324
The consensus sleep diary: standardizing prospective sleep self-monitoring
Carney, C. E., Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Krystal, A. D., Lichstein, K. L., & Morin, C. M. (2012) · Sleep · doi:10.5665/sleep.1642 · Cited by 2,172 · cited 1×
“An online version of the consensus sleep diary (31) was completed daily over a two-week period by both groups at pre- and postintervention (but not at follow-up).”
Background

Show all 43 references

Sorted by citations

Efficacy of digital cognitive behavioural therapy for insomnia: a meta-analysis of randomised controlled trials
Soh, H. L., Ho, R. C., Ho, C. S., & Tam, W. W. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.08.020 · Cited by 482
Insomnia 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
Acupuncture Versus Cognitive Behavioral Therapy for Insomnia in Cancer Survivors: A Randomized Clinical Trial
Garland, S. N., Xie, S. X., DuHamel, K., Bao, T., Li, Q., Barg, F. K., Song, S., Kantoff, P. W., Gehrman, P., & Mao, J. J. J. (2019) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djz050 · Cited by 201
The Lancet Breast Cancer Commission
Coles, C. E., Earl, H. M., Anderson, B. O., Barrios, C. H., Bienz, M., Bliss, J. M., Cameron, D., Cardoso, F., Cui, W., Francis, P. A., et al. (2024) · The Lancet · doi:10.1016/s0140-6736(24)00747-5 · Cited by 209
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
Comparative efficacy of digital cognitive behavioral therapy for insomnia: A systematic review and network meta-analysis
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. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101567 · Cited by 137
Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses
Singleton, A. C., Raeside, R., Hyun, K. K., Partridge, S. R., Tanna, G. L. D., Hafiz, N., Tu, Q., Tat-Ko, J., Sum, S. C. M., Sherman, K. A., et al. (2022) · Journal of Clinical Oncology · doi:10.1200/jco.21.01171 · Cited by 141
Insomnia in adult patients with cancer: ESMO Clinical Practice Guideline
Grassi, L., Zachariae, R., Caruso, R., Palagini, L., Campos-Ródenas, R., Riba, M. B., Lloyd-Williams, M., Kissane, D., Rodin, G., McFarland, D., et al. (2023) · ESMO Open · doi:10.1016/j.esmoop.2023.102047 · Cited by 96
Self-citation
Systematic review and meta-analysis of cognitive-behavioural therapy for insomnia on subjective and actigraphy-measured sleep and comorbid symptoms in cancer survivors
Squires, L. R., Rash, J. A., Fawcett, J., & Garland, S. N. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101615 · Cited by 85
Systematic Review of Functional Outcomes in Cancer Rehabilitation
Sleight, A. G., Gerber, L. H., Marshall, T. F., Livinski, A. A., Alfano, C. M., Harrington, S., Flores, A. M., Virani, A., Hu, X., Mitchell, S. A., et al. (2022) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2022.01.142 · Cited by 93
Digital Health Interventions for Adult Patients With Cancer Evaluated in Randomized Controlled Trials: Scoping Review
Lee, K., Kim, S., Kim, S. H., Yoo, S., Sung, J. H., Oh, E. G., Kim, N. W., & Lee, J. (2023) · Journal of Medical Internet Research · doi:10.2196/38333 · Cited by 79
Cancer-related accelerated ageing and biobehavioural modifiers: a framework for research and clinical care
Carroll, J., Bower, J. E., & Ganz, P. A. (2021) · Nature Reviews Clinical Oncology · doi:10.1038/s41571-021-00580-3 · Cited by 81
Profile of Somryst prescription digital therapeutic for chronic insomnia: overview of safety and efficacy
Morin, C. M. (2020) · Expert Review of Medical Devices · doi:10.1080/17434440.2020.1852929 · Cited by 66
Long-Term Longitudinal Patterns of Patient-Reported Fatigue After Breast Cancer: A Group-Based Trajectory Analysis
Vaz-Luis, I., Di Meglio, A., Havas, J., El-Mouhebb, M., Lapidari, P., Presti, D., Soldato, D., Pistilli, B., Dumas, A., Menvielle, G., et al. (2022) · Journal of Clinical Oncology · doi:10.1200/jco.21.01958 · Cited by 65
Digital Delivery of Cognitive Behavioral Therapy for Insomnia
Luik, A. I., van der Zweerde, T., van Straten, A., & Lancee, J. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1041-0 · Cited by 72
Long-term sleep disturbance and prescription sleep aid use among cancer survivors in the United States
Slade, A. N., Waters, M. R., & Serrano, N. A. (2019) · Supportive Care in Cancer · doi:10.1007/s00520-019-04849-3 · Cited by 63
Breast cancer survivorship
Moore, H. C. F. (2020) · Seminars in Oncology · doi:10.1053/j.seminoncol.2020.05.004 · Cited by 64
Psychological interventions for women with non-metastatic breast cancer
Jassim, G. A., Doherty, S., Whitford, D. L., & Khashan, A. S. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008729.pub3 · Cited by 58
Approaches to the assessment of adherence to CBT-I, predictors of adherence, and the association of adherence to outcomes: A systematic review
Mellor, A., Kavaliotis, E., Mascaro, L., & Drummond, S. P. A. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101620 · Cited by 57
Living with persistent insomnia after cancer: A qualitative analysis of impact and management
Reynolds‐Cowie, P., & Fleming, L. (2021) · British Journal of Health Psychology · doi:10.1111/bjhp.12446 · Cited by 53
Internet‐delivered insomnia intervention improves sleep and quality of life for adolescent and young adult cancer survivors
Zhou, E. S., & Recklitis, C. J. (2020) · Pediatric Blood & Cancer · doi:10.1002/pbc.28506 · Cited by 52
The Future of Breast Cancer Research in the Survivorship Field
Soldato, D., Arecco, L., Agostinetto, E., Franzoi, M. A., Mariamidze, E., Begijanashvili, S., Brunetti, N., Spinaci, S., Solinas, C., Vaz-Luís, I., et al. (2023) · Oncology and Therapy · doi:10.1007/s40487-023-00225-8 · Cited by 62
Artificial intelligence empowered digital health technologies in cancer survivorship care: A scoping review
Pan, L., Wu, X., Lu, Y., Zhang, H., Zhou, Y., Liu, X., Liu, S., & Yan, Q. (2022) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2022.100127 · Cited by 51
Interventions for insomnia in cancer patients and survivors-a comprehensive systematic review and meta-analysis
Nissen, E. R., Neumann, H., Knutzen, S. M., Henriksen, E. N., Amidi, A., Johansen, C., von Heymann, A., Christiansen, P., & Zachariae, R. (2024) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkae041 · Cited by 46
Self-citation
Online psychosocial interventions for posttreatment cancer survivors: an international evidence review and update.
Skrabal Ross, X., Gunn, K. M., Olver, I., Willems, R. A., Lechner, L., Mesters, I., & Bolman, C. A. W. (2020) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0000000000000478 · Cited by 42
Reporting of adverse events in cognitive behavioural therapy for insomnia: A systematic examination of randomised controlled trials
Condon, H. E., Maurer, L. F., & Kyle, S. D. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2020.101412 · Cited by 42
Light enhanced cognitive behavioral therapy for insomnia and fatigue during chemotherapy for breast cancer: a randomized controlled trial
Bean, H. R., Diggens, J., Ftanou, M., Alexander, M., Stafford, L., Bei, B., Francis, P. A., & Wiley, J. F. (2021) · SLEEP · doi:10.1093/sleep/zsab246 · Cited by 47
Changes in sleep following internet-delivered cognitive-behavioral therapy for insomnia in women treated for breast cancer: a 3-year follow-up assessment
Amidi, A., Buskbjerg, C. R., Damholdt, M. F., Dahlgaard, J., Thorndike, F. P., Ritterband, L., & Zachariae, R. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.04.020 · Cited by 41
Self-citation
Real-world evidence from users of a behavioral digital therapeutic for chronic insomnia
Ritterband, L. M., Thorndike, F. P., Morin, C. M., Gerwien, R. W., Enman, N. M., Xiong, X. R., Luderer, H. F., Edington, S., Braun, S., & Maricich, Y. A. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104084 · Cited by 44
Self-citation
Cognitive Behavioral Therapy for Insomnia in People With Chronic Disease
Scott, A. J., Correa, A. B., Bisby, M. A., Chandra, S. S., Rahimi, M. M., Christina, S., Heriseanu, A. I., & Dear, B. F. (2025) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2025.4610 · Cited by 44
Cognitive behavior therapy for insomnia in cancer patients: a systematic review and network meta‐analysis
Gao, Y., Liu, M., Yao, L., Yang, Z., Chen, Y., Niu, M., Sun, Y., Ji, C., Hou, L., Sun, F., et al. (2022) · Journal of Evidence-Based Medicine · doi:10.1111/jebm.12485 · Cited by 43
Gender Differences in Adolescent Sleep Disturbance and Treatment Response to Smartphone App–Delivered Cognitive Behavioral Therapy for Insomnia: Exploratory Study
Li, S. H., Graham, B. M., & Werner‐Seidler, A. (2020) · JMIR Formative Research · doi:10.2196/22498 · Cited by 42
Are digital psychological interventions for psychological distress and quality of life in cancer patients effective? A systematic review and network meta-analysis
Zhang, T., Ren, Z., Wakefield, C. E., Hui, B. P. H., Akechi, T., Shi, C., Du, X., Chen, W., Lai, L., Zhao, C., et al. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102520 · Cited by 44
Integrative Approaches for Sleep Health in Cancer Survivors
Garland, S. N., Mahon, K. N., & Irwin, M. R. (2019) · The Cancer Journal · doi:10.1097/ppo.0000000000000398 · Cited by 37
The effectiveness of telehealth programs on the mental health of women with breast cancer: A systematic review
Koç, Z., Kaplan, E., & Tanrıverdi, D. (2024) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x211069663 · Cited by 33
Video cognitive‐behavioral therapy for insomnia in cancer patients: A cost‐effective alternative
Savard, J., Ivers, H., Morin, C. M., & Lacroix, G. (2020) · Psycho-Oncology · doi:10.1002/pon.5532 · Cited by 33
A systematic review of eHealth technologies for breast cancer supportive care
Gyawali, B., Bowman, M., Sharpe, I., Jalink, M., Srivastava, S., & Wijeratne, D. T. (2023) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2023.102519 · Cited by 28
Factors Associated With Digital Intervention Engagement and Adherence in Patients With Cancer: Systematic Review
Montalescot, L., Baussard, L., & Charbonnier, É. (2024) · Journal of Medical Internet Research · doi:10.2196/52542 · Cited by 33
Multi-stakeholder perspectives on managing insomnia in cancer survivors: recommendations to reduce barriers and translate patient-centered research into practice
Garland, S. N., Trevino, K. M., Liou, K. T., Gehrman, P., Spiguel, E., MacLeod, J., Walker, D. A. H., Glosik, B., Seluzicki, C. M., Barg, F. K., et al. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01001-1 · Cited by 30
A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol
Mendes-Santos, C., Weiderpass, E., Santana, R., & Andersson, G. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.01.004 · Cited by 24
For whom and what outcomes does cognitive-behavioral-therapy work among cancer survivors: a systematic review and meta-analysis
Zhang, A., Wang, K., Blumenstein, K. G., Brose, A., Kemp, C., Meister, D., & Solomon, P. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-07337-3 · Cited by 31
Effectiveness of eHealth interventions for cancer‐related pain, fatigue, and sleep disorders in cancer survivors: A systematic review and meta‐analysis of randomized controlled trials
Li, J., Zhu, C., Liu, C., Su, Y., Peng, X., & Hu, X. (2021) · Journal of Nursing Scholarship · doi:10.1111/jnu.12729 · Cited by 28
Information and Communications Technology-Based Telehealth Approach for Occupational Therapy Interventions for Cancer Survivors: A Systematic Review
Hwang, N., Jung, Y., & Park, J. (2020) · Healthcare · doi:10.3390/healthcare8040355 · Cited by 28
Effectiveness comparisons of various psychosocial therapies for cancer-related fatigue: A Bayesian network meta-analysis
Yuan, Y., Lü, L., Xie, C., Lu, Y., Liang, J., Qi, Y., Dong, B., Chen, Q., Fang, Q., & Tian, L. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.04.152 · Cited by 29
Relationship of sleep-quality and social-anxiety in patients with breast cancer: a network analysis
He, C., He, Y., Yang, T., Wu, C., Lin, Y., Yan, J., Chang, W., Chang, F., Wang, Y., Wu, S., et al. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05262-1 · Cited by 28
Web-based cognitive-behavioral therapy for insomnia in cancer survivors: The OncoSleep randomized trial
Clara, M. I., van Straten, A., Savard, J., Canavarro, M. C., & Gomes, A. A. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.02.021 · Cited by 29
Overcoming insomnia: protocol for a large-scale randomised controlled trial of online cognitive behaviour therapy for insomnia compared with online patient education about sleep
Kallestad, H., Vedaa, Ø., Scott, J. L., Morken, G., Pallesen, S., Harvey, A. G., Gehrman, P., Thorndike, F. P., Ritterband, L. M., Stiles, T. C., et al. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-025152 · Cited by 25
Self-citation
Sleep and endocrine therapy in breast cancer
Dyk, K. V., Joffe, H., & Carroll, J. (2021) · Current Opinion in Endocrine and Metabolic Research · doi:10.1016/j.coemr.2021.03.007 · Cited by 27
Insomnia and Neurocognitive Functioning in Adult Survivors of Childhood Cancer
Olsson, I. T., Lubas, M. M., Li, C., Mandrell, B. N., Banerjee, P., Howell, C. R., Ness, K. K., Srivastava, D. K., Robison, L. L., Hudson, M. M., et al. (2020) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkaa008 · Cited by 27
Effects of tandem cognitive behavioral therapy and healthy lifestyle interventions on health-related outcomes in cancer survivors: a systematic review
Addison, S., Shirima, D., Aboagye-Mensah, E. B., Dunovan, S. G., Pascal, E. Y., Lustberg, M. B., Arthur, E. K., & Nolan, T. S. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01094-8 · Cited by 26
Pilot randomized controlled trial of eHealth cognitive-behavioral therapy for insomnia among Spanish-speaking breast cancer survivors
Oswald, L. B., Morales-Cruz, J., Eisel, S. L., Rio, J. D., Hoogland, A. I., Ortiz-Rosado, V., Soto-Lopez, G., Rodriguez-Rivera, E., Savard, J., Castro, E., et al. (2022) · Journal of Behavioral Medicine · doi:10.1007/s10865-022-00313-6 · Cited by 27
Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety
Shaffer, K. M., Smith, J. G., Glazer, J. V., Camacho, F., Chow, P. I., Mattos, M. K., Ingersoll, K. S., & Ritterband, L. M. (2022) · Journal of Behavioral Medicine · doi:10.1007/s10865-022-00353-y · Cited by 25
Self-citation
Application and Mechanisms of Internet-Based Cognitive Behavioral Therapy (iCBT) in Improving Psychological State in Cancer Patients
Bai, P. (2023) · Journal of Cancer · doi:10.7150/jca.82632 · Cited by 24
Effectiveness of Internet-Based Cognitive Behavioral Therapy for Patients With Cancer: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Yu, S., Liu, Y., Cao, M., Tian, Q., Xu, M., Yu, L., Yang, S., & Zhang, W. (2025) · Cancer Nursing · doi:10.1097/ncc.0000000000001274 · Cited by 22
Effects of digital psychological interventions on physical symptoms in cancer patients: A systematic review and meta-analysis
Zhang, T., Wakefield, C. E., Ren, Z., Chen, W., Du, X., Shi, C., Lai, L., Zhao, C., Gao, Y., Chen, Z., et al. (2023) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2023.05.016 · Cited by 23
Light-enhanced cognitive behavioural therapy for sleep and fatigue: study protocol for a randomised controlled trial during chemotherapy for breast cancer
Bean, H. R., Stafford, L., Little, R., Diggens, J., Ftanou, M., Alexander, M., Francis, P. A., Bei, B., & Wiley, J. F. (2020) · Trials · doi:10.1186/s13063-020-4196-4 · Cited by 22
Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study
Mendes-Santos, C., Nunes, F., Weiderpass, E., Santana, R., & Andersson, G. (2022) · JMIR Cancer · doi:10.2196/33550 · Cited by 19
“Although promising effects of such interventions have been documented concerning anxiety, depression [25,26], distress [27], fatigue [28], physical activity [29], symptom management [30], insomnia [31,32], sexual dysfunction [33], and quality of life [34,35], the overall benefit of such interventions for BCSs is still…”
Background
Voice-Activated Cognitive Behavioral Therapy for Insomnia
Starling, C. M., Greenberg, D., Lewin, D. S., Shaw, C., Zhou, E. S., Lieberman, D. Z., Chou, J., & Arem, H. E. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.35011 · Cited by 22
Implementing a PROACTive Care Pathway to Empower and Support Survivors of Breast Cancer
Franzoi, M. A., Degousée, L., Martin, E., Semedo, P. M., Aupomerol, M., Soldato, D., Di Meglio, A., Chiodi, C., Barbier, A., Chaouachi, H., et al. (2023) · JCO Oncology Practice · doi:10.1200/op.23.00016 · Cited by 18
Beyond the bladder: poor sleep in women with overactive bladder syndrome
Savoie, M. B., Lee, K. A., Subak, L. L., Hernandez, C., Schembri, M. E., Fung, C. H., Grady, D. G., & Huang, A. J. (2019) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2019.12.005 · Cited by 20
Does reading a book in bed make a difference to sleep in comparison to not reading a book in bed? The People’s Trial—an online, pragmatic, randomised trial
Finucane, E., O’Brien, A., Treweek, S. P., Newell, J., Das, K. K., Chapman, S., Wicks, P. J., Galvin, S., Healy, P., Biesty, L., et al. (2021) · Trials · doi:10.1186/s13063-021-05831-3 · Cited by 25
Engagement with INSPIRE, an Online Program for Hematopoietic Cell Transplantation Survivors
Syrjala, K. L., Crouch, M.-L., Leisenring, W. M., Flowers, M. E. D., Artherholt, S. B., Fiscalini, A. S., Romano, E. M., Romano, J. M., Martin, P. J., & Yi, J. C. (2018) · Transplantation and Cellular Therapy · doi:10.1016/j.bbmt.2018.05.004 · Cited by 19
Barriers and facilitators to the availability of efficacious self-directed digital health tools for adults living with cancer and their caregivers: A systematic literature review and author survey study
Bamgboje‐Ayodele, A., Smith, A. B., Short, C. E., Fardell, J. E., Shaw, J., Beatty, L., Higgins, K. S., Tutelman, P. R., Chambers, C. T., & Girgis, A. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.03.012 · Cited by 19
Leveraging Telehealth for the Management of Breast Cancer: A Systematic Review
Kruse, C. S., Pacheco, G. J., Vargas, B., Lozano, N., Castro, S., & Gattu, M. (2022) · Healthcare · doi:10.3390/healthcare10102015 · Cited by 18
Patient involvement in the development of a psychosocial cancer rehabilitation intervention: evaluation of a shared working group with patients and researchers
Nissen, E. R., Bregnballe, V., Mehlsen, M. Y., Muldbjerg, A. K. Ø., O’Connor, M., & Lomborg, K. E. (2018) · Research Involvement and Engagement · doi:10.1186/s40900-018-0106-2 · Cited by 19
Factors associated with cognitive impairment during the first year of treatment for nonmetastatic breast cancer
Rodriguez, N., Fawcett, J. M., Rash, J. A., Lester, R. E., Powell, E. D., MacMillan, C. D., & Garland, S. N. (2021) · Cancer Medicine · doi:10.1002/cam4.3715 · Cited by 19
Effectiveness of telemedicine-based psychosocial intervention for breast cancer patients: a systematic review and meta-analysis
Ma, Z., Shi, Y., Yao, S., Lu, N., & Cheng, F. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-08052-3 · Cited by 17
A randomized controlled trial of a digital cognitive behavioral therapy for insomnia for older adults
Ritterband, L. M., Shaffer, K. M., Thorndike, F. P., Chow, P. I., Gonder-Frederick, L., Ingersoll, K. S., Cohn, W. F., Frederick, C., MacDonnell, K., Glazer, J. V., et al. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01847-0 · Cited by 18
“The completion rates of SHUTi OASIS were similar to those in previous studies of SHUTi 30 – 32 , 36 .”
Self-citation
Digitale Behandlungsangebote für Insomnie – eine Übersichtsarbeit
Spiegelhalder, K., Acker, J. G., Baumeister, H., Büttner‐Teleagă, A., Danker‐Hopfe, H., Ebert, D. D., Fietze, I., Frase, L., Klein, S., Lehr, D., et al. (2020) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-020-00238-9 · Cited by 18
Internet-Delivered Cognitive Behavioral Therapy and Psychoeducation Program for Patients with Gastrointestinal Stromal Tumors
Carbajal-López, E. B., García, D. M. J., Espinoza‐Velazco, A., & Calderillo-Ruiz, G. (2020) · Journal of Cancer Education · doi:10.1007/s13187-020-01866-3 · Cited by 16
Can improving quality of sleep reduce the symptoms of cancer‐related fatigue in adults?: A systematic review
Dean, R. (2022) · European Journal of Cancer Care · doi:10.1111/ecc.13597 · Cited by 16
Breast cancer survivorship care beyond local and systemic therapy
Sheng, J. Y.-S., Visvanathan, K., Thorner, E. D., & Wolff, A. C. (2019) · The Breast · doi:10.1016/s0960-9776(19)31135-x · Cited by 19
Feasibility and Preliminary Efficacy of an Internet-Delivered Intervention for Insomnia in Individuals with Mild Cognitive Impairment
Mattos, M. K., Manning, C. A., Quigg, M., Davis, E. M., Barnes, L. E., Sollinger, A. B., Eckstein, M., & Ritterband, L. M. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-210657 · Cited by 22
Self-citation
eHealth-Based Psychosocial Interventions for Adults With Insomnia: Systematic Review and Meta-analysis of Randomized Controlled Trials
Deng, W., van der Kleij, R., Shen, H., Wei, J., Brakema, E. A., Guldemond, N., Song, X., Li, X., van Tol, M., Aleman, A., et al. (2022) · Journal of Medical Internet Research · doi:10.2196/39250 · Cited by 18
Impact of telehealth interventions on physiological and psychological outcomes in breast cancer survivors: A meta-analysis of randomised controlled trials
Ajmera, P., Miraj, M., Kalra, S., Goyal, R. K., Chorsiya, V., Shaik, R. A., Alzhrani, M., Alanazi, A., Alqahtani, M., Miraj, S. A., et al. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2022.1017343 · Cited by 17
Use of Telemedicine to Improve Cognitive Functions and Psychological Well-Being in Patients with Breast Cancer: A Systematic Review of the Current Literature
Giustiniani, A., Danesin, L., Pezzetta, R., Masina, F., Oliva, G., Arcara, G., Burgio, F., & Conte, P. (2023) · Cancers · doi:10.3390/cancers15041353 · Cited by 17
Online Delivery of Cognitive Behavioral Therapy-Insomnia
Drerup, M. L., & Ahmed, S. (2019) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2019.02.001 · Cited by 16
Internet Interventions in Clinical Psychology
Andersson, G., & Carlbring, P. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00211-9 · Cited by 18
A mixed methods pilot and feasibility open trial of internet-delivered cognitive behaviour therapy (iCanADAPT Advanced) for people with advanced cancer with depression and/or anxiety
Murphy, M. J., Newby, J. M., Butow, P., Joubert, A., Kirsten, L., Shaw, J., Shepherd, H. L., & Andrews, G. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100449 · Cited by 15
“, 2019) with further randomized controlled trials (RCTs) into insomnia (Zachariae et al., 2018) and clinical depression and/or anxiety in cancer survivors (Murphy et al.”
Background
Effects of an Internet-Based Cognitive Behavioral Therapy for Insomnia Program on Work Productivity: A Secondary Analysis
Shaffer, K. M., Finkelstein, E. A., CAMACHO, F. T., Ingersoll, K. S., Thorndike, F. P., & Ritterband, L. M. (2020) · Annals of Behavioral Medicine · doi:10.1093/abm/kaaa085 · Cited by 15
Self-citation
Rationale and protocol for a randomized waitlist controlled trial of videoconference delivered cognitive behaviour therapy for insomnia (CBT-I) to improve perceived cognitive impairment (PCI) among cancer survivors
Garland, S. N., Savard, J., Dalton, K., Walsh, N. A., Seal, M., Rash, J. A., Browne, S., Urquhart, R., Thoms, J., Gadag, V. G., et al. (2021) · Contemporary Clinical Trials · doi:10.1016/j.cct.2021.106322 · Cited by 17
The Sleep, Cancer and Rest (SleepCaRe) Trial: Rationale and Design of a Randomized, Controlled Trial of Four Interventions for Insomnia and Fatigue in Women with Breast Cancer Receiving Chemotherapy
Maccora, J., Garland, S. N., Ftanou, M., Day, D., White, M. A., Lopez, V. A., Mortimer, D., Diggens, J., Phillips, A. J. K., Wallace, R., et al. (2022) · Contemporary Clinical Trials · doi:10.1016/j.cct.2022.106877 · Cited by 18
Surviving and thriving: Assessing quality of life and psychosocial interventions in mental health of head and neck cancer patients
Lin, L., Lin, H., Zhou, R., Liu, B., Liu, K., & Jiang, R. (2024) · Asian Journal of Surgery · doi:10.1016/j.asjsur.2024.11.048 · Cited by 22
Systematic review and meta-analysis of digital interventions for mental health in cancer patients and survivors
Nezenega, Z. S., Aychiluhm, S. B., Ross, A. G., Kassa, Z. Y., Bore, M. G., Leshargie, C. T., Allan, J., Thapa, S., Astawesegn, F. H., Mahmood, S., et al. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-02266-x · Cited by 13
Feasibility of a video-based cognitive behavioral therapy for insomnia in French adult cancer outpatients: results from the Sleep-4-All-1 study
Boinon, D., Charles, C., Fasse, L., Journiac, J., Pallubicki, G., Lamore, K., Ninot, G., Guerdoux-Ninot, E., Gouy, S., Albiges, L., et al. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06151-7 · Cited by 12
Assessing Breast Cancer Survivors’ Perceptions of Using Voice-Activated Technology to Address Insomnia: Feasibility Study Featuring Focus Groups and In-Depth Interviews
Arem, H. E., Scott, R., Greenberg, D., Kaltman, R. D., Lieberman, D. Z., & Lewin, D. S. (2020) · JMIR Cancer · doi:10.2196/15859 · Cited by 14
Effects of Psychological Intervention Based on Digital Health Technology on Psychological Outcomes in Cancer Survivors: Systematic Review and Meta‐Analysis
Dong, M., Huang, Y., Zhang, X., Wu, L., Ghazal, L., & Cao, F. (2025) · Psycho-Oncology · doi:10.1002/pon.70166 · Cited by 12
Efficacy of eHealth Versus In-Person Cognitive Behavioral Therapy for Insomnia: Systematic Review and Meta-Analysis of Equivalence
Knutzen, S. M., Christensen, D. S., Cairns, P., Damholdt, M. F., Amidi, A., & Zachariae, R. H. (2024) · JMIR Mental Health · doi:10.2196/58217 · Cited by 14
Self-citation
Latent Profiles of Fear of Cancer Recurrence in Breast Cancer Patients of Reproductive Age and Associations With Reproductive Concerns
Liu, C., Chen, L., Zheng, J., Yu, X., Gao, H., Qiu, L., & Liu, C. (2024) · Journal of Advanced Nursing · doi:10.1111/jan.16450 · Cited by 12
Real-World Evaluation of Clinical Response and Long-Term Healthcare Resource Utilization Patterns Following Treatment with a Digital Therapeutic for Chronic Insomnia
Forma, F. M., Knight, T., Thorndike, F. P., Xiong, X. R., Baik, R., Velez, F. F., Maricich, Y. A., & Malone, D. C. (2022) · ClinicoEconomics and Outcomes Research · doi:10.2147/ceor.s368780 · Cited by 12
Self-citation
Patient preference attributes in eHealth interventions for cancer‐related fatigue: A scoping review
Beenhakker, L., Witteveen, A., Wijlens, K. A. E., Siemerink, E., van der Lee, M. L., Bode, C., Siesling, S., & Vollenbroek-Hutten, M. M. R. (2022) · European Journal of Cancer Care · doi:10.1111/ecc.13754 · Cited by 12
The efficacy of internet-based cognitive behavior therapy for psychological health and quality of life among breast cancer patients: a systematic review and meta-analysis
Lin, T., Yin, P., Cai, J., Xu, Z. X., & Ping, Z. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1488586 · Cited by 11
Joint effects of multiple sleep characteristics on breast cancer progression by menopausal status
Liang, Z., Zhang, Y., Lin, Y., Liu, Q., Xie, X., Tang, L.-Y., & Ren, Z. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.10.025 · Cited by 11
Acceptability and Feasibility of a Guided Biopsychosocial Online Intervention for Cancer Patients Undergoing Chemotherapy
Grapp, M., Rosenberger, F., Hemlein, E., Klein, E. M., Friederich, H., & Maatouk, I. (2020) · Journal of Cancer Education · doi:10.1007/s13187-020-01792-4 · Cited by 11
Impact and Mechanisms of Cognitive Behavioural Therapy for Insomnia on Fatigue among Cancer Survivors: A Secondary Analysis of a Randomized Controlled Trial
Greeley, K. M., Rash, J. A., Tulk, J., Savard, J., Seal, M., Urquhart, R., Thoms, J., Laing, K. E., Fawcett, E. J., & Garland, S. N. (2025) · SLEEP · doi:10.1093/sleep/zsaf014 · Cited by 14
The effect of online cognitive behavioral therapy for insomnia in adolescents and young adults after childhood cancer: Results from a randomized controlled trial
van der Hoek, H., Peersmann, S. H. M., Maurice‐Stam, H., Kaspers, G. J. L., van den Bergh, E. M. M., Tissing, W. J. E., Kremer, L. C. M., Abbink, F. C. H., de Vries, A. C. H., Loonen, J. J., et al. (2025) · Cancer · doi:10.1002/cncr.35796 · Cited by 10
Long-Term Follow-Up Care After Treatment for Primary Breast Cancer: Strategies and Considerations
Franzoi, M. A., Janni, W. J., Erdmann-Sager, J., Kline‐Quiroz, C. M., Schäffler, H., Pfister, K., Fazzalari, A., & Vaz-Luís, I. (2025) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk-25-473472 · Cited by 10
CBT-I during and after a cancer diagnosis
Garland, S. N. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822872-2.00003-7 · Cited by 10
Effectiveness and safety of an interactive internet‐based intervention to improve insomnia: Results from a randomised controlled trial
Specht, A., Betz, L. T., Riepenhausen, A., Jauch‐Chara, K., Jacob, G. A., Riemann, D. W., & Göder, R. (2024) · Journal of Sleep Research · doi:10.1111/jsr.14409 · Cited by 9
New and Persistent Sedative-Hypnotic Use After Adjuvant Chemotherapy for Breast Cancer
Cogan, J. C., Raghunathan, R. R., Beauchemin, M., Accordino, M. K., Huang, Y., Elkin, E. B., Melamed, A., Wright, J. D., & Hershman, D. L. (2022) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djac170 · Cited by 9

Authors: Zachariae, R., Amidi, A., Damholdt, M. F., Clausen, C. D. R., Dahlgaard, J., Lord, H., Thorndike, F. P., & Ritterband, L. M.
Affiliations: Aarhus University (DK)
Unit for Psychooncology and Health Psychology, Department of Oncology, Aarhus University Hospital and Department of Psychology, Aarhus University, Aarhus, Denmark
VIA University College (DK)
University of Virginia (US)
Charlotte School of Law (US)
Corresponding author: Zachariae, Robert
ORCID: Zachariae, Robert
Amidi, Ali
Damholdt, Malene F
Dahlgaard, Jesper
Thorndike, Frances P
Ritterband, Lee M
Venue: JNCI: Journal of the National Cancer Institute
Publisher: Oxford University Press (OUP)
Published: 2018-02-20
Volume: 110
Issue: 8
Pages: 880-887
ISSN: 0027-8874 (ISSN-L)
1460-2105
DOI: 10.1093/jnci/djx293
PMC: PMC6093474
OpenAlex: W2972485842
Cited by: 212
References: 43
Citations by year: 2026: 16 · 2025: 34 · 2024: 31 · 2023: 30 · 2022: 32 · 2021: 30 · 2020: 21 · 2019: 11 · 2018: 6
FWCI: 13.53
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc
creativecommons.org/licenses/by-nc/4.0/ (vor)
Locations: JNCI Journal of the National Cancer Institute (publishedVersion, cc-by-nc)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
Funders: TrygFonden (7-12.0736)
Danish Cancer Society (R48-A2585-11-S3)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: insomnia, breast cancer survivors, sleep disorders, fatigue, wake after sleep onset, sleep quality, cancer rehabilitation
MeSH terms: Cancer Survivors, Adolescent, Adult, Aged, Breast Neoplasms, Denmark, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Sleep, Waiting Lists, Cognitive Behavioral Therapy, Treatment Outcome, Telemedicine, Internet, Young Adult, Intention to Treat Analysis

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

Internet-Delivered Cognitive-Behavioral Therapy for Insomnia in Breast Cancer Survivors: A Randomized Controlled Trial

Abstract

Overview

Integrity signals

Figures

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks