Cited by 306Sleep and related disordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and Applications

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A meta-analysis on the treatment effectiveness of cognitive behavioral therapy for primary insomnia: CBT for insomnia: a meta-analysis

OKAJIMA, Isa, KOMADA, Yoko, INOUE, Yuichi·2011·Sleep and Biological Rhythms

DOI 10.1111/j.1479-8425.2010.00481.x

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Evidence and characteristics of Acceptance and Commitment Therapy (ACT)-based interventions for insomnia: a systematic review of randomized and non-randomized trials
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Treating Acute Insomnia: A Randomized Controlled Trial of a “Single-Shot” of Cognitive Behavioral Therapy for Insomnia
Ellis, J. G., Cushing, T., & Germain, A. (2015) · SLEEP · doi:10.5665/sleep.4752 · Cited by 130
Effects of cognitive behavioral therapy for insomnia on subjective and objective measures of sleep and cognition
Perrault, A. A., Pomares, F. B., Smith, D., Cross, N. E., Gong, K., Maltezos, A., McCarthy, M., Madigan, E., Tarelli, L., McGrath, J. J., et al. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.05.010 · Cited by 58
Systematic review and meta-analysis on fully automated digital cognitive behavioral therapy for insomnia
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Effects of a Tailored Brief Behavioral Therapy Application on Insomnia Severity and Social Disabilities Among Workers With Insomnia in Japan
Okajima, I., Akitomi, J., Kajiyama, I., Ishii, M., Murakami, H., & Yamaguchi, M. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.2775 · Cited by 51
Does cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesis
Herbert, V., Kyle, S. D., & Pratt, D. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2017.07.001 · Cited by 56
Co-occurring insomnia and anxiety: a randomized controlled trial of internet cognitive behavioral therapy for insomnia versus internet cognitive behavioral therapy for anxiety
Mason, E. C., Grierson, A. B., Sie, A., Sharrock, M. J., Li, I., Chen, A. Z., & Newby, J. M. (2022) · SLEEP · doi:10.1093/sleep/zsac205 · Cited by 50
Cannabidiol (CBD) and Δ9-tetrahydrocannabinol (THC) for chronic insomnia disorder (‘CANSLEEP’ trial): protocol for a randomised, placebo-controlled, double-blinded, proof-of-concept trial
Suraev, A. S., Grunstein, R. R., Marshall, N. S., D'Rozario, A. L., Gordon, C. J., Bartlett, D. J., WONG, K. K. H., Yee, B. J., Vandrey, R. G., Irwin, C. G., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034421 · Cited by 49
“19 However, these often require access to a therapist and can involve substantial effort, time and financial commitment.”
Mental Health Apps in China: Analysis and Quality Assessment
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“CBT has been found effective in a variety of mental disorders and conditions, including affective disorders, psychosis, gambling behavior, and substance abuse [50-53].”
Background
Block the light and sleep well: Evening blue light filtration as a part of cognitive behavioral therapy for insomnia
Janků, K., Šmotek, M., Fárková, E., & Kopřivová, J. (2019) · Chronobiology International · doi:10.1080/07420528.2019.1692859 · Cited by 45
“Moreover, there is no clear evidence that the CBT for insomnia (CBT-I) has an effect on objective sleep parameters as studies assessing both subjective and objective sleep characteristics have shown a stronger impact of CBT-I on subjective sleep quality compared to objective measure (Okajima et al. 2011).”
BackgroundResult
A randomized controlled trial to examine the feasibility and preliminary efficacy of a digital mindfulness-based therapy for improving insomnia symptoms
Kennett, L., Bei, B., & Jackson, M. L. (2021) · Mindfulness · doi:10.1007/s12671-021-01714-5 · Cited by 42
Sleep disturbance in family caregivers of children who depend on medical technology
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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
“CBT-I can be delivered in its traditional face-to-face format [20,24] or digitally as a web-based program [23] or smartphone app [25].”
Background
Acceptance and commitment therapy-based behavioral intervention for insomnia: a pilot randomized controlled trial
El Rafihi-Ferreira, R., Morin, C. M., Toscanini, A. C., Lotufo Neto, F., Brasil, I. S., Gallinaro, J. G., Borges, D. S., Conway, S. G., & Hasan, R. (2021) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2020-0947 · Cited by 46
Cognitive behavioural therapy interventions for insomnia among shift workers: RCT in an occupational health setting
Järnefelt, H., Härmä, M., Sallinen, M., Virkkala, J., Paajanen, T. I., Martimo, K.-P., & Hublin, C. (2019) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-019-01504-6 · Cited by 42
“Other CBT-I studies have also shown this lagging effect in TST (Okajima et al. 2011).”
BackgroundMethodResultInfluential
Effect of cognitive behavioral therapy for insomnia in workers: A systematic review and meta-analysis of randomized controlled trials
Takano, Y., Ibata, R., Machida, N., Ubara, A., & Okajima, I. (2023) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2023.101839 · Cited by 38
Sleep Biomarkers for Predicting Cognitive Decline and Alzheimer’s Disease: A Systematic Review of Longitudinal Studies
Carpi, M., Fernandes, M., Mercuri, N. B., & Liguori, C. (2023) · Journal of Alzheimer s Disease · doi:10.3233/jad-230933 · Cited by 41
Internet-delivered cognitive-behavioral therapy for insomnia and comorbid symptoms
Hagatun, S., Vedaa, Ø., Harvey, A. G., Nordgreen, T., Smith, O. R. F., Pallesen, S., Havik, O. E., Thorndike, F. P., Ritterband, L. M., & Sivertsen, B. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.02.003 · Cited by 35
“CBTi has shown good results in reducing insomnia symptoms (Okajima et al., 2011), and some studies have examined if CBTi yields similar improvements regarding comorbid psychological”
Background
Effectiveness of non‐pharmacological interventions in improving sleep quality after cardiac surgery: A systematic review and meta‐analysis
Soh, P. Q. P., Wong, W. H. T., Roy, T., & Tam, W. (2024) · Journal of Clinical Nursing · doi:10.1111/jocn.17115 · Cited by 34
A randomized controlled trial comparing guided internet-based multi-component treatment and internet-based guided sleep restriction treatment to care as usual in insomnia
Krieger, T., Urech, A., Duss, S. B., Blättler, L. T., Schmitt, W. J., Gast, H., Bassetti, C. L., & Berger, T. (2019) · Sleep Medicine · doi:10.1016/j.sleep.2019.01.045 · Cited by 36
Cognitive-Behavioral Therapy for Insomnia Co-Morbid with Hearing Impairment: A Randomized Controlled Trial
Jansson‐Fröjmark, M., Linton, S. J., Flink, I. K., Granberg, S., Danermark, B., & Norell‐Clarke, A. (2012) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-011-9275-y · Cited by 33
CBT for late‐life insomnia and the accuracy of sleep and wake perceptions: Results from a randomized‐controlled trial
Dzierzewski, J. M., Martin, J. L., Fung, C. H., Song, Y., Fiorentino, L., Jouldjian, S., Rodrı́guez, J. C., Mitchell, M. N., Josephson, K. R., & Alessi, C. (2019) · Journal of Sleep Research · doi:10.1111/jsr.12809 · Cited by 38
Reducing Dysfunctional Beliefs about Sleep Does Not Significantly Improve Insomnia in Cognitive Behavioral Therapy
Okajima, I., Nakajima, S., Ochi, M., & Inoue, Y. (2014) · PLoS ONE · doi:10.1371/journal.pone.0102565 · Cited by 32
“Therefore, the participants of our study might not be representative of the general chronic insomniac population, although the demographic data and effect size of insomnia severity were quite similar to those of previous studies [13], [33], [34].”
Result
A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia
Schiller, H., Söderström, M., Lekander, M., Rajaleid, K., & Kecklund, G. (2018) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-018-1291-x · Cited by 33
“2005; Stepanski and Rybarczyk 2006) also when delivered in group settings (Blom et al. 2015; Belleville et al. 2011; Edinger et al. 2009; Germain et al. 2006; Järnefelt et al. 2014; Okajima et al. 2011; Ye et al. 2015).”
Background
Effects of cognitive behavioural therapy for insomnia on the mental health of university students: study protocol for a randomized controlled trial
Freeman, D., Sheaves, B., Goodwin, G. M., Yu, L.-M., Harrison, P. J., Emsley, R., Bostock, S., Foster, R. G., Wadekar, V., Hinds, C., et al. (2015) · Trials · doi:10.1186/s13063-015-0756-4 · Cited by 35
“Importantly, meta-analyses report moderate to large sustained improvements in insomnia following treatment with cognitive behavioural therapy (CBT) for insomnia [9–11].”
Background
The interrelationship between sleep and depression: a secondary analysis of a randomized controlled trial on mind-body-spirit intervention
Ji, X. W., Chan, C., Lau, B. H. P., Chan, C., Chan, C., & Chung, K. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2016.08.025 · Cited by 30
Objective and subjective sleep measures are associated with neurocognition in aging adults with and without HIV
Campbell, L. M., Kohli, M., Lee, E., Kaufmann, C. N., Higgins, M., Delgadillo, J. D., Heaton, R. K., Cherner, M., Ellis, R. J., Moore, D. J., et al. (2020) · The Clinical Neuropsychologist · doi:10.1080/13854046.2020.1824280 · Cited by 33
Does total sleep time substantially increase after cognitive behavioral therapy for insomnia?
Scott, H., Cheung, J. M. Y., Muench, A., Ivers, H., Grandner, M. A., Lack, L. C., Morin, C. M., & Perlis, M. L. (2022) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10004 · Cited by 33
“11,13,14 This clinical “ gain ” is roughly half of what can be expected for sleep latency (SL) and wake after sleep onset (WASO) outcomes.”
Changes in self-reported sleep and cognitive failures: a randomized controlled trial of a stress management intervention
Dalgaard, V. L., Eskildsen, A., Carstensen, O., Willert, M. V., Andersen, J. H., & Glasscock, D. (2014) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3460 · Cited by 34
Enhancing CBT for Chronic Insomnia: A Randomised Clinical Trial of Additive Components of Mindfulness or Cognitive Therapy
Wong, M. Y., Ree, M. J., & Lee, C. W. (2015) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1980 · Cited by 30

Authors: OKAJIMA, I., KOMADA, Y., & INOUE, Y.
Affiliations: Tokyo Medical University (JP)
Corresponding author: INOUE, Yuichi
ORCID: OKAJIMA, Isa
KOMADA, Yoko
INOUE, Yuichi
Venue: Sleep and Biological Rhythms
Publisher: Springer Science and Business Media LLC
Published: 2010-11-28
Volume: 9
Issue: 1
Pages: 24-34
ISSN: 1446-9235 (ISSN-L)
DOI: 10.1111/j.1479-8425.2010.00481.x
OpenAlex: W1896419572
Cited by: 306
References: 47
Citations by year: 2026: 6 · 2025: 21 · 2024: 15 · 2023: 23 · 2022: 27 · 2021: 20 · 2020: 27 · 2019: 29 · 2018: 24 · 2017: 27 · 2016: 21 · 2015: 26 · 2014: 20 · 2013: 9 · 2012: 8
FWCI: 0.80
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1 (tdm, 1738 d)
Locations: Sleep and Biological Rhythms (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: cognitive behavioral therapy for insomnia, primary insomnia, treatment effectiveness, relapse prevention, follow-up outcomes, sleep diary, self-rating scale, publication bias

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A meta-analysis on the treatment effectiveness of cognitive behavioral therapy for primary insomnia: CBT for insomnia: a meta-analysis

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