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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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In the citing paper
“There is a large body of evidence on the efficacy of cognitive behavioral therapy for insomnia (CBT-I).1-3”
From Acceptance and commitment therapy-based behavioral intervention for insomnia: a pilot randomized controlled trial (2021) · cites this paper as [2]
In the citing paper
“considering that the efficacy of behavioral therapy components is well established.1-3”
From Acceptance and commitment therapy-based behavioral intervention for insomnia: a pilot randomized controlled trial (2021) · cites this paper as [2]
In the citing paper
“It is important to mention that behavioral components, such as stimulus control and sleep restriction, were used in both groups, which may have contributed to similar results in both groups, considering that the efficacy of behavioral therapy components is well established.1-3”
From Acceptance and commitment therapy-based behavioral intervention for insomnia: a pilot randomized controlled trial (2021) · cites this paper as [2]
In the citing paper
“there is accumulating evidence to support the use of digitally delivered CBT-I in both adults and young people.16–19”
From Pilot evaluation of the Sleep Ninja: A smartphone application for adolescent insomnia symptoms (2019) · cites this paper as [18]
In the citing paper
“A new systematic review [21] meta-analyzes evidence from 14 randomized trials comparing groups of patients given CBT-I to control groups.”
From Comparative effectiveness of cognitive behavioral therapy for insomnia: a systematic review (2012) · cites this paper as [21]
In the citing paper
“But this review does not tell us whether CBT-I is as effective as sleep medications.”
From Comparative effectiveness of cognitive behavioral therapy for insomnia: a systematic review (2012) · cites this paper as [21]
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Ichiba, T., Kawamura, A., Nagao, K., Kurumai, Y., Fujii, A., Yoshimura, A., Yoshiike, T., & Kuriyama, K. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.844958 · Cited by 7
“However, while cognitive behavioral therapy for insomnia can improve subjective complaints of difficulty initiating sleep, it seems ineffective in improving objective sleep onset latency (SOL) (7, 8).”
BackgroundInfra-low frequency neurofeedback and insomnia as a model of CNS dysregulation
Moore, P. T. (2022) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2022.959491 · Cited by 6
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“Recent studies show that cognitive behavioral therapy for insomnia is highly effective compared to other psychological interventions [16,17].”
BackgroundEvaluation of a Japanese brief CBT-I administered by a nurse: a pilot study
Nagai, M., Oe, Y., Horikoshi, M., Nakajima, S., Oi, H., & Kita, Y. (2022) · Primary Health Care Research & Development · doi:10.1017/s1463423622000032 · Cited by 5
“Traditional CBT-I includes all elements in each assessment, such as sleep hygiene, stimulus control therapy, sleep restriction therapy, cognitive therapy, and relaxation (Smith et al., 2002; Okajima et al., 2011; Trauer et al., 2015; Wu et al., 2015).”
MethodFields, B. G. (2013) · Journal of Sleep Disorders & Therapy · doi:10.4172/2167-0277.1000111 · Cited by 5
“More than three decades of research support its utility in treating chronic insomnia, with several meta-analyses showing both short-term and long-term efficacy [2-5].”
BackgroundGroup cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study
Mao, H., Ji, Y., Xu, Y., Tang, G., Yu, Z., Xu, L.-L., Shen, C., & Wang, W. (2017) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s149610 · Cited by 5
“Regarding the aspects of sleep latency and habitual sleep efficiency of PSQI, their improvements after GCBT in our study were also in line with the previous notion of the psychotherapy effect for insomnia.(40) Table 2 Mean scale scores (mean ± sD) after 16 weeks (in parentheses) and their changes (baseline minus condi…”
ResultEffective Insomnia Treatments: Investigation of Processes in Mindfulness and Cognitive Therapy
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“Internal consistency reliability was assessed using Mac-donald Omega, with values exceeding 0.70 indicating acceptable reliability [43, 44].”
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“However, CBT-I has been well addressed by numbers of studies and found to be an active form of treatment for insomnia [14].”
BackgroundComorbidity: What Is It and Why Is It Important?
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Treatment options for Insomnia
Hedges, C., & Ruggiero, J. S. (2011) · The Nurse Practitioner · doi:10.1097/01.npr.0000408276.28016.fb · Cited by 4
“The effectiveness of CBT has been supported in clinical trials, but the therapy is not available in all medical centers.(20,21) In addition to CBT, the NP can educate the patient about healthy sleep practices and sleep hygiene measures that promote sleep.”
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“CBT is effective against stress (Coull & Morris, 2011), anxiety (Beltman et al., 2010) and depression, chronic pain, fatigue, and insomnia (Okajima et al., 2011).”
Mumtaz, O., Hameed, M., Kashif, R. S., Abazeed, S., Ali, A. S., Qureshi, A. U., Akhtar, A., & Saeed, F. U. (2024) · Journal of Health and Rehabilitation Research · doi:10.61919/jhrr.v4i2.897 · Cited by 4
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“…similar effects to medication in the short term (Mitchell et al., 2012; Rios et al., 2019; Smith et al., 2002), has durable treatment effects (Okajima et al., 2011; Pallesen et al., 1998; van der Zweerde et al., 2019), and is recognized as the first-line treatment for insomnia disorder by…”
Alshehri, M. M., Alkathiry, A. A., Alenazi, A. M., Alothman, S., RUCKER, J. L., Phadnis, M. A., Miles, J. M., Kluding, P. M., & Siengsukon, C. F. (2020) · Sleep Disorders · doi:10.1155/2020/5950375 · Cited by 5
“59, corresponding to a change of ±2/3 SD from the mean [43].”
BackgroundCognitive behavioural therapy for anxiety disorders and insomnia: a commentary on future directions
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Lipschitz, D. L., Landward, R. S., & Nakamura, Y. (2013) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2013.10.002 · Cited by 3
Comparison between acupuncture and cognitive behavioral therapy for primary insomnia
Peng, W., Zhao, Y. J., Wang, Y., Wang, J., Hao, Q., Tu, Y., & Zhu, T. (2020) · Medicine · doi:10.1097/md.0000000000020453 · Cited by 3
Investigating the Effectiveness of CBT-i Coach, a Free, Publicly Available mHealth App for Insomnia
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“Indeed, by comparison, meta-analyses of RCTs investigating CBT-i delivered face-to-face by trained CBT-i providers to those with clinical insomnia symptoms have identified large to very large within-subject effects (e.g., Geiger-Brown et al., 2015; Okajima et al., 2011).”
Improving Patient Sleep before Surgery: The Case for Sleep Prehabilitation
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“Meta-analyses have established and confirmed CBT-I as an effective treatment for insomnia [128–130].”
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Cognitive-Behavioral Therapy in Insomnia
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Therapist-Assisted Internet-Delivered Cognitive Behavioral Therapy for Insomnia: A Case Report
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“The findings are consistent with a growing body of literature that suggests face-to-face CBT-I is effective regardless of co-occurring mental health symptoms (Okajima et al., 2011; Trauer et al., 2015, Geiger-Brown et al., 2015, Wu et al., 2015).”
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“또 다른 한편의 연구는 검색결과가 최근의 연구결과를 반영하지 못하여 인지행동중재의 효과를 충분히 제시하 지 못하고 있다[19].”
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Integration of Cognitive-Behavioral Therapy and Pharmacotherapy in the Treatment of Insomnia
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“Comparative effect sizes were maintained after 3-, 6-, and 12-month follow-ups (Okajima et al., 2011).”
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“Accordingly, Japanese nurses are expected to the practical person of CBT and the educational training system have been continued by Ministry of Health, Labor and Welfare.”
MethodInfluentialManagement of Insomnia Disorder
Carlson, G. E., Zeidler, M. R., & Martin, J. L. (2022) · Respiratory medicine · doi:10.1007/978-3-030-93739-3_13 · Cited by 1
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“Currently, cognitive behavioral therapy for insomnia (CBT-I) is effective for insomnia with/without psychiatric and physical illness comorbidities [22-24].”
Cramer, L., Vogt, F., McKenna, L., & Marks, E. M. (2023) · International Journal of Audiology · doi:10.1080/14992027.2022.2161016 · Cited by 1
“It is a popular treatment choice for sleeping problems with medium to large effect sizes (Okajima, Komada and Inoue 2011).”
BackgroundSleep-related metacognitions and cognitive behavioral therapy for insomnia
Jenewein, A.-L., Schredl, M., & Schilling, C. (2023) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-023-00404-9 · Cited by 1
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“…of Psychology, The University of Sheffield, UK Corresponding author: Alexander J. Scott (alex.scott@sheffield.ac.uk) Therapy for insomnia (CBTi, Okajima et al., 2011; Trauer et al., 2015) which can be offered both face-to-face (Trauer et al., 2015) or remotely via the internet (Cheng &…”
BackgroundWithin-Person Variation in Personality and Psychological Well-Being
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“Many types of studies including meta-analyses have identified the effectiveness of cognitive behavioral therapy for insomnia (CBT-I) in the treatment of chronic insomnia disorder [1, 2], and the therapy is currently recommended by insomnia treatment guidelines as the first-line treatment for the disorder [3, 4].”
BackgroundA Clinician’s Perspective on Treating Patients Suffering from Insomnia and Pain
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“Despite the evidence of the effectiveness of Cognitive-Behavioral Treatment for Insomnia (CBT- I) [1-21], most patients will not receive this form of treatment.”
BackgroundMental Health and Cognitive Behavioral Therapy
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Bilişsel Davranışçı Terapi-Uykusuzluk Protokolü ve Etkililik Çalışmalarının Gözden Geçirilmesi
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“Uykunun fizyolojik yapısı genellikle nöroloji ve psikiyatri alanlarında incelenirken (Öztürk 2008, Parlakoğlu ve ark. 2013) uykunun yapısal işlevi, günlük yaşama etkisi, uyku bozuklukları nedeniyle ortaya çıkan sorunlar ve uykunun diğer hastalıklarla ilişkisi psikoloji alanında yapılan çalışmalarda…”
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Monitoring adherence to sleep and circadian disorders treatments
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Cognitive behavior therapy for insomnia in adults
Halder, S., & Mahato, A. K. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-85726-0.00039-9
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Hesse, M., Buset, E. M., & Lygkoni, S. (2023) · doi:10.36000/hbt.2023.10.001
Silotto, A. E. M. R. (2024) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.5.2024.tde-22042024-150944
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Brown, R. F., & Thorsteinsson, E. (2024) · Springer eBooks · doi:10.1007/978-3-031-55637-1_1
Brown, R. F., & Thorsteinsson, E. (2024) · Springer eBooks · doi:10.1007/978-3-031-55637-1_9
Huskey, A., Emert, S. E., Nagy, S. M., Kim, K. N., Leete, J. J., Lopez, N., Olson, E., Killgore, W. D. S., Grilli, M. D., & Taylor, D. J. (2025) · Research Directions Sleep Psychology · doi:10.1017/slp.2025.2
“Meta-analyses support the efficacy of therapist-delivered CBTi in both uncomplicated insomnia (Morin et al ., 1994; Murtagh and Greenwood, 1995; Okajima et al ., 2011) and insomnia comorbid with other disorders (Geiger-Brown et al ., 2014; Smith et al ., 2005; Taylor and Pruiksma, 2014).”
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Hypnotic suggestions in the modulation of sleep
Baselgia, S., & Rasch, B. (2025) · International review of neurobiology · doi:10.1016/bs.irn.2025.04.015 · Cited by 1
Scott, H., Gehrman, P., & Perlis, M. L. (2025) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197602751.013.17
Sleep health during the perinatal period: From pregnancy to postpartum
MacKinnon, A., Freeman, M., Kaur, J., Silang, K., Watts, D., & Tomfohr‐Madsen, L. M. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-13954-3.00007-3
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Hinterberger, A., Eigl, E.-S., Szeko, A., Topalidis, P. I., & Schabus, M. (2025) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2025.100646 · Cited by 1
“…and Pittsburgh Sleep Quality Index (PSQI), and sleep parameters such as total sleep time (TST), sleep onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE) (Okajima et al., 2011; van Straten et al., 2018), as well as deep sleep percentage and duration (Cervena et al., 2004).”
Behavioral sleep interventions to reduce suicide risk: Existing research and future avenues
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Metadata
- Authors
- OKAJIMA, I., KOMADA, Y., & INOUE, Y.
- Affiliations
- Tokyo Medical University (JP)
- Corresponding author
- INOUE, Yuichi
- Venue
- Sleep and Biological Rhythms
- Published
- 2010-11-28
- Volume
- 9
- Issue
- 1
- Pages
- 24-34
- ISSN
- 1446-9235 (ISSN-L)
- 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
- 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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