Web-based cognitive behaviour therapy for insomnia shows long-term efficacy in improving chronic insomnia
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Commentary on: Ritterband LM, Thorndike FP, Ingersoll KS, et al . Effect of a web-based cognitive behavior therapy for insomnia intervention with 1-year follow-up: a randomized clinical trial. JAMA Psychiatry 2017;74:68–75. Insomnia is a widespread health problem, with cognitive behavioural therapy for insomnia (CBT-I) considered as first-line treatment.1 Unfortunately, access to CBT-I treatment is limited due to limited numbers of trained therapists and cost. Randomised controlled trials (RCTs) have provided strong evidence for web-based CBT-I as an effective treatment for insomnia.2 However, these studies have been of short duration and excluded people with comorbidities.3–5 One thousand two hundred and twelve US-based participants were screened after indicating interest in the trial. The final study comprised 303 adults, aged 21–65 years (mean age: 43.28 years); 72% were female; 84% were white; and 78% had a college degree or higher. Participants were very computer literate with 96% checking their email daily, and had symptoms of …
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Sleep effort and cognitive arousal are modifiable perpetuating factors that can be influenced by cognitive behavioral therapy and mindfulness-based therapy for insomnia treatments.
“Additionally, sleep effort and cognitive arousal are modifiable perpetuating factors that can be influenced by cognitive behavioral therapy and mindfulness-based therapy for insomnia treatments [56–60].”
From Insomnia is more likely to persist than remit after a time of stress and uncertainty: a longitudinal cohort study examining trajectories and predictors of insomnia symptoms (2024) · cites this paper as [60]
The Methods of the study and What this paper adds sections report that web-based CBT-I improved insomnia symptoms, but they do not address whether it changes sleep effort or cognitive arousal. Searches for those factors and for mindfulness-based therapy found no passage addressing the claim. (LLM, conf=0.72)
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Qaseem, A., Kansagara, D., Forciea, M. A., Cooke, M., Denberg, T. D., & for the Clinical Guidelines Committee of the American College of Physicians* (2016) · Annals of Internal Medicine · doi:10.7326/m15-2175 · Cited by 1,965 · see citing works
Espie, C. A., Kyle, S. D., Williams, C., Ong, J. C., Douglas, N. J., Hames, P., & Brown, J. S. L. (2012) · Sleep · doi:10.5665/sleep.1872 · Cited by 550 · see citing works
Efficacy of an Internet-based behavioral intervention for adults with insomnia
Ritterband, L. M., Thorndike, F. P., Gonder-Frederick, L. A., Magee, J. C., Bailey, E. T., Saylor, D. K., & Morin, C. M. (2009) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2009.66 · Cited by 482 · see citing works
Seyffert, M., Lagisetty, P., Landgraf, J., Chopra, V., Pfeiffer, P. N., Conte, M. L., & Rogers, M. A. M. (2016) · PLOS ONE · doi:10.1371/journal.pone.0149139 · Cited by 323 · see citing works
Logging on for Better Sleep: RCT of the Effectiveness of Online Treatment for Insomnia
Vincent, N., & Lewycky, S. (2009) · Sleep · doi:10.1093/sleep/32.6.807 · Cited by 206 · see citing works
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Meaklim, H., Junge, M. F., Varma, P., Finck, W. A., & Jackson, M. L. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.9354 · Cited by 74 · see citing works
Self-citationMeaklim, H., Saunders, W. J., Byrne, M. L., Junge, M. F., Varma, P., Finck, W. A., & Jackson, M. L. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.11.021 · Cited by 55 · see citing works
Meaklim, H., Le, F., Drummond, S. P. A., Bains, S. K., Varma, P., Junge, M. F., & Jackson, M. L. (2024) · Sleep · doi:10.1093/sleep/zsae028 · Cited by 10 · see citing works
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- Authors
- Meaklim, H., & Cunnington, D.
- Affiliations
- Melbourne Sleep Disorders Centre, East Melbourne, Victoria, Australia
- Corresponding author
- Cunnington, David
- Venue
- Evidence-Based Mental Health
- Publisher
- BMJ
- Published
- 2017-09-29
- Volume
- 21
- Issue
- 1
- Pages
- e3-e3
- ISSN
- 1362-0347 (ISSN-L)
- 1468-960X
- PMC
- PMC10270448
- OpenAlex
- W2761805015
- Cited by
- 8
- References
- 5
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2018: 1 · 2017: 1
- FWCI
- 1.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Evidence-Based Mental Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy for insomnia, online intervention, chronic insomnia, long-term efficacy, follow-up, access to treatment, comorbidities, computer literacy
- MeSH terms
- Humans, Sleep Initiation and Maintenance Disorders, Sleep, Cognitive Behavioral Therapy, Internet
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