The Effectiveness of Cognitive Behavioral Therapy (CBT) for Insomnia in Adults: A Meta-Analysis of Randomized Controlled Trials
Abstract
Cognitive Behavioral Therapy for Insomnia (CBT-I) has been established as the first-line treatment for chronic insomnia, offering effective strategies to improve sleep quality and quantity. This meta-analysis of randomized controlled trials (RCTs) evaluates the efficacy of CBT-I in reducing insomnia severity and improving sleep-related outcomes in adults. Through a comprehensive review of the literature, the meta-analysis synthesizes effect sizes from RCTs assessing the effectiveness of CBT-I compared to control conditions (e.g., waitlist, sleep hygiene education) in targeting sleep latency, wake after sleep onset, total sleep time, sleep efficiency, and subjective sleep quality. Additionally, it examines potential moderators of treatment outcomes, such as treatment components (e.g., sleep restriction, stimulus control), treatment format (individual vs. group), therapist involvement, and participant characteristics (e.g., age, comorbidities), to better understand the factors influencing the effectiveness of CBT-I for insomnia in adults.
Share and Cite
Article Metrics
References
- Morin, C. M., et al. (2006). Cognitive-behavioral therapy, singly and combined with medication, for persistent insomnia: A randomized controlled trial. JAMA, 299(19), 2146-2157.
- Perlis, M. L., et al. (2005). Cognitive behavioral treatment of insomnia: A session-by-session guide. Springer Science & Business Media.
- Espie, C. A., et al. (2012). Effectiveness of cognitive behavioural and mindfulness-based therapies for chronic insomnia: A systematic review and meta-analysis. Sleep Medicine Reviews, 17(6), 431-441.
- Smith, M. T., et al. (2002). Comparative meta-analysis of pharmacotherapy and behavior therapy for persistent insomnia. American Journal of Psychiatry, 159(1), 5-11.
- Edinger, J. D., et al. (2001). Cognitive behavioral therapy for treatment of chronic primary insomnia: A randomized controlled trial. JAMA, 285(14), 1856-1864.
- Harvey, A. G., et al. (2015). Sleep and circadian functioning: Critical mechanisms in the mood disorders? Annual Review of Clinical Psychology, 11, 71-99.