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Article: The effect of self-help cognitive behavioral therapy for insomnia on depressive symptoms: An updated meta-analysis of randomized controlled trials

TitleThe effect of self-help cognitive behavioral therapy for insomnia on depressive symptoms: An updated meta-analysis of randomized controlled trials
Authors
KeywordsCognitive behavioral therapy
Self-helpInsomnia
Depression
Meta-analysis
Systematic review
Issue Date2020
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jad
Citation
Journal of Affective Disorders, 2020, v. 265, p. 287-304 How to Cite?
AbstractBackground: Sleep disturbances commonly occur in patients with depression. Insomnia is considered not only a symptom of but also a risk factor for depression. Psychological treatments for insomnia have been demonstrated to be efficacious in alleviating depressive symptoms. This meta-analysis examined the effect of self-help cognitive behavioral therapy for insomnia (CBT-I) in treating depressive symptoms. Methods: A systematic review was performed up to April 2019 in 6 major electronic databases. The literature search retrieved 4190 potentially relevant citations; 30 randomized controlled trials (total N = 5945) that compared self-help CBT-I vs. waiting-list (WL), routine care, no treatment, individual cognitive behavioral therapy (CBT), group CBT and placebo were included in the current review. Results: Random effects models showed significant reduction in self-report depressive symptoms (Hedges’ g = 0.35; 95% CI: -0.47, -0.23) and insomnia symptoms (Hedges’ g = 0.79; 95% CI: -0.56, -1.03) in the self-help CBT-I group when compared to the WL/routine care/no treatment/psychoeducation control group. Limitations: The findings should be interpreted with caution due to potential publication bias. Conclusions: CBT-I appears to be efficacious in treating depressive symptoms. Given the current results and study limitations, large-scale, high-quality trials that specifically target individuals with a clinical diagnosis of depression are warranted in the future.
Persistent Identifierhttp://hdl.handle.net/10722/286619
ISSN
2023 Impact Factor: 4.9
2023 SCImago Journal Rankings: 2.082
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHo, FYY-
dc.contributor.authorChan, CS-
dc.contributor.authorLo, WY-
dc.contributor.authorLEUNG, JCY-
dc.date.accessioned2020-09-04T13:28:08Z-
dc.date.available2020-09-04T13:28:08Z-
dc.date.issued2020-
dc.identifier.citationJournal of Affective Disorders, 2020, v. 265, p. 287-304-
dc.identifier.issn0165-0327-
dc.identifier.urihttp://hdl.handle.net/10722/286619-
dc.description.abstractBackground: Sleep disturbances commonly occur in patients with depression. Insomnia is considered not only a symptom of but also a risk factor for depression. Psychological treatments for insomnia have been demonstrated to be efficacious in alleviating depressive symptoms. This meta-analysis examined the effect of self-help cognitive behavioral therapy for insomnia (CBT-I) in treating depressive symptoms. Methods: A systematic review was performed up to April 2019 in 6 major electronic databases. The literature search retrieved 4190 potentially relevant citations; 30 randomized controlled trials (total N = 5945) that compared self-help CBT-I vs. waiting-list (WL), routine care, no treatment, individual cognitive behavioral therapy (CBT), group CBT and placebo were included in the current review. Results: Random effects models showed significant reduction in self-report depressive symptoms (Hedges’ g = 0.35; 95% CI: -0.47, -0.23) and insomnia symptoms (Hedges’ g = 0.79; 95% CI: -0.56, -1.03) in the self-help CBT-I group when compared to the WL/routine care/no treatment/psychoeducation control group. Limitations: The findings should be interpreted with caution due to potential publication bias. Conclusions: CBT-I appears to be efficacious in treating depressive symptoms. Given the current results and study limitations, large-scale, high-quality trials that specifically target individuals with a clinical diagnosis of depression are warranted in the future.-
dc.languageeng-
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jad-
dc.relation.ispartofJournal of Affective Disorders-
dc.subjectCognitive behavioral therapy-
dc.subjectSelf-helpInsomnia-
dc.subjectDepression-
dc.subjectMeta-analysis-
dc.subjectSystematic review-
dc.titleThe effect of self-help cognitive behavioral therapy for insomnia on depressive symptoms: An updated meta-analysis of randomized controlled trials-
dc.typeArticle-
dc.identifier.emailChan, CS: shaunlyn@hku.hk-
dc.identifier.authorityChan, CS=rp01645-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jad.2020.01.062-
dc.identifier.pmid32090753-
dc.identifier.scopuseid_2-s2.0-85078142432-
dc.identifier.hkuros314034-
dc.identifier.volume265-
dc.identifier.spage287-
dc.identifier.epage304-
dc.identifier.isiWOS:000514822200038-
dc.publisher.placeNetherlands-
dc.identifier.issnl0165-0327-

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