Efficacy of Telephone-Delivered Cognitive Behavioral Therapy for Insomnia: A Meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

 YEYuan-yuan ,  JIANGXiao-jiang , LIUJuan , LIXun-jun , LIUYa-zhen , LANGYing , LINLing , YANGXin-ju

Department of Neurology, Research Institute of Field Surgery, Daping Hospital, Third Military Medical University, Chongqing 400042, China;

Corresponding author：

JIANGXiao-jiang, Email: jiangxiaojiang@hotmail.com

Keywords：

Insomnia; Cognitive behavioral therapy; Telephone; Randomized controlled trial; Meta-analysis; Systematic review

DOI：

10.7507/1672-2531.20160052

Video：

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Objectives To systematically review the efficacy of telephone-delivered cognitive behavioral therapy (CBT) for insomnia. Methods Databases including PubMed, EMbase, PsycINFO, The Cochrane Library (Issue 7, 2015), CBM and CNKI were searched from inception to July 2015, to collect randomized controlled trials (RCT) about telephone-delivered CBT for insomnia. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Then, RevMan 5.2 software was used to performing meta-analysis. Results Five RCTs involving 322 patients were included. The results of meta-analysis showed that:Compared with the waiting group, the sleep onset latency was shorter (MD=-30.31, 95% CI -40.41 to -20.22, P<0.00001), the waking after sleep onset was shorter (MD=-15.59, 95% CI -24.09 to -7.09, P=0.0003) and the sleep efficiency was higher (MD=11.02, 95% CI 7.87 to 14.18, P<0.00001) in the telephone-delivered CBT group, but there was no significant difference between the two groups in total sleep time (MD=13.45, 95% CI -37.01 to 63.92, P=0.60). Conclusion Current evidence shows, telephone-delivered CBT is effective for insomnia. Due to limited quantity and quality of the included studies, the above conclusion needs to be verified by more large-scale, high quality RCTs.

Citation： YEYuan-yuan, JIANGXiao-jiang, LIUJuan, LIXun-jun, LIUYa-zhen, LANGYing, LINLing, YANGXin-ju. Efficacy of Telephone-Delivered Cognitive Behavioral Therapy for Insomnia: A Meta-analysis. Chinese Journal of Evidence-Based Medicine, 2016, 16(3): 334-340. doi: 10.7507/1672-2531.20160052 Copy

1.	袁金秋, 杨克虎, 刘雅莉, 等. 多虑平治疗原发性失眠有效性及安全性的系统评价. 中国循证医学杂志, 2010, 10(11):1325-1330.
2.	Kaldo V, Jernelöv S, Blom K, et al. Guided internet cognitive behavioral therapy for insomnia compared to a control treatment-A randomized trial. Behav Res Ther, 2015, 71(9):90-100.
3.	Morin CM, Benca R. Chronic insomnia. Lancet, 2012, 379(9821):1129-1141.
4.	Ho FY, Chung KF, Yeung WF, et al. Self-help cognitive-behavioral therapy for insomnia:a meta-analysis of randomized controlled trials. Sleep Med Rev, 2015, 2(19):17-28.
5.	Cheng SK, Dizon J. Computerised cognitive behavioural therapy for insomnia:a systematic review and meta-analysis. Psychother Psychosom, 2012, 81(4):206-216.
6.	Hurley DA, Eadie J, O'Donoghue G, et al. Physiotherapy for sleep disturbance in chronic low back pain:a feasibility randomised controlled trial. BMC Musculoskel Dis, 2010, 4(16);11:70.
7.	Baron KG, Corden M, Jin L, et al. Impact of psychotherapy on insomnia symptoms in patients with depression and multiple sclerosis. J Behav Med, 2011, 34(2):92-101.
8.	Farrand P, Pentecost C, Greaves C, et al. A written self-help intervention for depressed adults comparing behavioural activation combined with physical activity promotion with a self-help intervention based upon behavioural activation alone:study protocol for a parallel group pilot randomised controlled trial (BAcPAc). Trials, 2014, 15:196.
9.	Cockayne NL, Christensen HM, Griffiths KM, et al. The Sleep Or Mood Novel Adjunctive therapy (SOMNA) trial:a study protocol for a randomised controlled trialevaluating randomised controlled trialevaluating an internet-delivered cognitive behavioural therapy program for insomnia on outcomes of standardtreatment for depression in men. BMC Psychiatry, 2015, 15:16.
10.	Morin CM, Beaulieu-Bonneau S, LeBlanc M, et al. Self-Help Treatment for Insomnia:a Randomized Controlled Trial. Sleep, 2005, 28(10):1319-1327.
11.	Morgan K, Gregory P, Tomeny M, et al. Self-Help Treatment for Insomnia Symptoms Associated with Chronic Conditions in Older Adults:A Randomized Controlled Trial. J Am Geriatr Soc, 2012, 60(10):1803-1810.
12.	Epstein DR, Sidani S, Bootzin RR, et al. Dismantling Multicomponent Behavioral Treatment for Insomnia in Older Adults:A Randomized Controlled Trial. Sleep, 2012, 35(6):797-805.
13.	Holmqvist M, Vincent N, Walsh K. Web-vs telehealth-based delivery of cognitive behavioral therapy for insomnia:a randomized controlled trial. Sleep Med, 2014, 15(2):187-195.
14.	Ashworth DK, Sletten TL, Junge M, et al. A Randomized Controlled Trial of Cognitive Behavioral Therapy for Insomnia:An Effective Treatment for Comorbid Insomnia and Depression. J Couns Psychol, 2015, 62(2):115-123.
15.	Buysse DJ, Germain A, Moul DE, et al. Efficacy of Brief Behavioral Treatment for Chronic Insomnia in Older Adults. Arch Intern Med, 2011, 171(10):887-895.
16.	Arnedt JT, Conroy DA, Armitage R, et al. Cognitive-behavioral therapy for insomnia in alcohol dependent patients:A randomized controlled pilot trial. Behav Res Ther, 2011, 49(4):227-233.
17.	Mimeault V, Morin CM. Self-help treatment for insomnia:bibliotherapy with and without professional guidance. J Consult Clin Psychol, 1999, 67(4):511-519.
18.	Bastien CH, Morin CM, Ouellet MC, et al. Cognitive-Behavioral Therapy for Insomnia:Comparison of Individual Therapy, Group Therapy, and Telephone Consultations. J Consult Clin Psychol, 2004, 72(4):653-659.
19.	Currie SR, Clark S, Hodgins DC, et al. Randomized controlled trial of brief cognitive-behavioural interventions for insomnia in recovering alcoholics. Addiction, 2004, 99(9):1121-1132.
20.	Jernelöv S, Lekander M, Blom K, et al. Efficacy of a behavioral self-help treatment with or without therapist guidance for co-morbid and primary insomnia-a randomized controlled trial. BMC Psychiatry, 2012, 12:5.
21.	Arnedt JT, Cuddihy L, Swanson LM, et al. Randomized Controlled Trial of Telephone-Delivered Cognitive Behavioral Therapy for Chronic Insomnia. Sleep, 2013, 36(3):353-362.
22.	Trauer JM, Qian MY, Doyle JS, et al. Cognitive Behavioral Therapy for Chronic Insomnia:A Systematic Review andMeta-analysis. Ann Intern Med, 2015, 163(3):191-204.
23.	Roscoe JA, Garland SN, Heckler CE, et al. Randomized placebo-controlled trial of cognitive behavioral therapy and armodafinil for insomnia after cancer treatment. J Clin Oncol, 2015, 33(2):165-171.
24.	Harvey AG, Bélanger L, Talbot L, et al. Comparative efficacy of behavior therapy, cognitive therapy, and cognitive behavior therapy for chronic insomnia:a randomized controlled trial. J Consult Clin Psychol, 2014, 82(4):670-683.
25.	Hood HK, Rogojanski J, Moss TG. Cognitive-behavioral therapy for chronic insomnia. Curr Treat Options Neurol. 2014, 16(12):321.
26.	Ho FY, Chung KF, Yeung WF, et al. Weekly brief phone support in self-help cognitive behavioral therapy for insomnia disorder:Relevance to adherence and efficacy. Behav Res Ther, 2014, 63C:147-156.
27.	Okajima I. Self-help intervention delivered via devices. Nihon Rinsho, 2015, 73(6):1006-1009.

1. 袁金秋, 杨克虎, 刘雅莉, 等. 多虑平治疗原发性失眠有效性及安全性的系统评价. 中国循证医学杂志, 2010, 10(11):1325-1330.
2. Kaldo V, Jernelöv S, Blom K, et al. Guided internet cognitive behavioral therapy for insomnia compared to a control treatment-A randomized trial. Behav Res Ther, 2015, 71(9):90-100.
3. Morin CM, Benca R. Chronic insomnia. Lancet, 2012, 379(9821):1129-1141.
4. Ho FY, Chung KF, Yeung WF, et al. Self-help cognitive-behavioral therapy for insomnia:a meta-analysis of randomized controlled trials. Sleep Med Rev, 2015, 2(19):17-28.
5. Cheng SK, Dizon J. Computerised cognitive behavioural therapy for insomnia:a systematic review and meta-analysis. Psychother Psychosom, 2012, 81(4):206-216.
6. Hurley DA, Eadie J, O'Donoghue G, et al. Physiotherapy for sleep disturbance in chronic low back pain:a feasibility randomised controlled trial. BMC Musculoskel Dis, 2010, 4(16);11:70.
7. Baron KG, Corden M, Jin L, et al. Impact of psychotherapy on insomnia symptoms in patients with depression and multiple sclerosis. J Behav Med, 2011, 34(2):92-101.
8. Farrand P, Pentecost C, Greaves C, et al. A written self-help intervention for depressed adults comparing behavioural activation combined with physical activity promotion with a self-help intervention based upon behavioural activation alone:study protocol for a parallel group pilot randomised controlled trial (BAcPAc). Trials, 2014, 15:196.
9. Cockayne NL, Christensen HM, Griffiths KM, et al. The Sleep Or Mood Novel Adjunctive therapy (SOMNA) trial:a study protocol for a randomised controlled trialevaluating randomised controlled trialevaluating an internet-delivered cognitive behavioural therapy program for insomnia on outcomes of standardtreatment for depression in men. BMC Psychiatry, 2015, 15:16.
10. Morin CM, Beaulieu-Bonneau S, LeBlanc M, et al. Self-Help Treatment for Insomnia:a Randomized Controlled Trial. Sleep, 2005, 28(10):1319-1327.
11. Morgan K, Gregory P, Tomeny M, et al. Self-Help Treatment for Insomnia Symptoms Associated with Chronic Conditions in Older Adults:A Randomized Controlled Trial. J Am Geriatr Soc, 2012, 60(10):1803-1810.
12. Epstein DR, Sidani S, Bootzin RR, et al. Dismantling Multicomponent Behavioral Treatment for Insomnia in Older Adults:A Randomized Controlled Trial. Sleep, 2012, 35(6):797-805.
13. Holmqvist M, Vincent N, Walsh K. Web-vs telehealth-based delivery of cognitive behavioral therapy for insomnia:a randomized controlled trial. Sleep Med, 2014, 15(2):187-195.
14. Ashworth DK, Sletten TL, Junge M, et al. A Randomized Controlled Trial of Cognitive Behavioral Therapy for Insomnia:An Effective Treatment for Comorbid Insomnia and Depression. J Couns Psychol, 2015, 62(2):115-123.
15. Buysse DJ, Germain A, Moul DE, et al. Efficacy of Brief Behavioral Treatment for Chronic Insomnia in Older Adults. Arch Intern Med, 2011, 171(10):887-895.
16. Arnedt JT, Conroy DA, Armitage R, et al. Cognitive-behavioral therapy for insomnia in alcohol dependent patients:A randomized controlled pilot trial. Behav Res Ther, 2011, 49(4):227-233.
17. Mimeault V, Morin CM. Self-help treatment for insomnia:bibliotherapy with and without professional guidance. J Consult Clin Psychol, 1999, 67(4):511-519.
18. Bastien CH, Morin CM, Ouellet MC, et al. Cognitive-Behavioral Therapy for Insomnia:Comparison of Individual Therapy, Group Therapy, and Telephone Consultations. J Consult Clin Psychol, 2004, 72(4):653-659.
19. Currie SR, Clark S, Hodgins DC, et al. Randomized controlled trial of brief cognitive-behavioural interventions for insomnia in recovering alcoholics. Addiction, 2004, 99(9):1121-1132.
20. Jernelöv S, Lekander M, Blom K, et al. Efficacy of a behavioral self-help treatment with or without therapist guidance for co-morbid and primary insomnia-a randomized controlled trial. BMC Psychiatry, 2012, 12:5.
21. Arnedt JT, Cuddihy L, Swanson LM, et al. Randomized Controlled Trial of Telephone-Delivered Cognitive Behavioral Therapy for Chronic Insomnia. Sleep, 2013, 36(3):353-362.
22. Trauer JM, Qian MY, Doyle JS, et al. Cognitive Behavioral Therapy for Chronic Insomnia:A Systematic Review andMeta-analysis. Ann Intern Med, 2015, 163(3):191-204.
23. Roscoe JA, Garland SN, Heckler CE, et al. Randomized placebo-controlled trial of cognitive behavioral therapy and armodafinil for insomnia after cancer treatment. J Clin Oncol, 2015, 33(2):165-171.
24. Harvey AG, Bélanger L, Talbot L, et al. Comparative efficacy of behavior therapy, cognitive therapy, and cognitive behavior therapy for chronic insomnia:a randomized controlled trial. J Consult Clin Psychol, 2014, 82(4):670-683.
25. Hood HK, Rogojanski J, Moss TG. Cognitive-behavioral therapy for chronic insomnia. Curr Treat Options Neurol. 2014, 16(12):321.
26. Ho FY, Chung KF, Yeung WF, et al. Weekly brief phone support in self-help cognitive behavioral therapy for insomnia disorder:Relevance to adherence and efficacy. Behav Res Ther, 2014, 63C:147-156.
27. Okajima I. Self-help intervention delivered via devices. Nihon Rinsho, 2015, 73(6):1006-1009.

Chinese Journal of Evidence-Based Medicine

Efficacy of Telephone-Delivered Cognitive Behavioral Therapy for Insomnia: A Meta-analysis

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