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    題名: Comparative efficacy of digital cognitive behavioral therapy for insomnia: A systematic review and network meta-analysis
    作者: 楊建銘
    Yang, Chien-Ming
    Hasan, Faizul;Tu, Yu-Kang;Gordon, Christopher James;Wu, Dean;Lee, Hsin-Chien;Yuliana, Lia Taurussia;Herawati, Lucky;Chen, Ting-Jhen;Chiu, Hsiao-Yean
    貢獻者: 心理系
    關鍵詞: Cognitive behavioral therapy for insomnia;Insomnia;Digital CBTi;Network meta-analysis;Adults
    日期: 2022-02
    上傳時間: 2022-08-23 15:08:34 (UTC+8)
    摘要: The comparative efficacy of various approaches of digital cognitive behavioral therapy for insomnia (CBTi) is still unclear. This network meta-analysis explored the comparative efficacy of digital CBTi approaches in adults with insomnia. Four electronic databases were searched from inception to June 27, 2020. Primary outcomes were self-reported total sleep time (TST), sleep onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE), and insomnia symptoms; these were measured using sleep diaries or valid questionnaires. A random-effects network meta-analysis in a frequentist framework was used. Fifty-four randomized controlled trials comprising 11,815 participants were included. Compared with usual care, web-based CBTi with a therapist demonstrated significantly longer TST (mean difference [MD]: 23.19 min, 95% confidence interval [CI]: 18.98–27.39 min), shorter SOL (MD: −18.76 min, 95% CI −24.20 to −13.31 min), lower WASO (MD: −31.40 min, 95% CI: −36.26 to −26.55 min), and greater SE (MD: 10.37%, 95% CI: 8.08%–12.65%). The surface under the cumulative ranking curve indicates that web-based CBTi with therapists is most likely to be ranked the highest among all treatments, and thus, this network meta-analysis suggests that such a treatment is the optimal intervention for improving sleep duration and SE as well as the reductions in SOL and WASO.
    關聯: Sleep Medicine Reviews, Vol.61, 101567
    資料類型: article
    DOI 連結: https://doi.org/10.1016/j.smrv.2021.101567
    DOI: 10.1016/j.smrv.2021.101567
    顯示於類別:[心理學系] 期刊論文

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