Evidence map›Paper›PMID 24931811›Full record

SynthesisSleep medicine reviews2015

A meta-analysis of group cognitive behavioral therapy for insomnia.

Erin A Koffel, Jonathan B Koffel, Philip R Gehrman

3 registry-linked trialsAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Sleep medicine reviews, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 116 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 18 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05561829 nacompletednot on this mapstarted 2022, after this paper: background citation

Determination of Optimal Sleep Treatment Elements (The DOSE Project)

TypeinterventionalSponsorUniversity of AarhusRan2022 to 2024Enrolled489ConditionsInsomnia ChronicArmsSleep Optimization, Stimulus Control Therapy, Relaxation Training, Cognitive Therapy, Sleep Hygiene Education
NCT05965609 nacompletednot on this mapstarted 2023, after this paper: background citation

Piloting an Adaption of Cognitive Behavioral Therapy for Insomnia for Shift Workers (CBTI-Shift)

TypeinterventionalSponsorOregon State UniversityRan2023 to 2026Enrolled60ConditionsCircadian Rhythm Sleep-Wake Disorders, Shift Work Type, Sleep Initiation and Maintenance DisordersArmsCBTI, MRTI
NCT06384742 narecruitingnot on this mapstarted 2025, after this paper: background citation

Developing a Sleep Health Intervention for Shift Workers

TypeinterventionalSponsorOregon State UniversityRan2025 to 2028Enrolled60ConditionsShift Work Type Circadian Rhythm Sleep Disorder, Insomnia, PsychophysiologicalArmsShift Worker Intervention for Sleep Health
3 · Its place in the literature

Who cites it

116 citing papers in PubMed, 18 syntheses or guidelines pooled it.

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  16. Cognitive behavioural treatment for insomnia in primary care: a systematic review of sleep outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
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  17. Cognitive and Behavioral Interventions to Improve Sleep in School-Age Children and Adolescents: A Systematic Review and Meta-Analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
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56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Erin A KoffelMinneapolis Veterans Affairs Medical Center and Department of Psychiatry at the University of Minnesota, Minneapolis, MN, USA. Electronic address: Erin.Koffel@va.gov.
Jonathan B KoffelBio-Medical Library, University of Minnesota, Minneapolis, MN, USA.
Philip R GehrmanPhiladelphia Veterans Affairs Medical Center and Department of Psychiatry at the University of Pennsylvania, PA, USA.

Funding

Intramural VA VA999999
6 · The paper itself

Abstract

Insomnia is the most common sleep disorder among the general population. Although cognitive behavioral therapy for insomnia (CBT-I) is the psychological treatment of choice, the availability of individual therapy is often not sufficient to meet the demand for treatment. Group treatment can increase the efficiency of delivery, but its efficacy has not been well-established. Randomized controlled trials (RCTs) comparing group CBT-I to a control group in patients with insomnia were identified. A review of 670 unique citations resulted in eight studies that met criteria for analysis. Outcome variables included both qualitative (e.g., sleep quality) and quantitative (e.g., sleep diary) outcomes, as well as depression and pain severity, at both pre- to post-treatment and follow-up (3-12 mo post-treatment). Overall, we found medium to large effect sizes for sleep onset latency, sleep efficiency, and wake after sleep onset and small effect sizes for pain outcomes. Effect sizes remained significant at follow-up, suggesting that treatment gains persist over time. Other variables, including total sleep time, sleep quality, and depression, showed significant improvements, but these findings were limited to the within treatment group analyses. It is clear that group CBT-I is an efficacious treatment. Implications for stepped care models for insomnia are discussed.

Indexed as

AdultCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePsychotherapy, GroupRandomized Controlled Trials as TopicSleep Initiation and Maintenance DisordersCBT-IGroup therapyInsomnia

Identifiers

PMID24931811
PMCPMC4910506

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.