Evidence map›Paper›PMID 32860556›Full record

SynthesisThe Psychiatric quarterly2020

Cognitive Behavioural Therapy for Insomnia Monotherapy in Patients with Medical or Psychiatric Comorbidities: a Meta-Analysis of Randomized Controlled Trials.

Fu-Chun Zhou, Yuan Yang, Yuan-Yuan Wang, Wen-Wang Rao, Shu-Fang Zhang, Liang-Nan Zeng, Wei Zheng, Chee H Ng, Gabor S Ungvari, Ling Zhang and 1 more

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in The Psychiatric quarterly, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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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

11 authors at 7 institutions in 4 countries.

Fu-Chun ZhouThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
Yuan YangCenter for Cognition and Brain Sciences, University of Macau, Macao SAR, China.ORCID 0000-0002-2914-9832
Yuan-Yuan WangFaculty of Health and Life Sciences, De Montfort University, Leicester, UK.
Wen-Wang RaoCenter for Cognition and Brain Sciences, University of Macau, Macao SAR, China.
Shu-Fang ZhangResearch Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China.
Liang-Nan ZengCenter for Cognition and Brain Sciences, University of Macau, Macao SAR, China.
Wei ZhengThe Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China.
Chee H NgDepartment of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Melbourne, Victoria, Australia.
Gabor S UngvariUniversity of Notre Dame Australia / Graylands Hospital, Perth, Australia.
Ling ZhangThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. 13661341082@163.com.
Yu-Tao XiangCenter for Cognition and Brain Sciences, University of Macau, Macao SAR, China. xyutly@gmail.com.
University of Macau · MOCapital Medical University · CNChina University of Geosciences · CNDe Montfort University · GBGuangzhou Medical University · CNThe University of Melbourne · AUThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a meta-analysis of randomized controlled trials (RCTs) comparing cognitive behaviour therapy for insomnia (CBT-I) monotherapy with active control treatment for insomnia in patients with medical or psychiatric comorbidities. Both international (PubMed, EMBASE, PsycINFO, Cochrane Library) and Chinese (WanFang, and CNKI) databases were systematically searched. The random effects model was used. Thirteen RCTs comparing CBT-I (n = 441) and active controls (n = 412) groups were included. CBT-I group showed significant advantage over active controls at post-treatment assessment in terms of Insomnia Severity Index (ISI; SMD = -0.74), sleep onset latency (SMD = -0.36), wake after sleep onset (SMD = -0.21), sleep quality (SMD = 0.56), Pittsburgh sleep quality index total scores (PSQI; SMD = -0.76) and the total score of dysfunctional beliefs and attitudes about sleep scale (DBAS; SMD = -1.09). Subgroup analyses revealed significant improvement in sleep onset latency in patients with psychiatric disorders (SMD = -0.45), while significant reduction of number of wakeup after sleep onset was found in patients with medical conditions (SMD = -0.31). This meta-analysis found that CBT-I monotherapy had greater efficacy than other active control treatment for insomnia in patients with medical or psychiatric comorbidities.

Indexed as

Cognitive Behavioral TherapyAdultComorbidityFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicSleepSleep Initiation and Maintenance DisordersTreatment OutcomeCognitive behavioural therapyComorbiditiesInsomniaMeta-analysis

Identifiers

PMID32860556
OpenAlexW3082100604

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.