Evidence map›Paper›PMID 32886778›Full record

Trial reportSleep2021

Cognitive behavioral therapy for insomnia among young adults who are actively drinking: a randomized pilot trial.

Mary Beth Miller, Chelsea B Deroche, Lindsey K Freeman, Chan Jeong Park, Nicole A Hall, Pradeep K Sahota, Christina S McCrae

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03627832 (Insomnia Treatment and Problems), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT03627832 nacompletednot on this map

Insomnia Treatment and Problems (the iTAP Study)

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2018 to 2019Enrolled56ConditionsInsomnia, Alcohol, Harmful UseArmsCognitive Behavioral Therapy for Insomnia (CBT-I), Sleep Hygiene
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  8. Cannabis use as a moderator of cognitive behavioral therapy for insomnia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
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  19. Daily associations between modifiable sleep behaviors and nighttime sleep among young adult drinkers with insomnia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  20. Effectiveness of a Mindfulness-Based Group Intervention for Chinese University Students with Sleep Problems.International journal of environmental research and public health · 2022
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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

7 authors at 1 institution in 1 country.

Mary Beth MillerDepartment of Psychiatry, University of Missouri, Columbia, MO.
Chelsea B DerocheDepartment of Psychiatry, University of Missouri, Columbia, MO.
Lindsey K FreemanDepartment of Psychiatry, University of Missouri, Columbia, MO.
Chan Jeong ParkDepartment of Psychiatry, University of Missouri, Columbia, MO.
Nicole A HallDepartment of Psychiatry, University of Missouri, Columbia, MO.
Pradeep K SahotaDepartment of Psychiatry, University of Missouri, Columbia, MO.
Christina S McCraeDepartment of Psychiatry, University of Missouri, Columbia, MO.
University of Missouri · US

Funding

Psychology of Alcohol Use and Dependence TrainingT32AA013526 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI DENIS M MCCARTHY, KENNETH JAMES SHER · 2002 to 2026
$9.0M
The Impact of Insomnia Treatment on Heavy Alcohol Use among Returning VeteransK23AA026895 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI MILLER, MARY ELIZABETH · 2019 to 2023
$896k
The Impact of CBT for Insomnia on Alcohol Treatment Outcomes among VeteransR21AA025715 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI MCGEARY, JOHN E, METRIK, JANE · 2018 to 2019
$417k
NIAAA NIH HHS K23 AA026895NIAAA NIH HHS L30 AA025226NIAAA NIH HHS T32 AA013526
6 · The paper itself

Abstract

STUDY

objectivesMore than half of young adults at risk for alcohol-related harm report symptoms of insomnia. Insomnia symptoms, in turn, have been associated with alcohol-related problems. Yet one of the first-line treatments for insomnia (Cognitive Behavioral Therapy for Insomnia or CBT-I) has not been tested among individuals who are actively drinking. This study tested (1) the feasibility and short-term efficacy of CBT-I among binge-drinking young adults with insomnia and (2) improvement in insomnia as a predictor of improvement in alcohol use outcomes.

methodsYoung adults (ages 18-30 years, 75% female, 73% college students) who met criteria for Insomnia Disorder and reported 1+ binge drinking episode (4/5+ drinks for women/men) in the past month were randomly assigned to 5 weekly sessions of CBT-I (n = 28) or single-session sleep hygiene (SH, n = 28). All participants wore wrist actigraphy and completed daily sleep surveys for 7+ days at baseline, posttreatment, and 1-month follow-up.

resultsOf those randomized, 43 (77%) completed posttreatment (19 CBT-I, 24 SH) and 48 (86%) completed 1-month follow-up (23 CBT-I, 25 SH). CBT-I participants reported greater posttreatment decreases in insomnia severity than those in SH (56% vs. 32% reduction in symptoms). CBT-I did not have a direct effect on alcohol use outcomes; however, mediation models indicated that CBT-I influenced change in alcohol-related consequences indirectly through its influence on posttreatment insomnia severity.

conclusionsCBT-I is a viable intervention among individuals who are actively drinking. Research examining improvement in insomnia as a mechanism for improvement in alcohol-related consequences is warranted.

trial registrationU.S. National Library of Medicine, https://clinicaltrials.gov/ct2/show/NCT03627832, registration #NCT03627832.

Indexed as

Cognitive Behavioral TherapySleep Initiation and Maintenance DisordersActigraphyAdolescentAdultFemaleHumansMalePilot ProjectsSleepTreatment OutcomeYoung Adultalcoholinsomniamechanismsleeptreatment

Identifiers

PMID32886778
PMCPMC7879415
OpenAlexW3083590225

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.