ArticleBMC psychiatry2022
Digital cognitive behavior therapy for insomnia improving sleep quality: a real-world study.
Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Combination treatment for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Guideline
- Trial
- Prevention of Pain Interference in Insomnia Patients via Digital Cognitive-Behavioral Therapy for Insomnia.Behavioral sleep medicineTrial
- Unveiling intervention targets: urban-rural disparities in depression-anxiety symptoms networks among Chinese older adults living alone.BMC geriatrics · 2026Article
- Diagnostic Differentiation Between Unipolar and Bipolar Depression: A Machine Learning Analysis of Demographic and Clinical Features.Alpha psychiatry · 2026Article
- Effect of Nursing Behavioral Intervention on Subjective Sleep Quality Among Postpartum Women: A Quasi-Experimental Study.Healthcare (Basel, Switzerland) · 2026Article
- Long-term follow-up of insomnia patients: symptom trajectories and predictors of treatment outcomes in a mobile-based CBT-I program.Frontiers in neuroscience · 2026Article
- Effectiveness of Digital Cognitive Behavioral Therapy for Insomnia: A Meta-Analysis of Randomized Controlled Trials.Iranian journal of psychiatry · 2025Review
- Temporal subtypes and characteristics of insomnia treatment responses.Scientific reports · 2025Article
- Digital and AI-Enhanced Cognitive Behavioral Therapy for Insomnia: Neurocognitive Mechanisms and Clinical Outcomes.Journal of clinical medicine · 2025Review
- Evolving role of the internet in China as a medium for promoting psychological well-being and mental health: a scoping review.The Lancet regional health. Western Pacific · 2025Review
- App-Supported Sleep Coaching: Implications for Sleep Duration and Sleep Quality.Frontiers in sleep · 2023Article
- Editorial: Equitable digital medicine and home health care.Frontiers in public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundDigital cognitive behavior therapy for insomnia (dCBT-I) is an effective treatment in alleviating insomnia. This study examined the effect of dCBT-I for improving sleep quality in patients with insomnia complaints from a clinical population in a real-world setting.
methodsThe study included 6,002 patients aged 18 years and above with primary complaints of dissatisfying sleep from a sleep clinic in a psychiatric hospital from November 2016 to April 2021. Patients were diagnosed with insomnia, anxiety disorders, or anxiety comorbid with insomnia or depression according to ICD-10. A mobile app was developed for self-reported assessment and delivering dCBT-I interventions and treatment prescriptions to participants. The primary outcome was change in global sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI). At 8- and 12-week follow-up, 509 patients were reassessed. Data were analyzed with non-parametric tests for repeated measures.
resultsPatients treated with dCBT-I monotherapy were younger, with a more frequent family history of insomnia compared to those with medication monotherapy and those with combined dCBT-I and medication therapy. Improvements of sleep quality from baseline to 8-week follow-up were significant in each treatment type. Compared to 8-week follow-up, PSQI scores at 12-week were significantly decreased in the depression group receiving combined therapy and in the anxiety group treated with dCBT-I monotherapy and with combined therapy. A time-by-treatment interaction was detected in anxiety patients indicating differential reduction in PSQI scores over time between different treatment options.
conclusionThe current findings suggest dCBT-I is a practical and effective approach for lessening insomnia symptoms, especially for patients with anxiety symptoms suggesting with a more extended intervention period (i.e., 12 weeks).
trial registrationChinese Clinical Trial Registry (ChiCTR1900022699).
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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.