Evidence map›Paper›PMID 39307566›Full record

ArticleJournal of sleep research2025

Napping during cognitive behavioural therapy for insomnia: Friends or foes?

Brice Faraut, Louise Gaillard, Annabelle Labonne, Julie Margrethe Dubois, Joëlle Adrien, Damien Léger

Abstract read
In one paragraph

Article in Journal of sleep research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Brice FarautUniversité Paris Cité, VIFASOM UPR 7330, Vigilance Fatigue Sommeil et Santé publique, Paris, France.ORCID 0000-0002-2317-8712
Louise GaillardUniversité Paris Cité, VIFASOM UPR 7330, Vigilance Fatigue Sommeil et Santé publique, Paris, France.
Annabelle LabonneAPHP, Hôtel-Dieu Hospital, Centre du Sommeil et de la Vigilance, Paris, France.
Julie Margrethe DuboisAPHP, Hôtel-Dieu Hospital, Centre du Sommeil et de la Vigilance, Paris, France.
Joëlle AdrienUniversité Paris Cité, VIFASOM UPR 7330, Vigilance Fatigue Sommeil et Santé publique, Paris, France.
Damien LégerUniversité Paris Cité, VIFASOM UPR 7330, Vigilance Fatigue Sommeil et Santé publique, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive and Behavioural Therapy for Insomnia (CBT-I) is the gold standard treatment for chronic insomnia, with one crucial step being the restriction of time spent in bed. This restriction often intensifies early afternoon sleepiness, leading to a natural gateway for a short recuperative nap, which might foster adherence to CBT-I over time. In practice, mental health professionals providing CBT-I lack consensus on whether or not to tolerate short naps during the CBT-I period for requesting patients. In this pilot study, we examined the effects of authorised napping on CBT-I efficiency in patients with insomnia (a napping group was compared with a matched non-napping group, n = 108). We report that napping enhanced early afternoon alertness and importantly did not affect CBT-I-mediated improvements in the Insomnia Severity Index and Beck Depression Inventory-2 and in self-reported sleep efficiency, latency, and wake after sleep onset (assessed by the sleep diaries). Further investigations using objective methods of sleep assessments are now needed to confirm that napping behaviour does not compromise the improvements enabled by CBT-I and may even strengthen adherence to the treatment.

Indexed as

Cognitive Behavioral TherapySleepSleep Initiation and Maintenance DisordersAdultFemaleHumansMaleMiddle AgedPilot ProjectsTreatment Outcomeadherencecognitive behavioural therapycognitive behavioural therapy for insomniainsomnianapping

Identifiers

PMID39307566
PMCPMC11911035

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.