Evidence map›Paper›PMID 39957531›Full record

Trial reportPsychological medicine2025

Digital CBT for insomnia and emotion regulation in the workplace: a randomised waitlist-controlled trial.

Talar R Moukhtarian, Sophie Fletcher, Lukasz Walasek, Krishane Patel, Carla Toro, Anna L Hurley-Wallace, Charlotte Kershaw, Sean Russel, Guy Daly, Nicole K Y Tang and 1 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

11 authors.

Talar R MoukhtarianWarwick Medical School, Division of Health Sciences, Mental Health and Wellbeing group, University of Warwick, Coventry, UK.ORCID 0000-0002-7404-8950
Sophie FletcherWarwick Medical School, Division of Health Sciences, Mental Health and Wellbeing group, University of Warwick, Coventry, UK.
Lukasz WalasekDepartment of Psychology, University of Warwick, Coventry, UK.
Krishane PatelNatwest Group, London, UK.
Carla ToroWarwick Medical School, Division of Health Sciences, Mental Health and Wellbeing group, University of Warwick, Coventry, UK.
Anna L Hurley-WallaceMusculoskeletal Research Unit, Bristol Medical School, University of Bristol, Bristol, UK.
Charlotte KershawWarwick Medical School, Division of Health Sciences, Mental Health and Wellbeing group, University of Warwick, Coventry, UK.
Sean RusselWarwick Medical School, Division of Health Sciences, Mental Health and Wellbeing group, University of Warwick, Coventry, UK.
Guy DalyFaculty of Health and Life Sciences, Coventry University, Coventry, UK.
Nicole K Y TangDepartment of Psychology, University of Warwick, Coventry, UK.
Caroline MeyerWarwick Medical School, Division of Health Sciences, Mental Health and Wellbeing group, University of Warwick, Coventry, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive behavioural therapy for insomnia (CBT-I) is the recommended first-line treatment for insomnia. However, scaling this proven effective intervention to areas of high need remains a challenge, necessitating sensitive adaptation and evaluation.

methodsA randomised waitlist-controlled trial evaluated the efficacy of a hybrid digital CBT-I and emotion regulation (dCBT-I + ER) intervention delivered through workplaces. Participants with at least mild insomnia and depression or anxiety symptoms were randomised to the intervention or waitlist control groups. The intervention was delivered via a web-based platform and four video-conferencing therapy sessions. Participants tracked their sleep using actigraphy and a sleep diary that was used to pace the intervention delivered. Assessments occurred at baseline and 8 weeks post-randomisation, measuring insomnia, depression, anxiety, psychological well-being, quality of life, and work productivity.

resultsOf the 159 participants (mean age 43.6 ± 9.4 years, 76.7% female, 80.5% white), 80 received the intervention and 79 were in the control group. The intervention group showed significant improvements in insomnia (F1, 134 = 71.46, p < .0001); depression (F1, 134 = 35.67, p < .0001); and anxiety (F1, 134 = 17.63, p < .0001), with large effect sizes (d = 0.7-1.5). Sleep diary data supported these findings, whereas actigraphy data did not. Improvements in psychological well-being were significant (F1, 132.13 = 10.64, p < 0.001), whereas quality of life, work productivity, and satisfaction outcomes were not.

conclusionsThis study suggests that a hybrid dCBT-I + ER intervention, delivered via workplaces, effectively improves insomnia, depression, and anxiety. It holds promise as a scalable solution, warranting further investigation into its long-term efficacy and economic impact.

Indexed as

AnxietyCognitive Behavioral TherapyDepressionEmotional RegulationSleep Initiation and Maintenance DisordersWorkplaceAdultFemaleHumansMaleMiddle AgedQuality of LifeTreatment OutcomeCognitive Behavioural Therapy for InsomniaEmotion RegulationInsomniaRandomised Controlled TrialWorkplace

Identifiers

PMID39957531
PMCPMC12080640

What OpenQuestion holds

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Registered trials

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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.