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Therapeutics
Review: behaviour therapy is effective for insomnia

https://doi.org/10.1136/ebm.11.5.147

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    Irwin MR, Cole JC, Nicassio PM. Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age. Health Psychol 2006;25:3–14.
    OpenUrlCrossRefPubMedWeb of Science

    
 
 Q In adults with insomnia, is behaviour therapy effective?

    Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Psychiatry ★★★★★★★ Geriatrics ★★★★★☆☆

    METHODS

    Embedded ImageData sources:

    PubMed, PsycINFO, and Social Science Citation Index (1966–2004); the Cochrane Controlled Trials Register; and reference lists.

    Embedded ImageStudy selection and assessment:

    randomised controlled trials (RCTs) that were published in English language, peer reviewed journals; enrolled adults with a diagnosis of primary insomnia; included ⩾1 cognitive behaviour therapy (CBT) intervention; included ⩾1 of 5 sleep outcomes; and reported data that were not markedly non-normal (ie, mean was larger than the standard deviation).

    23 RCTs met the selection criteria. Study quality was assessed using the recommendations of the Cochrane Library. …

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    Footnotes

    • For correspondence: Dr M R Irwin, UCLA Neuropsychiatric Institute, Los Angeles, CA, USA. mirwin1{at}ucla.edu

    • Sources of funding: in part, General Clinical Research Centers Program and the Cousins Center for Psychoneuroimmunology.