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Review: behaviour therapy is effective for insomnia

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 Q In adults with insomnia, is behaviour therapy effective?

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


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

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