Jack D Edinger1,2, J Todd Arnedt3, Suzanne M Bertisch4, Colleen E Carney5, John J Harrington6, Kenneth L Lichstein7, Michael J Sateia8, Wendy M Troxel9, Eric S Zhou10, Uzma Kazmi11, Jonathan L Heald11, Jennifer L Martin12,13. 1. National Jewish Health, Denver, Colorado. 2. Duke University Medical Center, Durham, North Carolina. 3. Michigan Medicine, University of Michigan, Ann Arbor, Michigan. 4. Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. 5. Ryerson University, Toronto, Canada. 6. University of Nebraska Medical Center, Omaha, Nebraska. 7. University of Alabama, Tuscaloosa, Alabama. 8. Geisel School of Medicine at Dartmouth, Hanover, New Hampshire. 9. RAND Corporation, Pittsburgh, Pennsylvania. 10. Harvard Medical School, Dana-Farber Cancer Institute, Boston Children's Hospital, Boston, Massachusetts. 11. American Academy of Sleep Medicine, Darien, Illinois. 12. David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California. 13. VA Greater Los Angeles Healthcare System, Geriatric Research, Education and Clinical Center, Los Angeles, California.
Abstract
INTRODUCTION: The purpose of this systematic review is to provide supporting evidence for a clinical practice guideline on the use of behavioral and psychological treatments for chronic insomnia disorder in adult populations. METHODS: The American Academy of Sleep Medicine commissioned a task force of 9 experts in sleep medicine and sleep psychology. A systematic review was conducted to identify randomized controlled trials that addressed behavioral and psychological interventions for the treatment of chronic insomnia disorder in adults. Statistical analyses were performed to determine if the treatments produced clinically significant improvements in a range of critical and important outcomes. Finally, the Grading of Recommendations Assessment, Development, and Evaluation process was used to evaluate the evidence for making specific treatment recommendations. RESULTS: The literature search identified 1,244 studies; 124 studies met the inclusion criteria, and 89 studies provided data suitable for statistical analyses. Evidence for the following interventions is presented in this review: cognitive-behavioral therapy for insomnia, brief therapies for insomnia, stimulus control, sleep restriction therapy, relaxation training, sleep hygiene, biofeedback, paradoxical intention, intensive sleep retraining, and mindfulness. This review provides a detailed summary of the evidence along with the quality of evidence, the balance of benefits vs harms, patient values and preferences, and resource use considerations.
INTRODUCTION: The purpose of this systematic review is to provide supporting evidence for a clinical practice guideline on the use of behavioral and psychological treatments for chronic insomnia disorder in adult populations. METHODS: The American Academy of Sleep Medicine commissioned a task force of 9 experts in sleep medicine and sleep psychology. A systematic review was conducted to identify randomized controlled trials that addressed behavioral and psychological interventions for the treatment of chronic insomnia disorder in adults. Statistical analyses were performed to determine if the treatments produced clinically significant improvements in a range of critical and important outcomes. Finally, the Grading of Recommendations Assessment, Development, and Evaluation process was used to evaluate the evidence for making specific treatment recommendations. RESULTS: The literature search identified 1,244 studies; 124 studies met the inclusion criteria, and 89 studies provided data suitable for statistical analyses. Evidence for the following interventions is presented in this review: cognitive-behavioral therapy for insomnia, brief therapies for insomnia, stimulus control, sleep restriction therapy, relaxation training, sleep hygiene, biofeedback, paradoxical intention, intensive sleep retraining, and mindfulness. This review provides a detailed summary of the evidence along with the quality of evidence, the balance of benefits vs harms, patient values and preferences, and resource use considerations.
Authors: Cathy Alessi; Jennifer L Martin; Lavinia Fiorentino; Constance H Fung; Joseph M Dzierzewski; Juan C Rodriguez Tapia; Yeonsu Song; Karen Josephson; Stella Jouldjian; Michael N Mitchell Journal: J Am Geriatr Soc Date: 2016-08-22 Impact factor: 5.562
Authors: Philip J Batterham; Helen Christensen; Andrew J Mackinnon; John A Gosling; Frances P Thorndike; Lee M Ritterband; Nick Glozier; Kathleen M Griffiths Journal: BJPsych Open Date: 2017-09-25
Authors: Simon D Kyle; Christopher B Miller; Zoe Rogers; A Niroshan Siriwardena; Kenneth M Macmahon; Colin A Espie Journal: Sleep Date: 2014-02-01 Impact factor: 5.849
Authors: Jack D Edinger; Simon Beaulieu-Bonneau; Hans Ivers; Bernard Guay; Lynda Bélanger; Bryan Simmons; Charles M Morin Journal: Sleep Date: 2022-01-11 Impact factor: 5.849
Authors: Gwendolyn C Carlson; Monica R Kelly; Michael Mitchell; Karen R Josephson; Sarah Kate McGowan; Najwa C Culver; Morgan Kay; Cathy A Alessi; Constance H Fung; Donna L Washington; Alison Hamilton; Elizabeth M Yano; Jennifer L Martin Journal: Womens Health Issues Date: 2021-11-21
Authors: Jack D Edinger; J Todd Arnedt; Suzanne M Bertisch; Colleen E Carney; John J Harrington; Kenneth L Lichstein; Michael J Sateia; Wendy M Troxel; Eric S Zhou; Uzma Kazmi; Jonathan L Heald; Jennifer L Martin Journal: J Clin Sleep Med Date: 2021-02-01 Impact factor: 4.062
Authors: K Glazer Baron; E Culnan; J Duffecy; M Berendson; I Cheung Mason; E Lattie; N Manalo Journal: Behav Sleep Med Date: 2021-03-23 Impact factor: 2.964
Authors: Jessica K Salwen-Deremer; Michael T Smith; Kelly A Aschbrenner; Hannah G Haskell; Brittany C Speed; Corey A Siegel Journal: BMJ Open Gastroenterol Date: 2021-12