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Vol. 81, No. 4, 2012
Issue release date: June 2012
Section title: Special Article
Psychother Psychosom 2012;81:206–216
(DOI:10.1159/000335379)

Computerised Cognitive Behavioural Therapy for Insomnia: A Systematic Review and Meta-Analysis

Cheng S.K. · Dizon J.
aClinical Psychology Service, Kwai Chung Hospital, Hong Kong, SAR, China; bCentre for Allied Health Evidence, University of South Australia, Adelaide, S.A., Australia

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Article / Publication Details

First-Page Preview
Abstract of Special Article

Received: 5/30/2011
Accepted: 11/25/2011
Published online: 5/11/2012

Number of Print Pages: 11
Number of Figures: 1
Number of Tables: 0

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS

Abstract

Background: Computerised cognitive behavioural therapy (CCBT) is an innovative mode of delivering services to patients with psychological disorders. The present paper uses a meta-analysis to systematically review and evaluate the effectiveness of CCBT for insomnia (CCBT-I). Method: A comprehensive search was conducted on 7 databases including MEDLINE, PsycINFO, EMBASE, CINAHL, Cochrane Library, Social Sciences Citation Index and PubMed (up to March 2011). Search terms covered 3 concepts: (1) [internet, web, online, computer-aided, computer-assisted, computer-guided, computerized OR computerised] AND (2) [CBT, cognitive therapy, behavio(u)ral therapy OR behavio(u)r therapy] AND (3) [insomnia, sleep disorders OR sleeping problem]. Results: 533 potentially relevant papers were identified, and 6 randomised controlled trials (RCTs) that met the selection criteria were included in the review and analysis. Two RCTs were done by the same group of investigators (Ritterband and colleagues) using the same internet programmes. Post-treatment mean differences between groups showed that the effects of CCBT-I on sleep quality, sleep efficiency, the number of awakenings, sleep onset latency and the Insomnia Severity Index were significant, ranging from small to large effect sizes. However, effects on wake time after sleep onset, total sleep time and time in bed were non-significant. On average, the number needed to treat was 3.59. The treatment adherence rate for CCBT-I was high (78%). Conclusion: The results lend support to CCBT as a mildly to moderately effective self-help therapy in the short run for insomnia. CCBT-I can be an acceptable form of low-intensity treatment in the stepped care model for insomnia.


  

Author Contacts

Sammy K. Cheng
Clinical Psychology Service, Kwai Chung Hospital
3–15 Kwai Chung Hospital Road
Hong Kong, SAR (China)
E-Mail sammykcheng@gmail.com

  

Article Information

Received: May 30, 2011
Accepted after revision: November 25, 2011
Published online: May 11, 2012
Number of Print Pages : 11
Number of Figures : 1, Number of Tables : 0, Number of References : 67
Additional supplementary material is available online - Number of Parts : 2

  

Publication Details

Psychotherapy and Psychosomatics

Vol. 81, No. 4, Year 2012 (Cover Date: June 2012)

Journal Editor: Fava G.A. (Bologna)
ISSN: 0033-3190 (Print), eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS


Article / Publication Details

First-Page Preview
Abstract of Special Article

Received: 5/30/2011
Accepted: 11/25/2011
Published online: 5/11/2012

Number of Print Pages: 11
Number of Figures: 1
Number of Tables: 0

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS


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