The Clinical Effectiveness of Cognitive Behavioral Therapy for Patients with Insomnia and Depression: A Systematic Review and Meta-Analysis
المؤلفون المشاركون
Li, Xun
Feng, Guiyu
Geng, Le
Miao, Yingchun
Han, Mei
المصدر
Evidence-Based Complementary and Alternative Medicine
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-14، 14ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-07-15
دولة النشر
مصر
عدد الصفحات
14
التخصصات الرئيسية
الملخص EN
Background.
Insomnia and depression often co-occurr.
However, there is lack of effective treatment for such comorbidity.
CBT-I has been recommended as the first-line treatment for insomnia; whether it is also effective for comorbidity of insomnia and depression is still unknown.
Therefore, we conducted this meta-analysis of randomized controlled trials to assess the clinical effectiveness and safety of CBT-I for insomnia comorbid with depression.
Data Sources.
Seven electronic databases, including China National Knowledge Infrastructure (CNKI), Wanfang Database, China Science Technology Journal Database, SinoMed Database, PubMed, the Cochrane Library, and EMBASE, as well as grey literature, were searched from the beginning of each database to July 1, 2019.
Study Eligibility Criteria.
Randomized controlled trials that compared CBT-I to no treatment or hypnotics (zopiclone, estazolam, and benzodiazepine agonist) for insomnia comorbid with depression and reported both insomnia scales and depression scales.
Study Assessment and Synthesis Methods.
Cochrane Reviewer’s Handbook was used for evaluating the risk of bias of included studies.
Review Manager 5.3 software was used for meta-analysis.
Online GRADEpro was used to assess the quality of evidence.
Results.
The pooled data showed that CBT-I was superior to no treatment for insomnia, while it was unsure whether CBT-I was better than no treatment for depression.
And the effectiveness of CBT-I was comparable to hypnotics for both insomnia and depression.
CBT-I was likely to be safe due to its noninvasive nature.
The methodological quality varied across these trials.
The evidence quality varied from moderate to very low, and the recommendation level was low.
Conclusions.
Currently, findings support that CBT-I seems to be effective and safe for insomnia comorbid with depression to improve the insomnia condition, while it is unsure whether CBT-I could improve depression condition.
More rigorous trials are needed to confirm our findings.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Feng, Guiyu& Han, Mei& Li, Xun& Geng, Le& Miao, Yingchun. 2020. The Clinical Effectiveness of Cognitive Behavioral Therapy for Patients with Insomnia and Depression: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine،Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1157393
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Feng, Guiyu…[et al.]. The Clinical Effectiveness of Cognitive Behavioral Therapy for Patients with Insomnia and Depression: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine No. 2020 (2020), pp.1-14.
https://search.emarefa.net/detail/BIM-1157393
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Feng, Guiyu& Han, Mei& Li, Xun& Geng, Le& Miao, Yingchun. The Clinical Effectiveness of Cognitive Behavioral Therapy for Patients with Insomnia and Depression: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine. 2020. Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1157393
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1157393
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر