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Meta-Analysis
. 2022 Nov-Dec;20(6):674-694.
doi: 10.1080/15402002.2021.1982715. Epub 2021 Oct 10.

Brief Behavioral Treatment for Insomnia: A Meta-Analysis

Misol Kwon  1 , Jia Wang  2 , Gregory Wilding  2 , Suzanne S Dickerson  1 , Grace E Dean  1
Affiliations
Meta-Analysis

Brief Behavioral Treatment for Insomnia: A Meta-Analysis

Misol Kwon et al. Behav Sleep Med. 2022 Nov-Dec.

Abstract

Purpose: The current study aims to quantify the effect of brief behavioral treatment for insomnia (BBTI) studies through meta-analysis.

Method: Searches were performed from inception to February 2020, reporting on the effects of BBTI using randomized controlled trials (RCT) (adults aged 32 to 84). The main outcome measures were sleep onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE%), and total sleep time (TST).

Results: BBTI showed improved SOL compared with control group in mean difference at early (-15.42 [95% CI: -33.05 to -12.01; I2 =49%]) and late follow-up (-10.52 [95% CI: -1.12 to 0.54; I2=93%]). This was statistically significant at early follow-up, but not at late follow-up. The improvement of WASO by BBTI over the control group was shown at early follow-up (-17.47 [95% CI: -2.67 to 0.45; I2=90%]), and was statistically significant. For WASO, a non-statistically significant improvement of BBTI over the control group was shown at late follow-up (-12.77 [95% CI: -22.47 to -3.08; I2=0%]). SE% was shown improved statistically significant by BBTI over control group at early (4.47 [95% CI: -0.35 to 9.29; I2=98%]) and at late follow-up (6.52 [95% CI: -4.00 to 17.05; I2=89%]). The TST was shown no improvement by BBTI at early follow-up in mean difference (-2.97 [95% CI -38.83 to 32.90; I2=96%]). At late follow-up, TST was shown improvement in BBTI with mean difference (14.52 [95% CI: -31.64 to 60.68; I2=94%]) compared with the control group.

Conclusion: Current evidence suggests that BBTI can be considered preliminarily efficacious and can be used for samples of middle-aged and older adults.

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Conflict of interest statement

DECLARATION OF INTEREST STATEMENT

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Figures

Figure 1.
Figure 1.
Flow chart of the literature search process
Figure 2.
Figure 2.
Meta-analysis of the effect of BBTI on SOL (sleep diary measured)
Figure 3.
Figure 3.
Meta-analysis of the effect of BBTI on WASO (sleep diary measured)
Figure 4.
Figure 4.
Meta-analysis of the effect of BBTI on SE% (sleep diary measured)
Figure 5.
Figure 5.
Meta-analysis of the effect of BBTI on TST (sleep diary measured)
See this image and copyright information in PMC

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