Does cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesis
Individuals with insomnia report difficulties pertaining to their cognitive functioning. Cognitive behavioural therapy for insomnia (CBT-I) is associated with robust, long-term improvements in sleep parameters, however less is known about the impact of CBT-I on the daytime correlates of the disorder...
| Main Authors: | , , |
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| Format: | Journal article |
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Elsevier
2017
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| _version_ | 1826276361740746752 |
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| author | Herbert, V Kyle, S Pratt, D |
| author_facet | Herbert, V Kyle, S Pratt, D |
| author_sort | Herbert, V |
| collection | OXFORD |
| description | Individuals with insomnia report difficulties pertaining to their cognitive functioning. Cognitive behavioural therapy for insomnia (CBT-I) is associated with robust, long-term improvements in sleep parameters, however less is known about the impact of CBT-I on the daytime correlates of the disorder. A systematic review and narrative synthesis was conducted in order to summarise and evaluate the evidence regarding the impact of CBT-I on cognitive functioning. Reference databases were searched and studies were included if they assessed cognitive performance as an outcome of CBT-I, using either self-report questionnaires or cognitive tests. Eighteen studies met inclusion criteria, comprising 923 individuals with insomnia symptoms. The standardised mean difference was calculated at post-intervention and follow-up. We found preliminary evidence for small to moderate effects of CBT-I on subjective measures of cognitive functioning. Few of the effects were statistically significant, likely due to small sample sizes and limited statistical power. There is a lack of evidence with regards to the impact of CBT-I on objective cognitive performance, primarily due to the small number of studies that administered an objective measure (n=4). We conclude that adequately powered randomised controlled trials (RCT), utilising both subjective and objective measures of cognitive functioning are required. |
| first_indexed | 2024-03-06T23:12:48Z |
| format | Journal article |
| id | oxford-uuid:661243f1-5fce-4a47-8ad0-7afa464cab7f |
| institution | University of Oxford |
| last_indexed | 2024-03-06T23:12:48Z |
| publishDate | 2017 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:661243f1-5fce-4a47-8ad0-7afa464cab7f2022-03-26T18:29:33ZDoes cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:661243f1-5fce-4a47-8ad0-7afa464cab7fSymplectic Elements at OxfordElsevier2017Herbert, VKyle, SPratt, DIndividuals with insomnia report difficulties pertaining to their cognitive functioning. Cognitive behavioural therapy for insomnia (CBT-I) is associated with robust, long-term improvements in sleep parameters, however less is known about the impact of CBT-I on the daytime correlates of the disorder. A systematic review and narrative synthesis was conducted in order to summarise and evaluate the evidence regarding the impact of CBT-I on cognitive functioning. Reference databases were searched and studies were included if they assessed cognitive performance as an outcome of CBT-I, using either self-report questionnaires or cognitive tests. Eighteen studies met inclusion criteria, comprising 923 individuals with insomnia symptoms. The standardised mean difference was calculated at post-intervention and follow-up. We found preliminary evidence for small to moderate effects of CBT-I on subjective measures of cognitive functioning. Few of the effects were statistically significant, likely due to small sample sizes and limited statistical power. There is a lack of evidence with regards to the impact of CBT-I on objective cognitive performance, primarily due to the small number of studies that administered an objective measure (n=4). We conclude that adequately powered randomised controlled trials (RCT), utilising both subjective and objective measures of cognitive functioning are required. |
| spellingShingle | Herbert, V Kyle, S Pratt, D Does cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesis |
| title | Does cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesis |
| title_full | Does cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesis |
| title_fullStr | Does cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesis |
| title_full_unstemmed | Does cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesis |
| title_short | Does cognitive behavioural therapy for insomnia improve cognitive performance? A systematic review and narrative synthesis |
| title_sort | does cognitive behavioural therapy for insomnia improve cognitive performance a systematic review and narrative synthesis |
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