TABLE 1.
Characteristics of studies included in the review.
Author, year, location | Study design | Sample size randomised (female), mean age (SD), recruitment | Hypnotic medication status, comorbidity | Diagnostic criteria of insomnia (determined by) | Intervention & its format | Control | Depression measure (PT, FU) | Risk of bias |
---|---|---|---|---|---|---|---|---|
Kyle et al. (2023), UK | RCT |
N = 642 (489 f) SRT (n = 321): 55.7 years (15.3) SHE (n = 321): 55.2 years (16.5) Adults from medical practices |
Medication allowed, psychiatry comorbidity allowed | DSM‐5 Insomnia Disorder (SCI) |
4‐session SRT Individual, FtF (S1, S3), Phone (S2, S4) |
SHE |
PHQ‐9 (3 m, 6 m, 12 m) |
Some risk of bias |
Maurer et al. (2020), UK | RCT |
N = 56 (39 f) SRT (n = 27): 40.63 years (9.13) TBR (n = 29): 40.93 years (9.24) Adults from community |
Medication free, psychiatric comorbidity excluded | DSM‐5 Insomnia Disorder (SCI ≤ 16 and telephone interview) |
4‐week SRT Individual, FtF (1, 2 week), Phone (3, 4 week) |
TBR |
HADS‐D (4 wk, 3 m) |
Some risk of bias |
Krieger et al. (2019), Switzerland | RCT |
N = 62 (45 f) SRT (n = 41): 46.59 years (17.52) CAU (n = 21): 45.24 years (12.40) Adults from physician referrals and community |
Medication allowed, psychiatric comorbidity excluded | ICSD‐3 Insomnia Disorder (Telephone interview) |
8‐week SRT Internet‐based, one session per week |
CAU |
ADS‐K (8 week, 6 m) |
High risk of bias |
Kalmbach (2019), USA | RCT |
N = 102 (102 f) SRT (n = 52): 56.65 years (4.95) SHE (n = 50): 57.34 years (5.97) Postmenopausal women from primary care, sleep clinic and community |
Medication free, depression comorbidity excluded | DSM‐5 Insomnia Disorder Self‐reported WASO of ≥ 1 hr on ≥ 3 nights per week; objective WASO of ≥ 45 min (Clinical interview & 2 nights of PSG) |
2‐week SRT Individual, FtF (initial & ending session), phone (every 3–4 days between 1 and 2 weeks) |
SHE |
BDI‐II (4 week, 6 m) |
High risk of bias |
Gieselmann (2019), Germany |
RCT |
N = 49 (25 f) SRT (n = 27): 39.3 years (14.47) WLC (n = 22): 42.74 years (11.73) Adults from medical practice, university and community |
Medication allowed, psychiatric comorbidity allowed | Insomnia disorder SOL of > 30 min for ≥ 3 nights per week over the last 6 months (Clinical interview) | 3‐week SRT (combined with imagination exercise and sleep hygiene advise), individual, FtF (1, 3 weeks) | WLC |
CES‐D (4 week, 2 m) |
High risk of bias |
Falloon (2015), New Zealand | RCT |
N = 97 (75 f) SSR (n = 46): 55.4 years (12.7) SHE (n = 51): 51.8 years (13.4) Adults from general practices |
Medication free, psychiatric comorbidity excluded |
Insomnia disorder for ≥ 6 months Sleep difficulties on ≥ 3 nights per week (Questionnaires, physical examination, sleep diary at baseline) |
3‐week SSR Individual, FtF (1, 3 weeks) |
SHE |
PHQ‐9 (/, 6 m) |
High risk of bias |
Epstein (2012), Canada |
RCT |
N = 94 (57 f) SRT (n = 44): 68.00 years (8.25) WLC (n = 50): 69.50 years (8.34) Older adults from community |
Medication free, psychiatric comorbidity excluded | Insomnia Disorder for ≥ 6 months sleep onset or maintenance of ≥ 45 min per night for ≥ 3 nights per week; Complained of impaired daytime functioning (2‐week sleep diary at baseline) | 6‐week SRT (with sleep hygiene instructions), Group (4–6 individuals), FtF (1, 2, 4 weeks), Phone (5–6 weeks) | WLC |
GDS (6 week, /) |
High risk of bias |
Aji (2020), Australia |
UCT |
N = 15 (15 f) 40.0 years (14.2) Adults from clinician referrals and community |
Medication free, severe psychiatric comorbidity excluded | DSM‐5 Insomnia Disorder (ISI ≥ 15, PSQI > 5, clinical interview) | 3‐week SRT Mobile app | / |
HADS‐D (6 week, /) |
/ |
Lancee (2019), Netherlands |
UCT |
N = 7 (4 f) 45.7 years (range 28–69) Adults from community |
Medication free, insomnia with depressive symptoms, psychiatric comorbidity allowed | Insomnia disorder (SCID‐5‐RV, ISI ≥ 10, SE ≤ 85, clinical interview) | 6‐week SRT Individual, FtF (1, 3 weeks), phone (2, 4, 5, 6 weeks) | / |
PHQ‐9 & BDI‐II (6 week, 3 & 6 m) |
/ |
Abbreviations: ADS‐K, Allgemeine Depressions‐Skala – Kurzform (German version of CES‐D); BDI‐II, Beck Depression Inventory II; CAU, care as usual; CES‐D, Center for Epidemiological Studies Depression Scale; DSM‐5, Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition; FtF, face to face; FU, follow‐up; GDS, Geriatric Depression Scale; HADS‐D, Hospital Anxiety and Depression Scale – Depression Subscale; ICSD‐3, International Classification of Sleep Disorders, Third Edition; ISI, Insomnia Severity Index; PHQ‐9‐D, Patient Health Questionnaire – Depression Scale; PSG, polysomnography; PSQI, Pittsburgh Sleep Quality Index; PT, post‐treatment; RCT, randomised controlled trial; SCI, sleep condition indicator; SCID‐RV, Structured Clinical Interview for DSM‐5 – Research Version; SE, sleep efficiency; SHE, sleep hygiene education; SOL, sleep‐onset latency; SRT, sleep restriction therapy; SSR, simplified sleep restriction; TBR, time in bed regularisation; UCT, uncontrolled clinical trial; WASO, wake after sleep onset; WLC, wait list control; S, session; m, month.