Table 1.
Studies comparing CBT-I to pharmacological therapies: methods
|
Study |
Design |
Patients |
Intervention and duration |
Comparison |
Sleep measurements reported |
Comment |
|---|---|---|---|---|---|---|
| Location | Quality | Longest follow-up | ||||
|
CBT-I vs. zopiclone | ||||||
| Sievertsen 2006
[29] |
RCT |
46 patients, age 55 and up |
Individual CBT-I,6 weekly sessions |
Zopiclone, 7.5 mg nightly |
Sleep diaries, polysomnography |
Study also included placebo group. Zopiclone patients had option to continue it after 6 week period. |
| Norway |
5 |
12 months |
|
|
|
|
| |
|
|
|
|
|
Daytime outcomes reported in
[35] |
|
CBT-I vs. zolpidem | ||||||
| Jacobs 2004
[30] |
RCT |
63 patients, age 25-64 |
Individual CBT-I, 5 sessions, 6 weeks; plus 1 telephone session |
Zolpidem, see comment |
Sleep diaries, sleep monitor |
Dose 10 mg→5 mg→5 mg q2d over 6 week period. |
| USA |
5 |
12 months |
|
|
|
|
|
CBT-I vs. temazepam | ||||||
| Wu 2006
[32] |
RCT |
77 patients |
Individual CBT-I 2 per week, 8 weeks |
Temazepam, see comment |
Sleep diaries, polysomnography |
Dose 7.5 mg→30 mg→15 mg over 8 week period |
| China |
3 |
8 months |
|
|
|
|
| |
|
|
|
|
|
Study also included placebo and combined therapy groups |
| Morin 1999
[31] |
RCT |
78 patients, age 55 and up |
Group CBT-I 8 weekly sessions |
Temazepam, see comment |
Sleep diaries, polysomnography |
Dose 7.5 mg→30 mg as needed over 8 week period |
| |
|
|
|
|
|
Study also included placebo and combined therapy groups. |
| Canada |
6 |
24 months |
|
|
|
|
| |
|
|
|
|
|
Adverse effects reported in
[36] Patient attitudes reported in [37] |
|
CBT-I vs. triazolam | ||||||
| McCluskey 1991
[33] |
RCT |
30 patients |
Group CBT-I 2 per week, 3 weeks |
Triazolam, 0.5 mg, then tapered to 0 |
Sleep diaries |
Triazolam group also had weeklygroup meetings but no CBT-I |
| USA | 4 | 9 weeks | ||||