Table 2.
Studies comparing CBT-I to pharmacological therapies: post-treatment results
|
Study Follow-up & method |
Group, N | Sleep latency | Total sleep time | Total wake time | Sleep efficiency | Other | Adverse effects | Notes |
|---|---|---|---|---|---|---|---|---|
|
CBT-I vs. zopiclone |
SWS |
|
|
|||||
| Sievertsen 2006
[29] 6 weeks |
CBT-I: 18 |
Not reported |
–26.2 min |
–56.4 min |
+7.5% |
+17.2 min |
None |
|
| Zopiclone: 16 |
–65.6 min |
–3.9 min |
–0.8% |
–15.1 min |
1 withdrawal |
|||
| |
p = NS |
p < 0.001 |
p = NS |
p = 0.002 |
||||
| Polysomnography | ||||||||
| Sleep diary |
CBT-I: 18 |
Not reported |
+16.9 min |
–48.3 min |
+11.8% |
|
|
|
| Zopiclone: 16 |
+34.6 min |
–25.8 min |
+8.1% |
|||||
| |
p = NS |
p = NS |
p = NS |
|||||
|
CBT-I vs. zolpidem | ||||||||
| Jacobs 2004
[30] |
CBT-I: 13 |
–15.5 min |
–2.6 min |
Not reported |
+5.5% |
|
No withdrawals due to side effects |
p values based on number of patients with satisfactory latency or efficiency |
| 8 weeks |
Zolpidem: 12 |
–6.1 min |
–51.6 min |
+2.1% |
||||
| Sleep monitor |
|
p = NS |
p = NR |
p = NS |
||||
| Sleep diary |
CBT-I: 13 |
–33.8 min |
+48.6 min |
Not reported |
+17.3% |
|||
| Zolpidem: 12 |
–12.8 min |
+69.2 min |
+2.1% |
|||||
| |
p < 0.05 |
p = NR |
p = 0.007 |
|||||
|
CBT-I vs. temazepam |
|
|
|
|
|
WASO |
|
|
| Wu 2006
[32] |
CBT-I: 19 |
–35.9 min |
+21.6 min |
Not reported |
+9.2% |
|
Not reported |
p values based on post-intervention differences |
| 8 weeks |
Temazepam: 17 |
–44.9 min |
+66.5 min |
+14.3% |
||||
| Polysomnography |
|
p < 0.01 |
p < 0.004 |
p < 0.05 |
||||
| Sleep diary |
CBT-I: 19 |
–37.0 min |
+38.7 min |
Not reported |
+13.4% |
|
||
| Temazepam: 17 |
–53.2 min |
+73.5 min |
+15.1% |
|||||
| |
p < 0.001 |
p < 0.01 |
p < 0.01 |
|||||
| Morin 1999
[31] |
CBT-I: 18 |
Not reported |
+6.8 min |
Not reported |
+8.5% |
–32.5 min |
Not reported |
|
| 8 weeks |
Temazepam: 17 |
+35.3 min |
+7.5% |
–23.3 min |
||||
| Polysomnography |
|
p = NS |
p = NS |
p = NS |
||||
| Sleep diary |
CBT-I: 18 |
Not reported |
+30.5 min |
Not reported |
+16.5% |
–27.3 min |
||
| Temazepam: 17 |
+43.7 min |
+10.3% |
–25.6 min |
|||||
| |
p = NS |
p = NS |
p = NS |
|||||
|
CBT-I vs. triazolam | ||||||||
| McCluskey 1991
[33] |
CBT-I: 15 |
–44 min |
+40 min |
Not reported | Not reported | Not reported | ||
| 3 weeks |
Triazolam :15 |
–45 min |
+57 min |
|||||
| Sleep diary | p = NS | p = NS | ||||||
SWS Slow wave sleep, WASO Wake after sleep onset.