Cognitive behavioral therapy for the treatment of insomnia in patients with cardiovascular diseases: a meta-analysis with GRADE analysis.
Insomnia, as a difficulty in initiating and maintaining sleep, coupled with cardiovascular diseases (CVDs) increase the risk of aggravate daytime symptoms, mortality, and morbidity. Cognitive behavioral therapy (CBT) is thought to have a significant impact on insomnia treatment, but in patients with...
| Published in: | Journal of Behavioral Medicine Vol. 47; no. 5; pp. 819 - 828 |
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| Main Authors: | , , , , , , , , , , , , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Springer Nature
Oct2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179358485&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179358485 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Oct2024 vid: 47 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 179358485 178204328 179358485 179358485 10.1007/s10865-024-00490-6 179358485 ppf: 819 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Cognitive behavioral therapy for the treatment of insomnia in patients with cardiovascular diseases: a meta-analysis with GRADE analysis. aug: au: Abdelaziz, Ahmed Hafez, Abdelrahman H. Roshdy, Merna Raafat Abdelaziz, Mohamed Eltobgy, Moemen A. Elsayed, Hanaa El-Sherif, Youssef Atef, Mohamed Hamad, Abdullah Ashraf Atwan, Hany haboush, Rama jamal eddin Hendi, Nada Ibrahim Hefny, Alyaa Ghaith, Hazem S. affil: Medical Research Group of Egypt (MRGE), Cairo, Egypt sug: subj: Cognitive Therapy Methods Insomnia Cardiovascular Diseases Human Sleep Disorders Mortality Morbidity Cochrane Library Descriptive Statistics Confidence Intervals Data Analysis Software Systematic Review Meta Analysis Clinical Assessment Tools Questionnaires ab: Insomnia, as a difficulty in initiating and maintaining sleep, coupled with cardiovascular diseases (CVDs) increase the risk of aggravate daytime symptoms, mortality, and morbidity. Cognitive behavioral therapy (CBT) is thought to have a significant impact on insomnia treatment, but in patients with CVDs, there is a paucity of data. To provide a comprehensive appraisal on the impact of CBT on the treatment of insomnia in patients with CVDs. We searched Ovid, Scopus, Web of science, and Cochrane central, to randomized controlled trials (RCTs) from inception till November 2022. Outcomes of interest were insomnia severity index (ISI), Pittsburgh Sleep Quality Index (PSQI), sleep efficiency (SE), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), and sleep disorders questionnaire (SDQ). Pooled data were analyzed using mean difference (MD) with its 95% confidence interval (CI) in a random effect model using STATA 17 for Mac. Nine RCTs comprising 365 patients were included in the analysis. CBT significantly reduced scores of ISI (MD = − 3.22, 95% CI − 4.46 to − 1.98, p < 0.001), PSQI (MD = − 2.33, 95% CI − 3.23 to − 1.44, p < 0.001), DBAS (MD = − 0.94, 95% CI − 1.3 to − 0.58, p < 0.001), SDQ (MD = − 0.38, 95% CI − 0.56 to − 0.2, p < 0.001). Also, it increased the score of SE (MD = 6.65, 95% CI 2.54 to 10.77, p < 0.001). However, there was no difference in terms of ESS. CBT is an easy and feasible intervention with clinically significant improvement in insomnia symptoms. Further large-volume studies are needed to assess sustained efficacy. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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