{"id":6257,"date":"2012-09-12T10:16:23","date_gmt":"2012-09-12T14:16:23","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=6257"},"modified":"2012-09-12T09:37:04","modified_gmt":"2012-09-12T13:37:04","slug":"study-assesses-use-of-computer-for-treating-insomnia","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2012\/09\/study-assesses-use-of-computer-for-treating-insomnia\/","title":{"rendered":"Study assesses use of computer for treating insomnia"},"content":{"rendered":"<p>From the <em>Journal of Psychotherapy and Psychosomatics<\/em> press release via AlphaGalileo:<\/p>\n<blockquote><p><img class=\"alignright\" src=\"http:\/\/www.therapytoronto.ca\/images\/blogpics\/Computer2.jpg\" alt=\"Computer use\" \/><strong>Insomnia is a vexing and common problem.<\/strong> This paper that appears in the current issue of <em>Psychotherapy and Psychosomatics<\/em> analyzes the literature concerned with the use of the computer for treating insomnia.<\/p>\n<p><strong>Computerised cognitive behavioural therapy (CCBT) is an innovative mode of delivering services to patients with psychological disorders<\/strong>. The present paper uses a meta-analysis to systematically review and evaluate the effectiveness of CCBT for insomnia (CCBT-I).<\/p>\n<p>A comprehensive search was conducted on 7 databases including MEDLINE, PsycINFO, EMBASE, CINAHL, Cochrane Library, Social Sciences Citation Index and PubMed (up to March 2011). <strong>Search terms covered 3 concepts:<\/strong><\/p>\n<p>(1) [<em>internet, web, online, computer-aided, computer-assisted,computer-guided, computerized<\/em> OR<em> computerised<\/em>] AND<\/p>\n<p>(2) [<em>CBT, cognitive therapy, behavio(u)ral therapy<\/em> OR <em>behavio(u)r therapy<\/em>] AND<\/p>\n<p>(3) [<em>insomnia, sleep disorders <\/em>OR<em> sleeping problem<\/em>].<\/p>\n<p><strong>533 potentially relevant papers were identified, and 6 randomised controlled trials (RCTs)<\/strong> that met the selection criteria were included in the review and analysis. Two RCTs were done by the same group of investigators (Ritterband and colleagues) using the same internet programmes.<\/p>\n<p>Post-treatment mean differences between groups showed that <strong>the effects of CCBT-I on sleep quality, sleep efficiency, the number of awakenings, sleep onset latency and the Insomnia Severity Index were significant<\/strong>, ranging from small to large effect sizes. However, effects on wake time after sleep onset, total sleep time and time in bed were non-significant.<\/p>\n<p>On average, the number needed to treat was 3.59. The treatment adherence rate for CCBT-I was high (78%). <strong>The results lend support to CCBT as a mildly to moderately effective self-help therapy in the short run for insomnia<\/strong>. CCBT-I can be an acceptable form of low-intensity treatment in the stepped care model for insomnia.<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Journal of Psychotherapy and Psychosomatics press release via AlphaGalileo: Insomnia is a vexing and common problem. This paper that appears in the current issue of Psychotherapy and Psychosomatics&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2012\/09\/study-assesses-use-of-computer-for-treating-insomnia\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[47,48,362],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/6257"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=6257"}],"version-history":[{"count":3,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/6257\/revisions"}],"predecessor-version":[{"id":6278,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/6257\/revisions\/6278"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=6257"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=6257"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=6257"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}