![]() Sleepstation remains the only online CBTi programme to be fully supported by a team of sleep experts, therapists and coaches. It is thought that our impressive engagement rates are due to the supported nature of the Sleepstation programme. In the years since this study, we have continued to adapt and evolve the Sleepstation programme and, in our most recent study, Sleepstation was found to be three times more engaging than other online CBTi programmes. Once participants fulfilled criteria for insomnia and had commenced therapy, the attrition rate was low, and compliance with sleep diaries and therapy recommendations was high. Participant feedback was overwhelmingly positive. The majority of participants reported improved sleep quality after completing the Sleepstation programme. There were also clear improvements in sleep latency, with modest improvements in total sleep time. The study found that Sleepstation produced large improvements in our primary endpoint of sleep efficiency. In 2014 we published a review of the effectiveness of Sleepstation compared to other online therapies. Only when such treatments are not available or not effective should medication be considered for the treatment of persistent insomnia.įrom the evidence outlined above, it is clear that CBTi is an effective intervention, applicable to online delivery. The publications of clinical practice guidelines of multiple international organisations have reached the conclusion that CBTi should be used as the first-line treatment for insomnia. High‐quality trials of antidepressants for insomnia are needed. There was no evidence for amitriptyline (despite common use in clinical practice) or for long‐term antidepressant use for insomnia. ![]() The tolerability and safety of antidepressants for insomnia is uncertain due to limited reporting of adverse events. Pharmacological therapies are widely used in primary care, but there is limited evidence for their benefit in chronic insomnia and increasing evidence that these medications are associated with long-term risks, particularly in an older population.Īntidepressant use for insomnia is widespread, but none is licensed for treatment of insomnia. By completing a short questionnaire, those with symptoms of insomnia can find out if Sleepstation could help them overcome their sleep problems for good. Sleepstation can effectively resolve all forms of insomnia. Sleepstation’s online CBTi programme is an alternative to referring to a sleep clinic for CBTi and/or follow-on prescriptions for sleeping pills and other medications to aid sleep. However, the lack of trained therapists and sleep experts prevents widespread availability of this treatment in face-face settings. There is strong empirical evidence that CBTi is effective and CBTi has been recognised as the first-line treatment for chronic insomnia (National Institutes of Health consensus, British Medical Association). A summary of the key evidence for insomnia treatment, including published evidence for Sleepstation, is outlined below. The efficacy of CBTi to improve outcomes in primary and co-morbid insomnia has been repeatedly demonstrated, with improvements in both mental and physical health outcomes. A specific form of Cognitive Behavioural Therapy (CBT), designed for insomnia (CBTi), is a well validated treatment, with evidence spanning over 30 years. Insomnia is a highly prevalent and costly health problem that often remains untreated despite the availability of effective treatments for insomnia. ![]() ![]() This study contributes to the growing body of literature supporting Cognitive Behavioral Therapy for Insomnia as an evidenced based treatment option for veterans experiencing insomnia through a dissemination of the findings, strengths, limitations, and implications for future research.The evidence supporting the use of CBTi within Sleepstation Studies included in this systematic review produced these findings: improvements in sleep quality, sleep efficiency, sleep onset latency, total sleep time, a reduction in depressive and insomnia symptoms, increased normalization of sleep, and a reduction in dysfunctional beliefs about sleep. Treating insomnia with CBT-I, as opposed to medication, has a number of potential advantages, including fewer known side effects, and an explicit focus on. This framework was utilized to explore Cognitive Behavioral Therapy as an effective means of treating veterans experiencing insomnia. The Behavioral Model of Insomnia was used as the conceptual framework for this review. Using the sociology research database SocINDEX nine studies examining the effectiveness of Cognitive Behavioral Therapy as a treatment option for insomnia and insomnia related symptoms met criteria for the review. In this systematic literature review, research regarding veterans experiencing insomnia and the utilization of Cognitive Behavioral Therapy for Insomnia as an effective treatment modality were synthesized.
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