Insomnia therapy improved sleep outcomes in adults with chronic disease
Randomized trials found reduced insomnia severity, better sleep efficiency and less time needed to fall asleep, alongside high treatment satisfaction.
Based on the published abstract. The full paper may contain additional methods, results and limitations.
The 30-second takeaway
Cognitive behavioral therapy for insomnia (CBT-I) improved sleep outcomes in adults living with chronic disease. Participants also reported high satisfaction, and treatment-related adverse effects were described as rare. The results concern insomnia and sleep measures; they do not establish that this therapy improves the underlying illness or that every patient will benefit equally.
This abstract-based summary cannot show how long benefits lasted: treatment and follow-up durations are not supplied. It also lacks details on control conditions and the types or severity of adverse effects.
What researchers found
Insomnia severity
CBT-I versus trial controls; assessment timing was not reported. Hedges g = 0.98 means a gap of nearly a full standard deviation—a measure of score spread—favoring CBT-I.
What the scores mean
The pooled result describes differences on insomnia severity measures using a standardized scale. It cannot be read as a percentage improvement or as a specific number of extra minutes asleep for an individual.
Who the evidence covers
Included conditions ranged from cancer and chronic pain to irritable bowel syndrome and stroke. Results appeared similar across disease subgroups, although some treatment and study characteristics were associated with differences in sleep outcomes.
The original publication
Cognitive Behavioral Therapy for Insomnia in People With Chronic Disease: A Systematic Review and Meta-Analysis.
Scott AJ, Correa AB, Bisby MA et al.
JAMA Intern Med · 2025
- PubMed ID
- 40982264
- Record checked
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