The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Effectiveness of Cognitive Behavioral Therapy for Sleep Disorder: An overview of Systematic Review

수면장애에 대한 인지행동 치료 효과에 대한 체계적 문헌 고찰 개관

  • Lee, Jang Won (Department of Preventive Medicine, College of Korean Medicine, Dongguk University) ;
  • Yeo, Jin Ju (Department of Preventive Medicine, Dongguk University Graduate School of Korean Medicine) ;
  • Kim, Kyung Sik (College of Korean Medicine, Dongguk University) ;
  • Hyun, Min Kyung (Department of Preventive Medicine, College of Korean Medicine, Dongguk University)
  • 이장원 (동국대학교 한의과대학 예방의학교실) ;
  • 여진주 (동국대학교 대학원 한의학과 예방의학전공) ;
  • 김경식 (동국대학교 한의과대학) ;
  • 현민경 (동국대학교 한의과대학 예방의학교실)
  • Received : 2022.01.21
  • Accepted : 2022.05.19
  • Published : 2022.06.01
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Abstract

Objectives: The purpose of this overview was to summarize the evidence regarding the effectiveness of Cognitive Behavioral Therapy (CBT) for sleep disorders through systematic reviews (SRs) and meta-analyses (MAs). Methods: An overview of systematic review was conducted according to the study protocol (reviewregistry1320). A comprehensive literature search was performed using three databases (Pubmed, Cochrane Central Register of Controlled Trials, and Web of Science) and three Korean databases (KoreaMed, KMbase, and ScienceON). Final studies were selected by three authors according to inclusion and exclusion criteria, and data needed for analysis were extracted by a pre-planned extraction framework. Methodological quality of systematic review was assessed using the 'Assessment of multiple systematic reviews 2 (AMSTAR2)'. Results: Fourteen SRs and MAs were included, of which eleven SRs were performed MAs. Twelve studies studied insomnia among sleep disorders, and the rest are nightmares and sleep disturbances with PTSD. Ten studies reported the effect of CBT on sleep disorders measured by insomnia severity index (ISI) and sleep onset latency (SOL), and all reported a significant improvement effect. Eight studies reported the effect of CBT on sleep disorders measured by wake time after sleep onset (WASO), and seven studies reported a significant improvement effect. The methodological quality of the studies evaluated with AMSTAR 2 was mainly low or very low because of omission of protocol registration and excluded study list. Conclusions: Practical guidelines and studies show that CBT is effective for sleep disorders, but access to CBT needs to be improved.

Keywords

Acknowledgement

본 연구는 보건복지부의 재원으로 한국보건산업진흥원의 한의약혁신기술개발사업 지원에 의하여 이루어진 것임(과제번호: HF20C0104).

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