Self-help cognitive-behavioral therapy for insomnia (CBT-1): a systematic review of randomized controlled trials

Abstract Theme: Insomnia - new insight into development and manageThis study aimed to review current literature, examine the efficacy, adherence, acceptability, and attrition rate of self-help CBT-I, and to explore possible factors that might contribute to the effectiveness of the treatment. A systematic review was performed up to June 2012 on studies published in 6 major electronic databases. Two researchers performed study identification, data extraction, and methodological quality evaluation. Meta-analyses of self-help CBT-I vs. waiting-list, routine care, or no treatment, therapist-administered CBT-I, and placebo treatment were performed. We identified 20 randomized controlled trials (RCT) that met inclusion criteria. When compared to waiting-list control, self-help CBT-I achieved a moderate to large effect size on improving sleep and reducing sleep-related cognitions and anxiety and depressive symptoms. Therapist-administered CBT-I was slightly better than self-help CBT-I. Subgroup analyses supported the beneficial effect of telephone consultation, but not for “full” multi-component CBT and programs lasting for 6 or more weeks. Treatment adherence, acceptability, perceived usefulness, and credibility were reported as satisfactory. Based on the results of the systematic review, we have designed a Chinese-language self-help CBT-I and now conducting a RCT to evaluate the efficacy of Internet-based self-help CBT-I in Chinese population.postprin

Acupressure, reflexology, and auricular acupressure for insomnia: A systematic review of randomized controlled trials

Previous randomized controlled trials (RCTs) have shown that acupuncture may be efficacious for insomnia. Instead of needling, acupressure, reflexology, and auricular acupressure are procedures involving physical pressure on acupoints or reflex areas. These variants of acupuncture are gaining popularity, perhaps due to their non-invasive nature. A systematic review has therefore been conducted to examine their efficacy and safety for insomnia. Two independent researchers searched five English and 10 Chinese databases from inception to May 2010. Forty RCTs were identified for analysis. Only 10 studies used sham controls, four used double-blind design, nine studies scored three or more by the Jadad scale, and all had at least one domain with high risk of bias. Meta-analyses of the moderate-quality RCTs found that acupressure as monotherapy fared marginally better than sham control. Studies that compared auricular acupressure and sham control showed equivocal results. It was also found that acupressure, reflexology, or auricular acupressure as monotherapy or combined with routine care was significantly more efficacious than routine care or no treatment. Owing to the methodological limitations of the studies and equivocal results, the current evidence does not allow a clear conclusion on the benefits of acupressure, reflexology, and auricular acupressure for insomnia. © 2012 Elsevier B.V.postprin

Treatment guideline for insomnia

Regular Symposium 1.2 – Sleep DisordersConference Theme: Yin and Yang of Mental Health in Asia - Balancing Polaritie

Insomnia identity and its correlates in adolescents

202312 bckwAccepted ManuscriptSelf-fundedPublishedGreen (AAM

Cognitive and behavioral characteristics of chronic primary insomnia in Hong Kong: a qualitative and quantitative survey

INTRODUCTION: sleep-related cognitive and behavioral characteristics play an important role in the maintenance of insomnia. Culture affects individuals’ belief system and behaviors, but few studies have examined the characteristics among Chinese subjects with chronic primary insomnia. This study explored the topic using …link_to_OA_fulltex

Treatment of insomnia using acupuncture and Chinese herbal medicine

Symposium 3.6 – Traditional Chinese Medicine and Psychiatr

Dysfunctional cognition regarding sleep as a mediator of outcome following acupuncture for insomnia

Title on author’s file: Dysfunctional cognitions about sleep as mediators of outcome in cognitive-behavioral therapy and acupuncture for insomnia202312 bckwAccepted ManuscriptOthersFood and Health Bureau and Hong Kong SARPublishedGreen (AAM

The efficacy and cost- effectiveness of stepped care prevention and treatment for depressive and/or anxiety disorders: a systematic review and meta-analysis

Poster Session 3 - Board: 3 -101Stepped care is an increasingly popular treatment model for common mental health disorders, given the large discrepancy between the demand and supply of healthcare service available. A meta-analysis was conducted to compare the efficacy and cost-effectiveness of stepped care prevention and treatment with care-as-usual for depressive and/or anxiety disorders

A population-based 2-year longitudinal study of insomnia disorder in a Chinese population in Hong Kong

202312 bckwAccepted ManuscriptSelf-fundedPublishedGreen (AAM

The efficacy and cost-effectiveness of stepped care prevention and treatment for depressive and/or Anxiety Disorders: a Systematic Review and Meta-Analysis

Poster Session 3 - Board: 3 -101Stepped care is an increasingly popular treatment model for common mental health disorders, given the large discrepancy between the demand and supply of healthcare service available. A meta-analysis was conducted to compare the efficacy and cost-effectiveness of stepped care prevention and treatment with care-as-usual for depressive and/or anxiety disorders