Cognitive Behavioral Therapy for Chronic Insomnia
Authors: Maurits van den Noort, Peggy Bosch, Heike Staudte, Sabina Lim
Journal: Annals of Internal Medicine (2016)

Letters19 January 2016Cognitive Behavioral Therapy for Chronic InsomniaMaurits van den Noort, PhD, Peggy Bosch, MA, Heike Staudte, MD, and Sabina Lim, MD, PhDMaurits van den Noort, PhDFrom Kyung Hee University, Seoul, Republic of Korea; Radboud University, Nijmegen, the Netherlands; and LVR-Klinik Bedburg-Hau, Bedburg-Hau, Germany.Search for more papers by this author, Peggy Bosch, MAFrom Kyung Hee University, Seoul, Republic of Korea; Radboud University, Nijmegen, the Netherlands; and LVR-Klinik Bedburg-Hau, Bedburg-Hau, Germany.Search for more papers by this author, Heike Staudte, MDFrom Kyung Hee University, Seoul, Republic of Korea; Radboud University, Nijmegen, the Netherlands; and LVR-Klinik Bedburg-Hau, Bedburg-Hau, Germany.Search for more papers by this author, and Sabina Lim, MD, PhDFrom Kyung Hee University, Seoul, Republic of Korea; Radboud University, Nijmegen, the Netherlands; and LVR-Klinik Bedburg-Hau, Bedburg-Hau, Germany.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-0483 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Trauer and colleagues (1) conclude that cognitive behavioral therapy (CBT) is an effective treatment for adults with chronic insomnia, producing clinically meaningful effect sizes. They also claim that its efficacy seems to be well-maintained over time and leads to a significant decrease in symptoms. Although we agree with Trauer and colleagues (1) and Morin (2) that CBT seems to be a promising treatment for chronic insomnia, 3 issues did not receive enough attention; therefore, the conclusions that the authors draw are premature.First, the authors give no information on how they defined “chronic” in their meta-analysis or ...References1. Trauer JM, Qian MY, Doyle JS, Rajaratnam SM, Cunnington D. Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis. Ann Intern Med. 2015;163:191-204. [PMID: 26054060]. doi:10.7326/M14-2841 LinkGoogle Scholar2. Morin CM. Cognitive behavioral therapy for chronic insomnia: state of the science versus current clinical practices [Editorial]. Ann Intern Med. 2015;163:236-7. [PMID: 26052868]. doi:10.7326/M15-1246 LinkGoogle Scholar3. Schmucker C, Bluemle A, Briel M, Portalupi S, Lang B, Motschall E, et al; OPEN Consortium. A protocol for a systematic review on the impact of unpublished studies and studies published in the gray literature in meta-analyses. Syst Rev. 2013;2:24. [PMID: 23634657] doi:10.1186/2046-4053-2-24 CrossrefMedlineGoogle Scholar4. Ong JC, Kuo TF, Manber R. Who is at risk for dropout from group cognitive-behavior therapy for insomnia? J Psychosom Res. 2008;64:419-25. [PMID: 18374742] doi:10.1016/j.jpsychores.2007.10.009 CrossrefMedlineGoogle Scholar5. Morgan K, Thompson J, Dixon S, Tomeny M, Mathers N. Predicting longer-term outcomes following psychological treatment for hypnotic-dependent chronic insomnia. J Psychosom Res. 2003;54:21-9. [PMID: 12505552] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Kyung Hee University, Seoul, Republic of Korea; Radboud University, Nijmegen, the Netherlands; and LVR-Klinik Bedburg-Hau, Bedburg-Hau, Germany.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterest Forms.do?msNum=L15-0483. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCognitive Behavioral Therapy for Chronic Insomnia James M. Trauer , Mary Y. Qian , Joseph S. Doyle , Shantha M.W. Rajaratnam , and David Cunnington Cognitive Behavioral Therapy for Chronic Insomnia James M. Trauer and David Cunnington Metrics Cited byAcupuncture Improves Peri-menopausal Insomnia: A Randomized Controlled Trial 19 January 2016Volume 164, Issue 2Page: 134KeywordsClinical trialsCognitive behavior therapyConflicts of interestDisclosureInsomnia ePublished: 19 January 2016 Issue Published: 19 January 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...