Is cognitive behavioral therapy for insomnia (CBTi) efficacious for treating insomnia symptoms in shift workers? A systematic review and meta-analysis

Amy C. Reynolds; Alexander Sweetman; Meagan E. Crowther; Jessica L. Paterson; Hannah Scott; Bastien Lechat; Sian E. Wanstall; Brandon WJ Brown; Nicole Lovato; Robert J. Adams; Peter R. Eastwood

doi:10.1016/j.smrv.2022.101716

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Is cognitive behavioral therapy for insomnia (CBTi) efficacious for treating insomnia symptoms in shift workers? A systematic review and meta-analysis

Journal article

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Is cognitive behavioral therapy for insomnia (CBTi) efficacious for treating insomnia symptoms in shift workers? A systematic review and meta-analysis

Amy C. Reynolds, Alexander Sweetman, Meagan E. Crowther, Jessica L. Paterson, Hannah Scott, Bastien Lechat, Sian E. Wanstall, Brandon WJ Brown, Nicole Lovato, Robert J. Adams, …

Sleep medicine reviews, Vol.67, 101716

2023

DOI: https://doi.org/10.1016/j.smrv.2022.101716

PMID: 36459948

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Abstract

Shift work schedule

Occupational health

Insomnia

Sleep initiation

maintenance disorders

Occupational health services

Shift workers commonly report insomnia symptoms. Cognitive behavioral therapy for insomnia (CBTi) is the first line treatment for insomnia, however efficacy in shift workers is not well understood. This systematic review and meta-analysis evaluates existing trials of CBTi in shift working populations. A systematic literature search was conducted across seven electronic databases (n = 2120). Fifty-two full-text articles were reviewed and of these, nine studies (across ten publications with a total of 363 par-ticipants) were deemed suitable for inclusion. Heterogeneity was considerable between studies, with variability in study design, style and delivery of intervention, and follow-up times. Small sample sizes were common and attrition was high. Some studies modified aspects of CBTi for use in shift workers, while others were limited to psycho-education as part of larger intervention studies. Mean differences (MD) pre and post CBTi were modest for both the insomnia severity index (ISI; MD:-3.08, 95% CI:-4.39,-1.76) and the Pittsburgh sleep quality index (PSQI; MD:-2.38, 95% CI:-3.55,-1.21). Neither difference was of a magnitude considered to reflect a clinically significant improvement. Tailored ap-proaches to CBTi are needed for shift workers to improve efficacy, ideally including co-production with workers to ensure interventions meet this population's needs.

Details

Title: Is cognitive behavioral therapy for insomnia (CBTi) efficacious for treating insomnia symptoms in shift workers? A systematic review and meta-analysis
Authors/Creators: Amy C. Reynolds - Flinders University
Alexander Sweetman - Flinders University
Meagan E. Crowther - Flinders University
Jessica L. Paterson - Flinders University
Hannah Scott - Flinders University
Bastien Lechat - Flinders University
Sian E. Wanstall - Flinders University
Brandon WJ Brown - Flinders University
Nicole Lovato - Flinders University
Robert J. Adams - Flinders University
Peter R. Eastwood - Flinders University
Publication Details: Sleep medicine reviews, Vol.67, 101716
Publisher: Elsevier
Number of pages: 12
Identifiers: 991005592646107891
Murdoch Affiliation: Vice Chancellery
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.137 Sleep Science & Circadian Systems; 1.137.349 Insomnia
Web Of Science research areas: Clinical Neurology; Neurosciences
ESI research areas: Neuroscience & Behavior