Comparative Efficacy of Brief Behavioral Therapy for Insomnia: A Systematic Review and Network Meta‐Analysis

作者：Faizul Hasan, Christopher J. Gordon, Lia Taurussia Yuliana, Debby Syahru Romadlon, Hsiao‐Yean Chiu · 发表于：Worldviews on Evidence-Based Nursing · 年份：2025 · DOI：10.1111/wvn.70075 · 被引用次数：2 · 研究领域：Sleep and related disorders、Sleep and Wakefulness Research、Sleep and Work-Related Fatigue

ABSTRACT Background The comparative efficacy of brief behavioral therapy for insomnia (BBTI) remains unclear. Aims This systematic review and network meta‐analysis examined the effectiveness of different BBTI approaches and compared BBTI with other nonpharmacological interventions, such as cognitive behavioral therapy for insomnia (CBT‐I). Methods Three databases were searched from inception to December 27, 2024. Primary outcomes were insomnia severity and sleep quality. Secondary outcomes included total sleep time, sleep onset latency, wake after sleep onset, sleep efficiency, and daytime sleepiness. A frequentist network meta‐analysis with random‐effects modeling was conducted. Heterogeneity was assessed using the I 2 statistic. Results Eighteen randomized controlled trials involving 1104 participants (mean age: 52.6 years) were included. Compared with usual care, BBTI significantly reduced insomnia severity (mean difference [MD] = −4.79; 95% confidence interval [CI = −6.05, −3.53]; I 2 = 0%) and improved sleep quality (MD = −3.45; 95% CI [−4.97, −1.94]; I 2 = 0%). BBTI also shortened sleep onset latency (MD = −19.81 min; 95% CI = −30.64, −8.98; I 2 = 17%) and wake after sleep onset (MD = −15.51 min; 95% CI [−22.75, −8.27]; I 2 = 47%) and increased sleep efficiency (MD = 10.78%; 95% CI [7.67%, 13.89%]; I 2 = 8%). No significant differences were found in total sleep time or daytime sleepiness. Face‐to‐face BBTI and CBT‐I demonstrated similar outcomes. Face‐to‐face BBTI ranke...