Cognitive behavioural therapy for insomnia in inpatient psychiatric care: a systematic review.

Schneider, Carlotta L; Hertenstein, Elisabeth; Nissen, Christoph (2023). Cognitive behavioural therapy for insomnia in inpatient psychiatric care: a systematic review. Journal of sleep research, 32(6), e14041. Wiley 10.1111/jsr.14041

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Insomnia is highly prevalent among patients with psychiatric disorders. According to current guidelines, cognitive behavioural therapy for insomnia (CBT-I) represents the first-line treatment for chronic insomnia, also for patients with psychiatric comorbidity. While recent studies have demonstrated that CBT-I not only improves insomnia but also other health outcomes in patients with psychiatric disorders and comorbid insomnia in outpatient settings, the level of implementation and treatment potential of CBT-I in inpatient psychiatry is less clear. The objective of this systematic review is to present and discuss studies that have adapted CBT-I for inpatient psychiatric care. PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PsycINFO, were searched until June 2023. A total of 10 studies were identified, with the majority being non-randomised trials without comparison groups and small sample sizes. With preliminary character, studies report feasibility and potential efficacy in inpatient settings. Together, this review identifies a paucity of studies on CBT-I or derivates in inpatient psychiatry. Despite challenging in this setting, studies adapting CBT-I to the needs of severely ill patients and hospital settings might have the potential to improve mental health care.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy

UniBE Contributor:

Schneider, Carlotta Louisa, Hertenstein, Elisabeth

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1365-2869

Publisher:

Wiley

Language:

English

Submitter:

Pubmed Import

Date Deposited:

26 Sep 2023 10:26

Last Modified:

30 Nov 2023 00:14

Publisher DOI:

10.1111/jsr.14041

PubMed ID:

37726877

Uncontrolled Keywords:

CBT-I inpatient insomnia psychiatry

BORIS DOI:

10.48350/186426

URI:

https://boris.unibe.ch/id/eprint/186426

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