Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • apa.csl
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Stimulus control for insomnia: A systematic review and meta-analysis
Karolinska Institutet, Sweden.ORCID iD: 0000-0003-2059-1621
Karolinska Institutet, Sweden.
Karolinska Institutet, Sweden.
Karolinska Institutet, Sweden.
Show others and affiliations
2024 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 33, no 1, article id e14002Article in journal (Refereed) Published
Abstract [en]

Stimulus control (SC) is commonly viewed as an evidence-based treatment for insomnia, but it has not been evaluated comprehensively with modern review and meta-analytic techniques. The aim of the current study was thus to perform a systematic review and meta-analysis of trials that examine the efficacy of stimulus control for insomnia. A systematic search for eligible articles and dissertations was conducted in six online bibliographic databases. The 11 included studies, with the majority published between 1978 and 1998, were randomised controlled and experimental studies in adults, comparing stimulus control for insomnia with passive and active comparators and assessing insomnia symptoms as outcomes. A random effects model was used to determine the standardised mean difference Hedge's g at post-treatment and follow-up for three sleep diary measures: the number of awakenings, sleep onset latency, and total sleep time. A test for heterogeneity was conducted, forest plots were produced, the risk of publication bias was estimated, and the study quality was assessed. In the trials identified, stimulus control resulted in small to large improvements on sleep onset latency and total sleep time, relative to passive comparators (g = 0.38-0.85). Compared with active comparators, the improvements following stimulus control were negligible (g = 0.06-0.30). Although methodological uncertainties were observed in the included trials, stimulus control appears to be an efficacious treatment for insomnia when compared with passive comparators and with similar effects to active comparators. More robust studies are, however, warranted before stronger conclusions are possible to infer.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024. Vol. 33, no 1, article id e14002
Keywords [en]
adults, behaviour therapy, cognitive behaviour therapy, efficacy, sleep disturbance
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-96312DOI: 10.1111/jsr.14002ISI: 001036569700001PubMedID: 37496454Scopus ID: 2-s2.0-85165917009OAI: oai:DiVA.org:kau-96312DiVA, id: diva2:1786863
Available from: 2023-08-10 Created: 2023-08-10 Last updated: 2024-02-22Bibliographically approved

Open Access in DiVA

fulltext(628 kB)6 downloads
File information
File name FULLTEXT02.pdfFile size 628 kBChecksum SHA-512
4b01a60a4f9c2e54facec605918b291c63e1aa97a0c19f6d65aa83da1799db32ddc4163e897cd0bbe61ac1a8490db6f4de5a2b73a3e2538db7678894e792bd73
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Norell-Clarke, Annika

Search in DiVA

By author/editor
Jansson-Fröjmark, MarkusRozental, AlexanderNorell-Clarke, Annika
By organisation
Department of Social and Psychological Studies (from 2013)
In the same journal
Journal of Sleep Research
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 162 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 150 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • apa.csl
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf