35th AM (2024) - Poster Session-Can Cognitive Behavioral

Can Cognitive Behavioral

Pdf Summary

The systematic review conducted by Ariella Maghen, MD, and Joshua Hyong-Jin Cho, MD PhD, evaluates the efficacy of Cognitive Behavioral Therapy for Insomnia (CBT-I) in improving sleep and reducing alcohol use in patients with Alcohol Use Disorder (AUD). Utilizing the PRISMA guidelines, the study involved a comprehensive search and meta-analysis of Randomized Controlled Trials (RCTs) from databases including PubMed and Cochrane Library, resulting in the inclusion of seven studies with 443 participants.<br /><br />The findings reveal that CBT-I significantly improves sleep outcomes in patients with AUD, as evidenced by a standardized mean difference (SMD) of -0.886 with a 95% confidence interval (CI) of -1.22 to -0.54 and a p-value of 0.025. However, the therapy does not significantly affect alcohol use, with an SMD of -0.040 and a p-value of 0.5233, indicating no significant impact on reducing alcohol consumption.<br /><br />The study notes that patients with AUD and comorbid insomnia face higher risks of relapse and suicidal thoughts, highlighting the importance of effective insomnia treatment. Despite the lack of impact on alcohol use, the improved sleep may contribute to enhanced overall mental health and quality of life for these patients.<br /><br />The authors suggest that the results could inform educational tools aimed at improving sleep behaviors in AUD patients. They also recommend future research to explore the effects of CBT-I on other substance use disorders, such as cannabis dependency and hypnotic use, to further understand its broader applications in substance use treatment. The researchers disclosed no relevant financial interests, ensuring the study's objectivity.

Keywords

Cognitive Behavioral Therapy for Insomnia

CBT-I

Alcohol Use Disorder

AUD

sleep improvement

meta-analysis

Randomized Controlled Trials

RCTs

comorbid insomnia

substance use disorders

	The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.		400 Massasoit Avenue Suite 307 East Providence, RI 02914 cmecpd@aaap.org	About Advocacy Membership Fellowship Education and Resources Training Events