Insomnia treatments - the evidence for CBTi

Sleepstation is an evidenced-based and clinically proven solution to chronic insomnia. Accessed via the internet, Sleepstation delivers a supported programme of Cognitive Behavioural Therapy for insomnia (CBTi).

CBTi is a well validated treatment for insomnia, with evidence spanning over 30 years. The efficacy of CBTi to improve outcomes in primary and co-morbid insomnia has been repeatedly demonstrated, with improvements in both mental and physical health outcomes. A summary of the key evidence, including published evidence for Sleepstation, is outlined below.

While CBTi is acknowledged to work, the lack of trained therapists and sleep experts prevents widespread availability of this treatment in face-face settings. Sleepstation’s online CBTi programme is an alternative to referring to a sleep clinic for CBTi and/or follow-on prescriptions for sleeping pills.

Sleepstation can effectively resolve both primary and secondary insomnia. By answering a few short questions, those with symptoms of insomnia can find out if Sleepstation could help them resolve their sleep problems for good.

Evidence for CBT for insomnia

  • 1

    1998-2006

    There is a large body of evidence, based on over 20 years of randomised controlled trials (RCTs), for a specific form of cognitive behavioural therapy (CBT), CBT for insomnia (CBT-i), being an effective and long-lasting treatment for 50%–70% of patients.

    • Psychological and behavioural treatment of insomnia: update of evidence from 1998–2004

      Morin et al. 2006
  • 2

    2003-2006

    Pharmacological therapies are widely used in primary care, but there is limited evidence for their benefit in chronic insomnia and increasing evidence that these medications are associated with long-term risks, particularly in an older population.

  • 3

    2011-2012

    The efficacy of CBT-i to improve outcomes in primary and co-morbid insomnia patients has been repeatedly demonstrated, with improvements in both mental and physical health outcomes.

  • 4

    2004-2012

    Several small-cohort studies and two RCTs to date have evaluated online CBT-i and shown promising results but with varying effect sizes.

    CBT-i tackles factors that maintain insomnia over time, including sleep-related dysfunctional cognitions, behaviours which perpetuate insomnia, and dysregulation of the homeostatic sleep drive.

  • 5

    2014

    In the most recent study into the effectiveness of sleepstation, there was a significant increase in sleep efficiency and sleep latency after intervention; with modest improvements in total sleep time. The majority of users reported improved sleep quality. It was concluded that online CBT-i can be designed to deliver personalised therapy with good reported outcomes and high compliance rates in those who start therapy.

  • 6

    2016-2017

    Several RCTs and studies show that understanding and treating disrupted sleep through CBTi could provide a key route to improving mental health.

    In the largest ever RCT of a psychological treatment for mental health, individuals who received online CBTi showed reduction in insomnia as well as improvements in depression, anxiety, and psychological well-being.

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