{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T16:09:30Z","timestamp":1773850170413,"version":"3.50.1"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T00:00:00Z","timestamp":1665360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This survey aimed to better comprehend the factors influencing patient response to insomnia treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted an online survey. A total of 1,395 patients completed the questionnaire at baseline. Insomnia, anxiety and depressive symptoms were evaluated using the Pittsburgh Sleep Quality Index (PSQI), 7-item Generalized Anxiety Disorder assessment (GAD-7) and 9-item Patient Health Questionnaire (PHQ-9), respectively. A total of 488 patients completed at least two surveys (baseline and monthly surveys thereafter) and reported that the online CBT was effective at the 1-year follow-up. The 488 patients were divided into three groups: the rapid (treatment effective at 4 weeks), intermediate (4\u201316 weeks), and delayed-response group (over 16 weeks).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis of the demographic characteristics of the 488 patients did not reveal significant sex differences among the three groups (<jats:italic>P<\/jats:italic> = 0.111). However, the groups significantly differed in age (<jats:italic>P<\/jats:italic> = 0.001) and education (<jats:italic>P<\/jats:italic> = 0.006). Compared to the rapid response group, the delayed-response group had a higher mean age (<jats:italic>P<\/jats:italic> &amp;lt; 0.01) and a slightly lower level of education. The duration of the disorder was longer in the delayed-response group. Multivariate logistic regression showed that male sex, junior high school education, and higher PSQI were independent risk factors for the delayed response to treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Many factors affected the efficiency of insomnia treatment. Male sex, junior school education, and a high PSQI score predicted delayed response to insomnia treatment.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2022.974888","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T14:17:30Z","timestamp":1665411450000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Factors influencing the efficiency of cellphone-based CBT for treating sleep disorders"],"prefix":"10.3389","volume":"13","author":[{"given":"Nannan","family":"Hu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"You","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongjing","family":"Mao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,10,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/j.sleep.2005.08.008","article-title":"Epidemiology of insomnia: prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors","volume":"7","author":"Morin","year":"2006","journal-title":"Sleep Med."},{"key":"B2","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1111\/jsr.12102","article-title":"Insomnia as a risk factor for ill health: results from the large population-based prospective HUNT study in Norway","volume":"23","author":"Sivertsen","year":"2014","journal-title":"J Sleep Res."},{"key":"B3","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1111\/jsr.12285","article-title":"Insomnia and incident depression: role of objective sleep duration and natural history","volume":"24","author":"Fernandez-Mendoza","year":"2015","journal-title":"J Sleep Res."},{"key":"B4","doi-asserted-by":"publisher","first-page":"197","DOI":"10.5665\/sleep.4396","article-title":"Health correlates of insomnia symptoms and comorbid mental disorders in a nationally representative sample of US adolescents","volume":"38","author":"Blank","year":"2015","journal-title":"Sleep."},{"key":"B5","doi-asserted-by":"publisher","first-page":"682448","DOI":"10.3389\/fneur.2021.682448","article-title":"Jidong restless legs syndrome cohort study: objectives, design, and baseline screening","volume":"12","author":"Wang","year":"2021","journal-title":"Front Neurol."},{"key":"B6","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1016\/S1474-4422(15)00021-6","article-title":"The neurobiology, investigation, and treatment of chronic insomnia","volume":"14","author":"Riemann","year":"2015","journal-title":"Lancet Neurol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"191","DOI":"10.7326\/M14-2841","article-title":"Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis","volume":"163","author":"Trauer","year":"2015","journal-title":"Ann Intern Med."},{"key":"B8","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.1093\/sleep\/28.9.1049","article-title":"National institutes of health state of the science conference statement on manifestations and management of chronic insomnia in adults, June 13\u201315, 2005","volume":"28","year":"2005","journal-title":"Sleep."},{"key":"B9","doi-asserted-by":"publisher","first-page":"769","DOI":"10.5665\/sleep.1872","article-title":"Brown, JS. 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