{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T20:51:11Z","timestamp":1790455871593,"version":"4.1.0"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"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>To examine the effectiveness of one-week inpatient cognitive behavioral therapy for insomnia (CBT-I) in patients without severe mental disorders in the real-world setting to answer the research question \u201cCan inpatient CBT-I be abbreviated?\u201d.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective, single-group, pretest\u2013posttest study, the clinical outcome data of 94 patients who underwent one-week inpatient CBT-I were collected. Self-report scale scores and hypnotic medication use were obtained at baseline and at the 3-month follow-up after therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CBT-I significantly improved insomnia severity (<jats:italic>Z<\/jats:italic> = \u22127.65, <jats:italic>P<\/jats:italic> &amp;lt; 0.001, Cohen\u2019s <jats:italic>d =<\/jats:italic> 1.34), anxiety (<jats:italic>Z<\/jats:italic> = \u22126.23, <jats:italic>P<\/jats:italic> &amp;lt; 0.001, Cohen\u2019s <jats:italic>d =<\/jats:italic> 1.02), depression (<jats:italic>Z<\/jats:italic> = \u22126.42, <jats:italic>P<\/jats:italic> &amp;lt; 0.001, Cohen\u2019s <jats:italic>d =<\/jats:italic> 1.06), daytime sleepiness (<jats:italic>Z<\/jats:italic> = \u22122.40, <jats:italic>P<\/jats:italic> = 0.016, Cohen\u2019s <jats:italic>d =<\/jats:italic> 0.35), and fatigue severity (<jats:italic>Z<\/jats:italic> = \u22125.54, <jats:italic>P<\/jats:italic> &amp;lt; 0.001, Cohen\u2019s <jats:italic>d =<\/jats:italic> 0.88) and reduced hypnotic medication use (<jats:italic>\u03c7<jats:sup>2<\/jats:sup><\/jats:italic> = 33.62, <jats:italic>P<\/jats:italic> &amp;lt; 0.001). At the follow-up assessment, 58 patients (67.4%) had clinically meaningful changes in insomnia, and 51 patients (59.3%) met the criteria for insomnia remission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this preliminary study imply that one-week inpatient CBT-I may be an effective intervention for the treatment of insomnia in patients without severe mental disorders.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2024.1440026","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T04:30:16Z","timestamp":1724733016000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["One-week inpatient cognitive behavioral therapy for insomnia: a retrospective study"],"prefix":"10.3389","volume":"15","author":[{"given":"Qing","family":"Cai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengya","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guifeng","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qifang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1053\/smrv.2002.0186","article-title":"Epidemiology of insomnia: what we know and what we still need to learn","volume":"6","author":"Ohayon","year":"2002","journal-title":"Sleep Med Rev"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.7326\/AITC202103160","article-title":"Insomnia","volume":"174","author":"Sutton","year":"2021","journal-title":"Ann Intern Med"},{"key":"B3","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1016\/j.sleep.2006.10.006","article-title":"Daytime symptoms in primary insomnia: a prospective analysis using ecological momentary assessment","volume":"8","author":"Buysse","year":"2007","journal-title":"Sleep Med"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.7326\/M15-2175","article-title":"Management of chronic insomnia disorder in adults: A clinical practice guideline from the american college of physicians","volume":"165","author":"Qaseem","year":"2016","journal-title":"Ann Intern Med"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e14035","DOI":"10.1111\/jsr.14035","article-title":"The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023","volume":"32","author":"Riemann","year":"2023","journal-title":"J Sleep Res"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8.2.e10","article-title":"Why are health care interventions delivered over the internet? 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