Effects of Cognitive Behavioral Therapy on Pain and Sleep in Adults with Traumatic Brain Injury: A Systematic Review and Meta-Analysis

The objective of this study was to systematically review the literature on the effects of cognitive behavioral therapy (CBT) on insomnia and pain in patients with traumatic brain injury (TBI). PubMed, Embase, the Cochrane Library, Cumulative Index to Nursing and Allied Health, and Web of Science dat...

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Autores principales:	Xin Li, Yuwei Feng, Jianping Xia, Xuan Zhou, Nan Chen, Zhengquan Chen, Qimeng Fan, Hong Wang, Peiyuan Ding, Qing Du
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/daede12b43ec46649f3d803a3eb7d6d6
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spelling	oai:doaj.org-article:daede12b43ec46649f3d803a3eb7d6d62021-11-22T01:10:11ZEffects of Cognitive Behavioral Therapy on Pain and Sleep in Adults with Traumatic Brain Injury: A Systematic Review and Meta-Analysis1687-544310.1155/2021/6552246https://doaj.org/article/daede12b43ec46649f3d803a3eb7d6d62021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6552246https://doaj.org/toc/1687-5443The objective of this study was to systematically review the literature on the effects of cognitive behavioral therapy (CBT) on insomnia and pain in patients with traumatic brain injury (TBI). PubMed, Embase, the Cochrane Library, Cumulative Index to Nursing and Allied Health, and Web of Science databases were searched. Outcomes, including pain, sleep quality, and adverse events, were investigated. Differences were expressed using mean differences (MDs) with 95% confidence intervals (CIs). The statistical analysis was performed using STATA 16.0. Twelve trials with 476 TBI patients were included. The included studies did not indicate a positive effect of CBT on pain. Significant improvements were shown for self-reported sleep quality, reported with the Pittsburgh Self-Reported Sleep Quality Index (MD, -2.30; 95% CI, -3.45 to -1.15; P<0.001) and Insomnia Severity Index (MD, -5.12; 95% CI, -9.69 to -0.55; P=0.028). No major adverse events related to CBT were reported. The underpowered evidence suggested that CBT is effective in the management of sleep quality and pain in TBI adults. Future studies with larger samples are recommended to determine significance. This trial is registered with PROSPERO registration number CRD42019147266.Xin LiYuwei FengJianping XiaXuan ZhouNan ChenZhengquan ChenQimeng FanHong WangPeiyuan DingQing DuHindawi LimitedarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENNeural Plasticity, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Xin Li Yuwei Feng Jianping Xia Xuan Zhou Nan Chen Zhengquan Chen Qimeng Fan Hong Wang Peiyuan Ding Qing Du Effects of Cognitive Behavioral Therapy on Pain and Sleep in Adults with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
description	The objective of this study was to systematically review the literature on the effects of cognitive behavioral therapy (CBT) on insomnia and pain in patients with traumatic brain injury (TBI). PubMed, Embase, the Cochrane Library, Cumulative Index to Nursing and Allied Health, and Web of Science databases were searched. Outcomes, including pain, sleep quality, and adverse events, were investigated. Differences were expressed using mean differences (MDs) with 95% confidence intervals (CIs). The statistical analysis was performed using STATA 16.0. Twelve trials with 476 TBI patients were included. The included studies did not indicate a positive effect of CBT on pain. Significant improvements were shown for self-reported sleep quality, reported with the Pittsburgh Self-Reported Sleep Quality Index (MD, -2.30; 95% CI, -3.45 to -1.15; P<0.001) and Insomnia Severity Index (MD, -5.12; 95% CI, -9.69 to -0.55; P=0.028). No major adverse events related to CBT were reported. The underpowered evidence suggested that CBT is effective in the management of sleep quality and pain in TBI adults. Future studies with larger samples are recommended to determine significance. This trial is registered with PROSPERO registration number CRD42019147266.
format	article
author	Xin Li Yuwei Feng Jianping Xia Xuan Zhou Nan Chen Zhengquan Chen Qimeng Fan Hong Wang Peiyuan Ding Qing Du
author_facet	Xin Li Yuwei Feng Jianping Xia Xuan Zhou Nan Chen Zhengquan Chen Qimeng Fan Hong Wang Peiyuan Ding Qing Du
author_sort	Xin Li
title	Effects of Cognitive Behavioral Therapy on Pain and Sleep in Adults with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_short	Effects of Cognitive Behavioral Therapy on Pain and Sleep in Adults with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_full	Effects of Cognitive Behavioral Therapy on Pain and Sleep in Adults with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_fullStr	Effects of Cognitive Behavioral Therapy on Pain and Sleep in Adults with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_full_unstemmed	Effects of Cognitive Behavioral Therapy on Pain and Sleep in Adults with Traumatic Brain Injury: A Systematic Review and Meta-Analysis
title_sort	effects of cognitive behavioral therapy on pain and sleep in adults with traumatic brain injury: a systematic review and meta-analysis
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/daede12b43ec46649f3d803a3eb7d6d6
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Effects of Cognitive Behavioral Therapy on Pain and Sleep in Adults with Traumatic Brain Injury: A Systematic Review and Meta-Analysis

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