Symptom-specific effects of cognitive therapy and behavior therapy for insomnia: A network intervention analysis.

Objective: Cognitive therapy (CT) and behavior (BT) are both effective for insomnia but expected to work via different pathways. Empirically, little is known about their symptom-specific effects. Method: This was a secondary analysis of randomized controlled trial online treatment disorder (N = 219, 72.9% female, mean age 52.5 years, SD 13.9). Participants were CT (n 72), BT 73), or wait-list 74). Network Intervention Analysis used investigate the effects throughout (wait-list excluded from current study). The networks included Insomnia Severity Index items sleep diary-based efficiency estimated biweekly Week 0 until 10. Results: in condition showed compared on (Week 4-8, post-test), difficulty maintaining 4), dissatisfaction with (post-test). interference daily functioning 8, initiating sleep, early morning awakenings, worry (all post-test). Conclusions: first study that observed specific differential course treatment. These more pronounced than line theoretical background these treatments. We think embedment empirical data major importance guide further development. (PsycInfo Database Record (c) 2021 APA, all rights reserved).