Cognitive behavioural therapy for insomnia in people with cancer

This Cochrane review found very low-certainty to moderate-certainty evidence suggesting that CBT-I may offer small to very small improvements in patient-reported insomnia severity, sleep quality, and most subjective sleep diary parameters when compared with inactive controls. Against aerobic activities, low-certainty evidence indicates that CBT-I may also improve insomnia severity and sleep quality. The incidence of SAEs appeared similar between CBT-I and comparator groups, and the certainty of this evidence is very low. The decision to use CBT-I to treat insomnia in people with cancer might depend on the treatment's availability and cost, as well as clinicians' and patients' preferences. Future research requires long-term, larger, and more rigorously designed studies that are inclusive and diverse.