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Cognitive-behavioral therapy Article- Summary and Critical Analysis

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Cognitive-behavioral therapy Article- Summary and Critical Analysis

Article: Feng, G., Han, M., Li, X., Geng, L., & Miao, Y. (2020). The Clinical Effectiveness of Cognitive Behavioral Therapy for Patients with Insomnia and Depression: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine, 2020.

Introduction

In this study, the author examines how effective Cognitive Behavioral Therapy is for patients who have Insomnia and are depressed. In this article, the authors have mentioned that several studies have been conducted on the topic. According to these previous studies,6% -10% of the adults had Insomnia, and that about 10-15% of the patients who have Insomnia seem to move into the chronic course. Insomnia can increase the risk for various potential health issues, including cardiovascular diseases and depressive disorder. The purpose of the study was to how appropriate CBT-I is for Insomnia with depression.

Method

The method used by the authors includes the systematic review and meta-analysis that was based on (PRISMA). The authors' study here is the experimental design because the authors incorporated (RCTs) that concentrated on the Chinese language and English language. In this case, the dependent group was the CBT-1. At the same time, the Comparison group comprised the no treatment and the hypnotic drugs. The Waitlist control lacked the cure for the two conditions during the observation period; thus, the authors considered the waitlist control to be the no treatment. Therefore, the authors never considered sleep hygiene education a single control factor because the CBT-I constituted the sleep hygiene education.

Results

The results indicate that the average frequency of the CBT-I was once a week. The two RCTs [36, 37] utilized the zopiclone 3.75～11.25 mg QN, 1 RCT [38] used the estazolam 1 mg QN, while 1 RCT [39] never mentioned the amount of the benzodiazepine agonist. In this case, the average time of the treatment was eight weeks. The author also found that the middle evaluation time point was eight weeks as well. The considered diseases varied in this study, and they included nonmetastatic cancer, ischemic stroke, and hypertension, as tabulated by the authors.

Discussion

This study focused on evaluating the effectiveness and the safety of the CBT-I. Depending on the availability or unavailability of the pre-existing diseases, the patients were then divided into two groups, including the patients without the underlying illnesses. At the same time, the second grouped included patients with the underlying conditions.

The result of the study indicates that CBT-I is appropriate for Insomnia; however, CBT-I wasn't an appropriate therapy for depression conditions in the patients who suffered from the two states. Nevertheless, the result indicated that CBT-I was adequate for needs such as Insomnia, just like the hypotonic. At the same time, the CBT-I and the hypnotics seemed to be effective for depression.

Critical Analysis

The study on how effective cognitive-behavioral therapy is to the patient with depression and Insomnia has considered good aspects in the study, which makes this study relevant. Another strength of this study is that the information and the study outcomes are reliable; this is indicated by the stability and consistency of the results provided by the survey. However, the survey has some weaknesses. One major disadvantage of this study is that it does not provide guidelines to focus on the CBT-1, especially for insomnia comorbidity, including depression. This generally results in the limitation at the review level.

Additionally, the quality of evidence in this study was not entirely of high quality but varied, resulting in the variation of the outcomes. Moreover, the study considered a small sample because only ten studies were used in each case. A small piece for the task may make it hard to determine if a specific outcome is actual or potential errors in the study. Moreover, samples that are small night result in incorrect acceptance of the null hypothesis.

This study of cognitive-behavioral therapy fits with my Christian perspective ideas in various ways. This is because it is regarded as a school of psychotherapy as well as counseling. Counseling is entirely considered in Christianity as well as biblically. The goal of therapy is Christ. It is meant to provide or reveal a new source. Generally, values are considered an inevitable and also pervasive part of psychotherapy.

Based on my experience with this study, I believe it is a good study and has provided good results that can also be used for further research. However, future research should consider using a reasonably large sample and being CONSORT statement; this will help prevent potential bias risks. However, generally, the study is sound.

References

Feng, G., Han, M., Li, X., Geng, L., & Miao, Y. (2020). The Clinical Effectiveness of Cognitive Behavioral Therapy for Patients with Insomnia and Depression: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine, 2020.

Krause, M., Corts, D., Smith, S. C., & Dolderman, D. (2017). undefined.