LAUSR

Key Points Question What is the association of each component and delivery format of cognitive behavioral therapy for chronic insomnia with outcomes? Findings This systematic review and component network meta-analysis including 241 trials found that cognitive restructuring, third-wave components, sleep restriction, stimulus control, and in-person format may be beneficial. Cognitive restructuring, third-wave components and in-person delivery were mainly associated with improved subjective sleep quality, while sleep restriction and stimulus control were associated both with improved sleep quality and self-reported sleep continuity. Meaning The findings suggest that beneficial cognitive behavioral therapy for insomnia may include cognitive restructuring, third-wave components, sleep restriction, stimulus control, and in-person format.