Sleepstation is a clinically proven treatment for insomnia.
Defined as difficulty initiating sleep, difficulty maintaining sleep, with subsequent impact upon daytime function, insomnia disorder is associated with daytime fatigue, reduced quality of life, and increased ill health across a range of studies.
Insomnia predicts subsequent depression or anxiety in those with a first episode of mood disorder and is also associated with physical health problems such as hypertension and diabetes.
There is a large body of evidence, based on over 20 years of randomised controlled trials (RCTs), for a specific form of cognitive behavioural therapy (CBT), CBT for insomnia (CBT-i), being an effective and long-lasting treatment for 50%–70% of patients.
Pharmacological therapies are widely used in primary care, but there is limited evidence for their benefit in chronic insomnia and increasing evidence that these medications are associated with long-term risks, particularly in an older population.
The efficacy of CBT-i to improve outcomes in primary and co-morbid insomnia patients has been repeatedly demonstrated, with improvements in both mental and physical health outcomes.
Several small-cohort studies and two RCTs to date have evaluated online CBT-i and shown promising results but with varying effect sizes.
CBT-i tackles factors that maintain insomnia over time, including sleep-related dysfunctional cognitions, behaviours which perpetuate insomnia, and dysregulation of the homeostatic sleep drive.
In the most recent study into the effectiveness of sleepstation, there was a significant increase in sleep efficiency and sleep latency after intervention; with modest improvements in total sleep time. The majority of users reported improved sleep quality. It was concluded that online CBT-i can be designed to deliver personalised therapy with good reported outcomes and high compliance rates in those who start therapy.
Several RCTs and studies show that understanding and treating disrupted sleep through CBTi could provide a key route to improving mental health.
In the largest ever RCT of a psychological treatment for mental health, individuals who received online CBTi showed reduction in insomnia as well as improvements in depression, anxiety, and psychological well-being.