Vigilantes do Sono is the first digital Cognitive Behavioral Therapy for insomnia (CBT-i) program for people with chronic insomnia in Brazil.
CBT-i is currently considered by the national health systems of the United States, England, and the European Union as the best solution for insomnia, with evidence spanning more than 30 years. Recently, the Brazilian Sleep Association (ABS) also defined CBT-i as the gold standard for improving insomnia.
CBT-i is effective in improving both primary insomnia and cases where other conditions are involved - anxiety, depression, chronic pain, etc. A summary of the main scientific evidence is presented below.
Although it is recognized that CBT-i works, the lack of therapists and sleep specialists prevents the widespread dissemination of this type of therapy. Vigilantes do Sono's digital program is an alternative to face-to-face models and sleeping pill prescriptions.
Cognitive Behavioral Therapy for insomnia (CBT-i) proves to be an effective and lasting program for approximately 70% of patients.
Despite being widely used, pharmacological therapies have limited results for chronic insomnia cases and present long-term risks, especially in elderly populations.
Older adults and withdrawal from hypnotics. Curran et al. 2003
Management of chronic insomnia in elderly persons. Bain KT. 2006
Several studies have already evaluated digital CBT-i, including contrasts with placebo treatments, and have shown promising results, albeit with some variation among them.
Internet-based treatment for insomnia: a controlled evaluation. Stroöm et al. 2004.
A randomised placebo-control trial of online CBTi. Espie et al. 2012.
Computerised CBTi: a systematic review and meta-analysis. Cheng & Dizon et al. 2012.
Online CBTi – targeted screening and interactive web design. Anderson, et al 2014.
Patients who completed CBT-i had better long-term results compared to patients who underwent medication treatment. Combined treatment (CBT-i + medication) shows even better results than individual options.
The efficacy of CBT-i in improving outcomes in patients with primary and secondary insomnia has been repeatedly demonstrated, with improvements in mental and physical health.
Impact of CBTi on concomitant anxiety. Belleville et al. 2011.
CBT for insomnia co-morbid with COPD. Kapella et al. 2011.
CBT interventions for co-morbid chronic pain & insomnia. Pigeon et al. 2012.
Several clinical studies show that understanding and intervening in insomnia through CBT-i can have great benefits for mental health even in the presence of comorbidities.
In the largest randomized clinical trial ever, individuals who received online CBT-i showed reduction in insomnia, as well as improvements in depression, anxiety, and psychological well-being.
Modified CBTi in depressed adolescents: A pilot study. Conroy et al. 2017.
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