The program that works

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.

    1994

    The efficacy of CBT-i

    2003

    Medications present long-term risks

    Despite being widely used, pharmacological therapies have limited results for chronic insomnia cases and present long-term risks, especially in elderly populations.

    Studies

    Older adults and withdrawal from hypnotics. Curran et al. 2003

    Management of chronic insomnia in elderly persons. Bain KT. 2006

    2009

    CBT-i shows better results than medications

    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.

    Study

    Cognitive Behavioral Therapy, Singly and Combined With Medication, for Persistent Insomnia. Morin et al. 2009.

    2011

    More positive results from CBT-i

    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.

    Studies

    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.

    2016

    Even with comorbidities, CBT-i brings benefits

    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.

    Studies

    Treating depression and anxiety with digital CBTi: a real world NHS evaluation using standardized outcome measures. Luik et al. 2016

    Modified CBTi in depressed adolescents: A pilot study. Conroy et al. 2017.

    The effects of improving sleep on mental health (OASIS): a randomised controlled trial with mediation analysis. Freeman et al. 2017.

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