Cognitive-attitudinal factors predict CBT-I enrollment willingness in Chinese sleep clinic patients: a knowledge-attitudes-practices survey - Takeaways - MDSpire

Cognitive-attitudinal factors predict CBT-I enrollment willingness in Chinese sleep clinic patients: a knowledge-attitudes-practices survey

  • By

  • Chenglin Zou

  • Yanping Lan

  • Xiaofei Liu

  • Xingzhong Zhu

  • June 22, 2026

  • 0 min

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  • 1

    A study surveyed 2,661 adults at a Chinese sleep clinic to assess willingness to enroll in cognitive behavioral therapy for insomnia (CBT-I) programs.

  • 2

    52.1% of participants expressed willingness to enroll, with cognitive-attitudinal factors identified as significant predictors of this willingness.

  • 3

    Perceived need for treatment, beliefs in CBT-I effectiveness, and sleep health knowledge positively influenced willingness to participate.

  • 4

    Paradoxically, higher depression and insomnia severity were associated with lower willingness to enroll in sleep improvement programs.

  • 5

    The study highlights the need for prospective validation and strategies to enhance motivation among patients with depression.

Original Source(s)

Cognitive-attitudinal factors predict CBT-I enrollment willingness in Chinese sleep clinic patients: a knowledge-attitudes-practices survey

  • by Chenglin Zou, Yanping Lan, Xiaofei Liu, Xingzhong Zhu

  • June 22, 2026

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