Authors: Janika Thielecke; Paula Kuper; Dirk Lehr; Lea Schuurmans; Mathias Harrer; David D. Ebert; Pim Cuijpers; Dörte Behrendt; Hanna Brückner; Hanne Horvath; Heleen Riper; Claudia Buntrock · Research

Can Online Insomnia Treatment Help Prevent and Treat Depression?

Research shows that treating sleep problems online may effectively reduce depression symptoms in working adults

Source: Thielecke, J., Kuper, P., Lehr, D., Schuurmans, L., Harrer, M., Ebert, D. D., Cuijpers, P., Behrendt, D., Brückner, H., Horvath, H., Riper, H., & Buntrock, C. (2024). Who benefits from indirect prevention and treatment of depression using an online intervention for insomnia? Results from an individual-participant data meta-analysis. Psychological Medicine, 54, 2389-2402. https://doi.org/10.1017/S0033291724000527

What you need to know

  • Online cognitive behavioral therapy for insomnia can significantly reduce depression symptoms
  • The treatment was effective regardless of demographic factors like age, gender, or education level
  • Both people with mild and more severe depression symptoms showed improvement with the therapy

The Sleep-Depression Connection

Have you ever noticed how a poor night’s sleep affects your mood the next day? Now imagine dealing with chronic sleep problems - it’s no surprise that insomnia and depression often go hand in hand. While effective treatments exist for both conditions, many people hesitate to seek help for depression due to stigma or other barriers. But what if treating sleep problems could also help with depression symptoms?

That’s exactly what researchers investigated in this comprehensive analysis of online insomnia treatment. They found that addressing sleep issues may provide an alternative pathway to improving depression symptoms, especially for those who might be reluctant to seek direct mental health treatment.

How the Online Treatment Works

The treatment program, called GET.ON Recovery, is based on cognitive behavioral therapy for insomnia (CBT-I), which is considered the gold standard for treating sleep problems. It includes several key components:

  • Sleep hygiene education (healthy sleep habits)
  • Sleep restriction (limiting time in bed to build sleep pressure)
  • Techniques to reduce racing thoughts and worry
  • Methods to mentally disconnect from work stress
  • Behavioral activation strategies

Unlike traditional in-person therapy, this program is delivered entirely online, making it more accessible and convenient for many people. Participants can work through the materials at their own pace while receiving varying levels of support from trained coaches.

What the Research Found

The researchers analyzed data from four studies involving 561 working adults who were experiencing both sleep problems and work-related stress. The results were impressive:

The online insomnia treatment led to significant improvements in depression symptoms compared to those who didn’t receive the treatment. These improvements were:

  • Substantial immediately after treatment
  • Even larger at the 6-month follow-up
  • Consistent across different demographic groups
  • Maintained even when researchers controlled for sleep-related questions in their depression measures

About 57% of participants who received the treatment showed reliable improvement in their depression symptoms, compared to only 23% in the control group. This means that for every 3-4 people treated, one person showed meaningful improvement in their depression symptoms.

Who Benefits Most?

One of the most interesting findings was that the treatment seemed to help almost everyone, regardless of:

  • Age
  • Gender
  • Education level
  • Relationship status
  • Work-related factors

The only factor that influenced how much people improved was their initial depression symptom severity. People with more severe symptoms at the start showed the largest improvements, though even those with milder symptoms benefited.

What This Means for You

These findings have several important implications:

  1. If you’re struggling with both sleep problems and depression symptoms, treating your insomnia might help improve both conditions.

  2. Online treatment can be an effective option if you:

    • Have limited access to in-person therapy
    • Prefer the privacy of working on your own
    • Need flexibility in when you engage with treatment
    • Feel more comfortable addressing sleep than depression
  3. Don’t let concerns about whether you’re “severe enough” stop you from seeking help - the treatment showed benefits across different severity levels.

Conclusions

  • Online insomnia treatment can be an effective way to improve both sleep and depression symptoms
  • The benefits appear to last and even grow stronger over time
  • The treatment works across different demographic groups and severity levels
  • This approach might be especially helpful for those reluctant to seek direct mental health treatment
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