TreatmentSOL (minutes)WASO (minutes)Sleep efficiency (%)*Total sleep time increase (minutes)Sleep quality (SMD)Risk difference
Nonpharmacologic13,14 −15.7 to −24−22.524.3 to 32
Relaxation4 −14.5−1.60.423.00.37
Cognitive/behavioral4 −4.6−18.25.50.70.38
Exercise16 −1242
Benzodiazepines4,22 −4.2 to −16.5−23.16.339.1 to 61.80.080.15
Estazolam4 −10.2
Flurazepam (Dalmane)4 −23.1−12.4
Temazepam (Restoril)4 −11.6−23.7
Triazolam (Halcion)4 −19.7−40.0
Nonbenzodiazepines4 −18.1−12.65.928.00.480.05
Eszopiclone (Lunesta)4 −16.7−25.8
Zaleplon (Sonata)4 −20.1
Zolpidem (Ambien)4 −12.8−8.5
Antidepressants4 −7.4−11.413.853.80.630.09
Doxepin4 −6.7
Trazodone (Desyrel)4 −12.2
Melatonin4 −8.3−9.73.35.80.250.09
Valerian4 −1.3−8.4−0.10.81.380.06