Mindfulness and behaviour therapy for insomnia: an assessment of treatment effect in a sleep disorders clinic population with insomnia
Abstract
Abstract Insomnia is a common major health concern, which causes significant distress and disruption in a person's life. The objective of this paper was to evaluate a 6-week version of Mindfulness-Based Therapy for Insomnia (MBTI) in a sample of people attending a sleep disorders clinic with insomnia, including those with comorbidities. Thirty participants who met the DSM-IV-TR diagnosis of insomnia participated in a 6-week group intervention. Outcome measures were a daily sleep diary and actigraphy during pre-treatment and follow-up, along with subjective sleep outcomes collected at baseline, end-of-treatment, and 3-month follow-up. Trend analyses showed that MBTI was associated with a large decrease in insomnia severity (p < .001), with indications of maintenance of treatment effect. There were significant improvements in objective sleep parameters, including sleep onset latency (p = .005), sleep efficiency (p = .033), and wake after sleep onset (p = .018). Significant improvements in subjective sleep parameters were also observed for sleep efficiency (p = .005) and wake after sleep onset (p < .001). Overall, this study indicated that MBTI can be successfully delivered in a sleep disorders clinic environment, with evidence of treatment effect for both objective and subjective measures of sleep.
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Sleep effort and cognitive arousal are modifiable perpetuating factors that can be influenced by cognitive behavioral therapy and mindfulness-based therapy for insomnia treatments.
“Additionally, sleep effort and cognitive arousal are modifiable perpetuating factors that can be influenced by cognitive behavioral therapy and mindfulness-based therapy for insomnia treatments [56–60].”
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“It also aligns with a meta-analysis showing a relationship between mindfulness meditation and improved sleep (Rusch et al., 2019) and a recent study showing that mindfulness-based therapy improved sleep for clients with insomnia attending a sleep disorders clinic (Peters et al., 2021).”
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- Authors
- Peters, A., Reece, J., Meaklim, H., Junge, M., Cunnington, D., Ong, J. C., Jackson, M., & Greenwood, K. M.
- Affiliations
- RMIT University (AU)
- ACAP University College (AU)
- Monash University (AU)
- Northwestern University (US)
- University of the Sunshine Coast (AU)
- Corresponding author
- Reece, John
- ORCID
- Venue
- Behaviour Change
- Publisher
- Cambridge University Press (CUP)
- Published
- 2020-11-27
- Volume
- 38
- Issue
- 1
- Pages
- 25-39
- ISSN
- 0813-4839 (ISSN-L)
- 2049-7768
- OpenAlex
- W3109010115
- Cited by
- 4
- References
- 35
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Change (publishedVersion)
- RMIT Research Repository (RMIT University Library) (publishedVersion)
- Figshare (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- insomnia, group intervention, sleep efficiency, sleep latency, wake after sleep onset, actigraphy, sleep diary, maintenance of treatment effects, comorbid insomnia
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