Usefulness of Mindfulness-Based Cognitive Therapy for Treating Insomnia in Patients With Anxiety Disorders: A Pilot Study
Abstract
The objective of this study was to examine the usefulness of a mindfulness-based cognitive therapy (MBCT) for treating insomnia symptoms in patients with anxiety disorder. Nineteen patients with anxiety disorder were assigned to an 8-week MBCT clinical trial. Participants showed significant improvement in Pittsburgh Sleep Quality Index (Z = -3.46, p = 0.00), Penn State Worry Questionnaire (Z = -3.83, p = 0.00), Ruminative Response Scale (Z = -3.83, p = 0.00), Hamilton Anxiety Rating Scale (Z = -3.73, p = 0.00), and Hamilton Depression Rating Scale scores (Z = -3.06, p = 0.00) at the end of the 8-week program as compared with baseline. Multiple regression analysis showed that baseline Penn State Worry Questionnaire scores were associated with baseline Pittsburgh Sleep Quality Index scores. These findings suggest that MBCT can be effective at relieving insomnia symptoms by reducing worry associated sleep disturbances in patients with anxiety disorder. However, well-designed, randomized, controlled trials are needed to confirm our findings.
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CBT and mindfulness-based interventions directed at either insomnia or anxiety have moderate effects on the co-occurrence of the other.
“cognitive behaviour therapy (CBT) and mindfulness‐based interventions directed at either disorder also have moderate effects on the co‐occurrence of the other (Belleville et al., 2010; Yook et al., 2008)”
From Associations between psychological inflexibility processes, pre‐sleep arousal and sleep quality. (2025) · cites this paper as Yook et al., 2008
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Mindfulness- and Acceptance-Based Interventions in the Treatment of Anxiety Disorders
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MacKinnon, A., Madsen, J. W., Dhillon, A. K., Keys, E., Giesbrecht, G. F., Williamson, T. S., Metcalfe, A., Campbell, T. S., Mrklas, K., & Tomfohr‐Madsen, L. M. (2021) · Trials · doi:10.1186/s13063-021-05498-w · Cited by 18 · see citing works
Biomolekulare Vulnerabilitätsfaktoren psychischer Erkrankungen
Hitzler, M., Karabatsiakis, A., & Kolassa, I. (2019) · Psychotherapeut · doi:10.1007/s00278-019-0366-9 · Cited by 11 · see citing works
Mindfulness-Based Strategies for Improving Sleep in People with Psychiatric Disorders
Peters, A., Saunders, W. J., & Jackson, M. L. (2022) · Current Psychiatry Reports · doi:10.1007/s11920-022-01370-z · Cited by 16 · see citing works
“Three studies used traditional face-to-face MBSR [49, 50, 52] and one used MBCT [53], with one study examining the effectiveness of used brief, digital audio-guided meditations [51].”
MethodMoreton, A., Wahesh, E., & Schmidt, C. D. (2020) · Journal of American College Health · doi:10.1080/07448481.2020.1842416 · Cited by 12 · see citing works
Stress and Stress Management Among Youth and Young Men
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“Very preliminary evidence in adult populations also suggests that mindfulness-based interventions may be effective in the treatment of suicidality (Williams, Duggan, Crane, & Fennell, 2006), binge-eating disorder (Kristeller & Hallett, 1999), insomnia (Winbush, Gross, & Kreitzer, 2007; Yook et al., 2008), and bipolar…”
BackgroundMindfulness-Based Cognitive Therapy–Game: An Ironic Way to Treat Internet Gaming Disorder
Kim, J., Oh, H., & Yoon, A. (2024) · Journal of Medical Internet Research · doi:10.2196/65786 · Cited by 8 · see citing works
“Beyond depression, its effectiveness has been reported for other mental health conditions, including anxiety disorders [49-51], insomnia [52,53], bipolar disorder [54], panic disorder [55], chronic pain [56], cancer-related pain [57], and stress [58].”
Beng, T. S., Ching, H. C., Chia, Y. L., Yee, A. H. A., Ng, C. G., Hasan, M. S., Lim, K. S., Ahmad, S. B., Capelle, D. P., Loh, E. C., et al. (2019) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909119894507 · Cited by 11 · see citing works
Mindfulness and Acceptance Techniques
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Giommi, F., Castagner, V., Zaccaro, A., Gemignani, A., Serretti, A., Mandelli, L., Conversano, C., Vincenzi, S., & Chiesa, A. (2021) · Mindfulness · doi:10.1007/s12671-021-01664-y · Cited by 11 · see citing works
Lim, K. W., Ng, K. P., Ooi, S. H., Siow, W. S., & Tan, S. B. (2025) · BMC Nephrology · doi:10.1186/s12882-024-03820-7 · Cited by 6 · see citing works
Mindfulness Interventions for Disaster Resilience in Southeast Asia
Panting, A., Heise, A. G., Hechanova, M. R. M., & Waelde, L. C. (2020) · Community, environment and disaster risk management · doi:10.1108/s2040-726220200000021006 · Cited by 8 · see citing works
Karataş, Z., & Camadan, F. (2020) · Eğitim Bilimleri Dergisi · doi:10.15285/maruaebd.604779 · Cited by 6 · see citing works
Mindfulness-Based Cognitive Therapy for Combat-Related Posttraumatic Stress Disorder
King, A. P. J., & Favorite, T. (2016) · Springer eBooks · doi:10.1007/978-3-319-29866-5_15 · Cited by 7 · see citing works
Strub, L., & Tarquinio, C. (2012) · L Évolution Psychiatrique · doi:10.1016/j.evopsy.2012.04.007 · Cited by 5 · see citing works
The Effects of Mindfulness-Based Cognitive Therapy for Emotion Regulation in a Patient Group
전미애, & Kim, J. (2011) · The Korean Journal of Clinical Psychology · doi:10.15842/kjcp.2011.30.1.007 · Cited by 5 · see citing works
P02-335 - A Systematic Review of Neurobiological and Clinical Features of Mindfulness Meditations
Chiesa, A., & Serretti, A. (2010) · European psychiatry · doi:10.1016/s0924-9338(10)71034-8 · Cited by 5 · see citing works
Dang, J. M., Bashmi, L., Meeneghan, S., White, J., Hedrick, R., Djurović, J., Vanle, B., Nguyen, D., Almendarez, J., Ravets, P., et al. (2018) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.1802011 · Cited by 4 · see citing works
Pleine conscience et insomnie : état des connaissances
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“A study exploring the effects of MBCT on anxiety disorders found significant improvements in patients in anxiety, rumination, worry and sleep quality post MBCT (Yook et al., 2008).”
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Sleep, gut microbiota, and mind-body medicine
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“…diuji untuk menurunkan gejala kecemasan yang berlebih (Roemer & Orsillo, 2007), menurunkan gejala insomnia dengan mengurangi masalah tidur yang terkait pada gangguan kecemasan (Yook, Lee, Ryu, et al., 2008), dan meningkatkan kualitas hidup dalam domain fisik dan psikologis (Kuyken et al., 2008).”
Meditation-Based Therapies for Chronic Neuropathy: A Systematic Review and Meta-Analysis
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Worry and Other Mental Health Problems
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Kim, H.-J., Kim, J., & Lee, S. (2021) · Psychiatry Investigation · doi:10.30773/pi.2021.0227 · Cited by 3 · see citing works
Self-citationMindfulness, Affect, and Sleep
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Comparative effects of mindfulness and skills-based parent training programs
Iadarola, S. (2011) · Rutgers University Community Repository (Rutgers University) · doi:10.7282/t3b8576f · Cited by 1 · see citing works
Complementary Tinnitus Therapies
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- Authors
- Yook, K., Lee, S.-H., Ryu, M., Kim, K.-H., Choi, T. K., Suh, S. Y., Kim, Y.-W., Kim, B., Kim, M. Y., & Kim, M.-J.
- Affiliations
- CHA University (KR)
- CHA University Bundang Medical Center (KR)
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2008-06
- Volume
- 196
- Issue
- 6
- Pages
- 501-503
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2092938705
- Cited by
- 134
- References
- 0
- Citations by year
- 2025: 8 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 11 · 2020: 4 · 2019: 6 · 2018: 5 · 2017: 4 · 2016: 11 · 2015: 14 · 2014: 7 · 2013: 7 · 2012: 11
- FWCI
- 14.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- mindfulness-based cognitive therapy, insomnia, anxiety disorders, worry, rumination, sleep quality, depression, treatment efficacy
- MeSH terms
- Adaptation, Psychological, Adult, Agoraphobia, Anxiety Disorders, Arousal, Attention, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Personality Inventory, Pilot Projects, Comorbidity, Cognitive Behavioral Therapy, Panic Disorder, Meditation
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