Cited by 134Sleep and related disordersMindfulness and Compassion InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Usefulness of Mindfulness-Based Cognitive Therapy for Treating Insomnia in Patients With Anxiety Disorders: A Pilot Study

Yook, Keunyoung, Lee, Sang-Hyuk, Ryu, Mi, Kim, Keun-Hyang, Choi, Tae Kyou, Suh, Shin Young, Kim, Yong-Woo, Kim, Borah, Kim, Mi Young, Kim, Myo-Jung·2008·Journal of Nervous & Mental Disease

DOI 10.1097/nmd.0b013e31817762ac

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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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Mindfulness-Based Supportive Therapy (MBST)
Beng, T. S., Chin, L. E., Ng, C. G., Yee, A. H. A., Wu, C., Jane, L. E., & Meng, C. B. C. (2013) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909113508640 · Cited by 36
“Mindfulness-based interventions, such as mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT), have been shown to improve pain acceptance, insomnia, stress, anxiety, depression, caregiver stress, and so on.(44-53) Several mechanisms have been proposed to explain the effectiveness of…”
Background
Feasibility of a Mindfulness-Based Intervention for Aboriginal Adults with Type 2 Diabetes
Dreger, L. C., Mackenzie, C. S., & McLeod, B. (2013) · Mindfulness · doi:10.1007/s12671-013-0257-z · Cited by 24
“, 2009), cancer (Ledesma & Kumano, 2009), eating disorders (Kristeller & Hallett, 1999), insomnia (Yook et al., 2008), chronic pain (Kabat-Zinn, 2003; Morone, Greco, & Weiner, 2008), and depression (Ma & Teasdale, 2004; Segal, Williams, & Teasdale, 2002).”
Effects of mindfulness-based cognitive therapy for chronic pain: A multicenter study
Pardos-Gascón, E. M., Narambuena, L., Leal-Costa, C., Ramos-Morcillo, A. J., Ruzafa-Martínez, M., & van-der Hofstadt Román, C. J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18136951 · Cited by 20
“Some uthors [45] explained that the r duction in insomnia through MBCT was due t the reduction of worries (a specific component of anxiety) pr duced by the therapy, w ich were ass ciated with sleep problems in patients with”
Background
Conceptual Framework for Insomnia: A Cognitive Model in Practice
Vaziri, Z., Nami, M., Leite, J. P., Delbem, A. C. B., Hyppolito, M. Â., & Ghodratitoostani, I. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.628836 · Cited by 25
Mindfulness-based cognitive therapy for psycho-oncology patients: an exploratory study
Kingston, T., Collier, S., Hevey, D., McCormick, M. M., Besani, C., Cooney, J., & O’Dwyer, A.-M. (2015) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2014.81 · Cited by 23
“2008), co-morbidmood disorder and addiction (Hoppes, 2006), insomnia (Heidenreich et al. 2006; Yook et al. 2008), cardio-vascular disease (Griffiths et al.”
Background
The effect of a single session of 30-min mindful breathing in reducing fatigue among patients with haematological cancer – a randomised controlled trial
Ng, D., Gan, G., Anuar, N. A., Tung, Y., Lai, N.-Z., Tan, Y., Said, S., Madihie, A., Chai, C., & Tan, S. (2021) · BMC Palliative Care · doi:10.1186/s12904-021-00855-7 · Cited by 16
“(20) It has been shown to reduce fatigue, stress, anxiety, depression and improve sleep.(21-25) However, most evidence on the bene ts of mindfulness are based on conventional 6-8 weeks mindfulness programme.”
Background
The effects of sleep on body image: examining the roles of depression, perceived stress, and anxiety
Rosenbaum, D., Gillen, M. M., & Bloomer, S. A. (2023) · Journal of American College Health · doi:10.1080/07448481.2023.2186153 · Cited by 15
“17,18”
Mindfulness-based supportive therapy on reducing suffering in patients with advanced cancer: randomised controlled trial
Tan, S., Chee, C.-H., Ngai, C., Hii, S. L., Tan, Y., Ng, C.-G., Capelle, D., Zainuddin, S. I., Loh, E., Lam, C., et al. (2022) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2021-003349 · Cited by 15
Third-Wave Therapies for Insomnia
Taylor, H. L., Hailes, H. P., & Ong, J. C. (2015) · Current Sleep Medicine Reports · doi:10.1007/s40675-015-0020-1 · Cited by 16
Feasibility study of mindfulness-based cognitive therapy for anxiety disorders in a Japanese setting
Sado, M., Park, S., Ninomiya, A., Sato, Y., Fujisawa, D., Shirahase, J., & Mimura, M. (2018) · BMC Research Notes · doi:10.1186/s13104-018-3744-4 · Cited by 16
The myth of the superiority of concurrent combined treatments for anxiety disorders.
Pontoski, K. E., & Heimberg, R. G. (2010) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2010.01200.x · Cited by 9
Associations between psychological inflexibility processes, pre‐sleep arousal and sleep quality.
Mastin‐Purcell, L., Richdale, A. L., Lawson, L. P., & Morris, E. M. J. (2025) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12584 · Cited by 12
“…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), and a reduction in anxiety co-occurs with ACT-based insomnia treatment (Lawson et al., 2023; Shin et al., 2023).”
Mindfulness- and Acceptance-Based Interventions in the Treatment of Anxiety Disorders
Vøllestad, J. (2015) · Springer eBooks · doi:10.1007/978-3-319-22255-4_6 · Cited by 11
Sleeping for two: study protocol for a randomized controlled trial of cognitive behavioral therapy for insomnia in pregnant women
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 19
Biomolekulare Vulnerabilitätsfaktoren psychischer Erkrankungen
Hitzler, M., Karabatsiakis, A., & Kolassa, I. (2019) · Psychotherapeut · doi:10.1007/s00278-019-0366-9 · Cited by 15
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 19
“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].”
Method
Indirect effect of mindfulness on psychological distress via sleep hygiene in division I college student athletes
Moreton, A., Wahesh, E., & Schmidt, C. D. (2020) · Journal of American College Health · doi:10.1080/07448481.2020.1842416 · Cited by 12
Stress and Stress Management Among Youth and Young Men
Vo, D. X., & Park, M. J. (2008) · American Journal of Men s Health · doi:10.1177/1557988308325069 · Cited by 9
“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…”
Background
Mindfulness-Based Cognitive Therapy–Game: An Ironic Way to Treat Internet Gaming Disorder
Kim, J., Oh, H., & Yoon, A. S. (2025) · Journal of Medical Internet Research · doi:10.2196/65786 · Cited by 9
“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].”
The Effect of 20-Minute Mindful Breathing on the Perception of Suffering and Changes in Bispectral Index Score (BIS) in Palliative Care Informal Caregivers: A Randomized Controlled Study
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
Mindfulness and Acceptance Techniques
Herbert, J. D., & Forman, E. M. (2013) · Wiley eBooks · doi:10.1002/9781118528563.wbcbt07 · Cited by 10
Mindfulness-Based Cognitive Therapy vs. Psycho-education for Patients with Anxiety Disorders Who Did Not Achieve Remission Following Adequate Pharmacological Treatment
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 13
Symptom reduction in kidney transplant patients from 20-minute mindful breathing: a randomized controlled trial
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
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
Üniversite Öğrencilerinin Psikolojik Sağlamlıklarının Açıklanmasında Bilinçli Farkındalığın ve Çeşitli Demografik Değişkenlerin Rolü
Karataş, Z., & Camadan, F. (2020) · Eğitim Bilimleri Dergisi · doi:10.15285/maruaebd.604779 · Cited by 7
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
Une analyse des effets de la Mindfulness-Based Cognitive Therapy (MBCT) du champ princeps de la dépression à une pluralité de troubles psychiques : une revue de la littérature
Strub, L., & Tarquinio, C. (2012) · L Évolution Psychiatrique · doi:10.1016/j.evopsy.2012.04.007 · Cited by 10
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
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 6
The Efficacy of Mindfulness-Based Interventions on Depressive Symptoms and Quality of Life: A Systematic Review of Randomized Controlled Trials
Dang, J., Bashmi, L., Meeneghan, S., White, J., Hedrick, R., Djurovic, 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
Pleine conscience et insomnie : état des connaissances
Adam, P. (2016) · Médecine du Sommeil · doi:10.1016/j.msom.2016.04.001 · Cited by 3
The CARE programme: an accredited offending behaviour programme specifically for female offenders at risk of violence
Smith, N., Tew, J., & Patel, P. (2015) · Journal of Aggression Conflict and Peace Research · doi:10.1108/jacpr-02-2015-0164 · Cited by 3
“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).”
Background
The Effectiveness of a Sleep Optimization Program on Insomnia, Anxiety, Perceived Stress, and Emotion Dysregulation Among Football Players With Sleep Complaints
Emami, K., Nazari, S., Bender, A. M., Hossini, R. N. S., & Norouzi‬, E. (2023) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2022-0069 · Cited by 3
Mindfulness and Anxiety
Woodruff, S. C., Arnkoff, D. B., Glass, C. R., & Hindman, R. K. (2014) · The Wiley Blackwell Handbook of Mindfulness · doi:10.1002/9781118294895.ch37 · Cited by 3
Sleep, gut microbiota, and mind-body medicine
Das, M., Muralitharan, G., Saini, S., & Patra, S. (2025) · Brain Behavior and Immunity Integrative · doi:10.1016/j.bbii.2025.100128 · Cited by 3
Penggunaan Mindfulness-Based Cognitive Therapy (MBCT) untuk Menurunkan Gejala Depresi Wanita dengan (Major Depressive Disorder (MDD)
Mailana, H. L., & Cahyanti, I. Y. (2025) · JIIP - Jurnal Ilmiah Ilmu Pendidikan · doi:10.54371/jiip.v8i2.7101 · Cited by 3
“…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
Babos, C. I., Leucuta, D., & Dumitrascu, D. L. (2024) · Cureus · doi:10.7759/cureus.68226 · Cited by 3
Worry and Other Mental Health Problems
Jansson‐Fröjmark, M., Bilevicius, E., El-Gabalawy, R. M., & Asmundson, G. J. G. (2020) · Wiley eBooks · doi:10.1002/9781119189909.ch5 · Cited by 4
Internet-delivered mindfulness-based cognitive therapy (iMBCT) for chronic pain symptom management in adults: A pilot randomized controlled trial
Bindicsova, I., Hides, L. M., Brain, K., Hodson, F. J., Jackson, P., Jensen, M. P., Ehde, D. M., & Day, M. A. (2025) · Journal of Pain · doi:10.1016/j.jpain.2025.105429 · Cited by 1
Pathological Worry is Related to Poor Long-Term Pharmacological Treatment Response in Patients With Panic Disorder
Kim, H.-J., Kim, J., & Lee, S. (2021) · Psychiatry Investigation · doi:10.30773/pi.2021.0227 · Cited by 3
Self-citation
Mindfulness, Affect, and Sleep
Garland, S. N., Britton, W. B., Agagianian, N., Goldman, R. E., Carlson, L. E., & Ong, J. C. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-417188-6.00016-5 · Cited by 4
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
Complementary Tinnitus Therapies
Mazzoli, M. (2011) · Springer eBooks · doi:10.1007/978-1-60761-145-5_92 · Cited by 2

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)
ORCID: Lee, Sang-Hyuk
Kim, Yong-Woo
Kim, Borah
Venue: Journal of Nervous & Mental Disease
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2008-06
Volume: 196
Issue: 6
Pages: 501-503
ISSN: 0022-3018 (ISSN-L)
DOI: 10.1097/nmd.0b013e31817762ac
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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Usefulness of Mindfulness-Based Cognitive Therapy for Treating Insomnia in Patients With Anxiety Disorders: A Pilot Study

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