The Effectiveness of Acceptance and Commitment Therapy on Insomnia Patients (A Single-arm Trial Plan)
Open accessAbstract
Amaç: İnsomni ve uyku komponentlerinde kabul ve kararlılık tedavisinin (ACT) etkilerine odaklanan çalışma sayısı sınırlıdır.Dolayısıyla, yeni bir psikolojik tedavi olarak, bu tedavi metodunun etkilerinin ayrıntılı bir şekilde araştırılması gereklidir.Bundan dolayı, insomnia hastalarında ACT'nin etkililiğini değerlendirmek üzere bu çalışma yürütülmüştür.Gereç ve Yöntem: Tek kollu çalışma planı kullanılan çalışmada, dört katılımcı, 2018 yılında Kermeanshah Üniversitesi Tıp Fakültesi, Uyku Bozuklukları Merkezi'ni ziyaret eden kişiler arasından seçilmiştir.Polisomnografi ve psikolojik görüşmelerde elde edilen verilere dayanılarak hastaların insomni tanısı doğrulanmıştır.Her katılımcı sekiz ACT oturumuna katılmıştır.Bulgular: ACT oturumları tamamlandıktan sonra, dört katılımcıdan elde edilen sonuçlarda, "deneyimsel kaçınma", "uyku ile ilgili işlevsiz inanç ve tutumlar" "uyuma güçlüklerinin kabullenilmesi" ve "uyku kalitesi" değişkenlerinin skorlarında farklılık saptanmıştır.Ayrıca, çalışmanın sonuçları her dört katılımcı için de toplam uyku süresinin artığını gösterir.Bu durum, uyku süresinin artmasında ACT'nin anlamlı bir etkisi olduğu anlamına gelir.Diğer uyku ile ilişkili değişkenler için de, tedavi sonrasındaki değişiklik eğilimi anlamlı olmuştur.
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ACT has demonstrated promise as a primary insomnia treatment for people with chronic pain, chronic insomnia, and as a self-help, internet intervention for insomnia.
“More recently ACT has demonstrated promise as a primary insomnia treatment for people with chronic pain (Zetterqvist et al ., 2018), chronic insomnia (Zakiei and Khazaie, 2019), and as a self-help, internet intervention for insomnia (Lappalainen et al ., 2019; Zakiei and Khazaie, 2019).”
From ACT-i, an insomnia intervention for autistic adults: A pilot study (2023) · cites this paper as Zakiei and Khazaie, 2019
The Results describe four participants who had experienced insomnia for six to ten years, and the Discussion reports improved sleep measures after ACT. The Procedures describe individual, therapist-led sessions, not a self-help internet intervention. This source supports the chronic-insomnia part of the citing sentence but not the internet-intervention part. (LLM, conf=0.88)
Experimental — accuracy not yet measuredStudy outcomes of ACT for insomnia have reported changes via sleep questionnaires and sleep diaries, and included follow-up of between 2 and 6 months.
“Study outcomes have reported changes via sleep questionnaires (Lappalainen et al ., 2019; Zakiei and Khazaie, 2019; Zetterqvist et al ., 2018) and sleep diaries (Zakiei and Khazaie, 2019; Zetterqvist et al ., 2018), and included follow-up of between 2 and 6 months.”
From ACT-i, an insomnia intervention for autistic adults: A pilot study (2023) · cites this paper as Zakiei and Khazaie, 2019
Change in self-reported insomnia symptoms following the intervention are consistent with studies in non-autistic adults which showed improvements in sleep in response to ACT interventions (Zakiei and Khazaie, 2019; Zetterqvist et al., 2018).
“Change in selfreported insomnia symptoms following the intervention are also consistent with studies in non-autistic adults which showed improvements in sleep in response to ACT interventions (Zakiei and Khazaie, 2019; Zetterqvist et al ., 2018).”
From ACT-i, an insomnia intervention for autistic adults: A pilot study (2023) · cites this paper as Zakiei and Khazaie, 2019
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Cited by
Sorted by citations
Zakiei, A., Khazaie, H., Rostampour, M., Lemola, S., Esmaeili, M., Dürsteler, K., Brühl, A., Sadeghi-Bahmani, D., & Brand, S. (2021) · Life · doi:10.3390/life11020133 · Cited by 84 · see citing works
Self-citationThe effect of acceptance and commitment therapy on insomnia and sleep quality: A systematic review
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“Interestingly, even though ACT does not have a therapeutic focus on dysfunctional beliefs about sleep, studies have reported reduced DBAS scores after ACT-I-based treatment (El Rafihi-Ferreira et al., 2020; Päivi et al., 2019; Zakiei et al., 2021; Zakiei & Khazaie, 2019).”
BackgroundACT-i, an insomnia intervention for autistic adults: A pilot study
Lawson, L. P., Richdale, A. L., Denney, K., & Morris, E. M. J. (2023) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465822000571 · Cited by 13 · see citing works
“More recently ACT has demonstrated promise as a primary insomnia treatment for people with chronic pain (Zetterqvist et al ., 2018), chronic insomnia (Zakiei and Khazaie, 2019), and as a self-help, internet intervention for insomnia (Lappalainen et al ., 2019; Zakiei and Khazaie, 2019).”
Zakiei, A., Korani, D., Sahraei, Z., Rostampour, M., & Khazaie, H. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.10.006 · Cited by 11 · see citing works
Self-citationMiller‐Mendes, M., Castilho, P., Clara, M. I., Clemente, V., & Gomes, A. A. (2026) · British Journal of Clinical Psychology · doi:10.1111/bjc.70077
- Authors
- Zakiei, A., & Khazaie, H.
- Affiliations
- Kermanshah University of Medical Sciences (IR)
- Corresponding author
- Zakiei, Ali
- Venue
- Journal of Turkish Sleep Medicine
- Publisher
- Galenos Yayinevi
- Published
- 2019-09-01
- Volume
- 6
- Issue
- 3
- Pages
- 65-73
- ISSN
- 2148-1504 (ISSN-L)
- OpenAlex
- W2972888302
- Cited by
- 15
- References
- 17
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 1
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Journal of Turkish Sleep Medicine (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Science Foundation
- Iran National Science Foundation
- Kermanshah University of Medical Sciences
- 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
- acceptance and commitment therapy, insomnia, sleep quality, sleep duration, avoidance, dysfunctional beliefs about sleep, sleep onset difficulty
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