A randomized controlled trial of mindfulness meditation for chronic insomnia.
TL;DR: Mindfulness meditation appears to be a viable treatment option for adults with chronic insomnia and could provide an alternative to traditional treatments for insomnia.
Abstract: STUDY OBJECTIVES To evaluate the efficacy of mindfulness meditation for the treatment of chronic insomnia. DESIGN Three-arm, single-site, randomized controlled trial. SETTING Academic medical center. PARTICIPANTS Fifty-four adults with chronic insomnia. INTERVENTIONS Participants were randomized to either mindfulness-based stress reduction (MBSR), mindfulness-based therapy for insomnia (MBTI), or an eight-week self-monitoring (SM) condition. MEASUREMENTS AND RESULTS Patient-reported outcome measures were total wake time (TWT) from sleep diaries, the pre-sleep arousal scale (PSAS), measuring a prominent waking correlate of insomnia, and the Insomnia Severity Index (ISI) to determine remission and response as clinical endpoints. Objective sleep measures were derived from laboratory polysomnography and wrist actigraphy. Linear mixed models showed that those receiving a meditation-based intervention (MBSR or MBTI) had significantly greater reductions on TWT minutes (43.75 vs 1.09), PSAS (7.13 vs 0.16), and ISI (4.56 vs 0.06) from baseline-to-post compared to SM. Post hoc analyses revealed that each intervention was superior to SM on each of the patient-reported measures, but no significant differences were found when comparing MBSR to MBTI from baseline-to-post. From baseline to 6-month follow-up, MBTI had greater reductions in ISI scores than MBSR (P < 0.05), with the largest difference occurring at the 3-month follow-up. Remission and response rates in MBTI and MBSR were sustained from post-treatment through follow-up, with MBTI showing the highest rates of treatment remission (50%) and response (78.6%) at the 6-month follow-up. CONCLUSIONS Mindfulness meditation appears to be a viable treatment option for adults with chronic insomnia and could provide an alternative to traditional treatments for insomnia. TRIAL REGISTRATION Mindfulness-Based Approaches to Insomnia: clinicaltrials.gov, identifier: NCT00768781.
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TL;DR: There is a small but significant association between the extent of formal practice and positive intervention outcomes for a wide range of participants.
334 citations
15 Jul 2018-Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
TL;DR: It is demonstrated that actigraphy provides consistent objective data that is often unique from patient-reported sleep logs for some sleep parameters in adult and pediatric patients with suspected or diagnosed insomnia, circadian rhythm sleep-wake disorders, sleep-disordered breathing, central disorders of hypersomnolence, and adults with insufficient sleep syndrome.
Abstract: Introduction:The purpose of this systematic review is to provide supporting evidence for a clinical practice guideline on the use of actigraphy.Methods:The American Academy of Sleep Medicine commis...
264 citations
TL;DR: In these young health professionals and trainees, sleep and resilience are correlated with both mindfulness and self-compassion, and Prospective studies are needed to determine whether training to increase mindfulness andSelf-Compassion can improve clinicians'Sleep and resilience or whether decreasing sleep disturbances and building resilience improves mindfulness and compassion.
Abstract: Objectives: To describe the relationship between trainable qualities (mindfulness and self-compassion), with factors conceptually related to burnout and quality of care (sleep and resilience) in young health professionals and trainees. Design: Cross-sectional survey. Setting: Large Midwestern academic health center. Participants: 213 clinicians and trainees. Outcome measures: Sleep and resilience were assessed by using the 8-item PROMIS Sleep scale and the 6-item Brief Resilience Scale. Mindfulness and self-compassion were assessed using the 10-item Cognitive and Affective Mindfulness Scale, Revised and the 12-item Self-Compassion Scale. Health was assessed with Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health measures, and stress was assessed with the 10-item Perceived Stress Scale. After examination of descriptive statistics and Pearson correlations, multiple regression analyses were done to determine whether mindfulness and self-compassion were associated with be...
168 citations
TL;DR: The results suggest that MM may mildly improve some sleep parameters in patients with insomnia and can serve as an auxiliary treatment to medication for sleep complaints.
151 citations
TL;DR: How harm is understood and studied in related approaches to physical or psychological health and wellbeing, including psychotherapy, pharmacotherapy, and physical exercise is examined and greater conceptual clarity will facilitate more systematic research and enable interpretation of existing findings is argued.
133 citations
Cites methods from "A randomized controlled trial of mi..."
...This model was supported in randomized trial showing improvements in self-reported sleep variables for people with insomnia (Ong et al., 2014)....
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01 Jan 2005
TL;DR: Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness book.
5,362 citations
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15 Jan 2008
TL;DR: In this paper, the authors used the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness book to help people cope with stress, pain, and illness.
Abstract: FULL CATA STROPHE LIV ING: USING THE W ISDOM OF YOUR BODY A ND MIND TO FA CE STRESS, PA IN, A ND ILLNESS To read Full Catastrophe Living : Using the W isdom of Your Body and Mind to Face Stress, Pain, and Illness eBook, please click the link under and download the ebook or get access to additional information which might be related to Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness book.
5,246 citations
TL;DR: The clinical validation of the Insomnia Severity Index (ISI) indicates that the ISI is a reliable and valid instrument to quantify perceived insomnia severity and is likely to be a clinically useful tool as a screening device or as an outcome measure in insomnia treatment research.
5,143 citations
TL;DR: It is concluded that this form of meditation can be used as the basis for an effective behavioral program in self-regulation for chronic pain patients and key features of the program structure, and the limitations of the present uncontrolled study are discussed.
3,506 citations