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Gepubliceerd in: Mindfulness 6/2018

24-02-2018 | ORIGINAL PAPER

A Randomized Controlled Trial of Mindfulness Meditation for Chronic Insomnia: Effects on Daytime Symptoms and Cognitive-Emotional Arousal

Auteurs: Jason C. Ong, Yinglin Xia, Christine E. Smith-Mason, Rachel Manber

Gepubliceerd in: Mindfulness | Uitgave 6/2018

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Abstract

Mindfulness-based interventions (MBI) have been shown to improve sleep quality among people with insomnia. However, much less is known about the effects of MBIs on other aspects of insomnia such as daytime symptoms and cognitive-emotional arousal. The purpose of this study was to examine the treatment effects on these domains for adults with chronic insomnia disorder who were randomized to mindfulness-based stress reduction (MBSR), mindfulness-based therapy for insomnia (MBTI), or a delayed-treatment control consisting of sleep diary self-monitoring (SM) followed by behavior therapy (BT). Analyses were conducted on baseline to post-treatment changes with superiority comparisons for each MBI to SM followed by non-inferiority comparisons for each MBI to BT. The results revealed significant reductions from baseline in the MBTI group with large effect sizes on sleep effort, maladaptive sleep-related cognitions, and hyperarousal which were superior to the SM control (p < 0.05) and non-inferior to BT (p < 0.025). MBSR demonstrated a significant increase in positive affect with a large effect size which was non-inferior to BT (p < 0.025) but not statistically significant compared to SM. These findings indicate that MBTI, a new MBI which combines mindfulness practices with behavioral sleep components, can be effective at reducing cognitive-emotional arousal related to insomnia while MBSR, a general MBI, can increase positive affect at a level similar to a standard behavioral treatment for insomnia.
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Literatuur
go back to reference American Academy of Sleep Medicine. (2005). The International Classification of Sleep Disorders-2. Rochester, MN. American Academy of Sleep Medicine. (2005). The International Classification of Sleep Disorders-2. Rochester, MN.
go back to reference American Psychatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C.: American Psychiatric Association. CrossRef American Psychatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C.: American Psychiatric Association. CrossRef
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio: Psychological Corporation.
go back to reference Black, D. S., O'Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Internal Medicine, 175(4), 494–501. CrossRef Black, D. S., O'Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Internal Medicine, 175(4), 494–501. CrossRef
go back to reference Bootzin, R. R. (1972). Stimulus control treatment for insomnia. Paper presented at the 80th Annual Convention of the American Psychological Association. Bootzin, R. R. (1972). Stimulus control treatment for insomnia. Paper presented at the 80th Annual Convention of the American Psychological Association.
go back to reference Broomfield, N. M., & Espie, C. A. (2005). Towards a valid, reliable measure of sleep effort. Journal Sleep Research, 14(4), 401–407. CrossRef Broomfield, N. M., & Espie, C. A. (2005). Towards a valid, reliable measure of sleep effort. Journal Sleep Research, 14(4), 401–407. CrossRef
go back to reference Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Lichstein, K. L., & Morin, C. M. (2006). Recommendations for a standard research assessment of insomnia. Sleep, 29(9), 1155–1173. CrossRef Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Lichstein, K. L., & Morin, C. M. (2006). Recommendations for a standard research assessment of insomnia. Sleep, 29(9), 1155–1173. CrossRef
go back to reference Carney, C. E., Edinger, J. D., Morin, C. M., Manber, R., Rybarczyk, B., Stepanski, E. J.,. .. Lack, L. (2010). Examining maladaptive beliefs about sleep across insomnia patient groups. Journal of Psychosomatic Research, 68(1), 57–65. CrossRef Carney, C. E., Edinger, J. D., Morin, C. M., Manber, R., Rybarczyk, B., Stepanski, E. J.,. .. Lack, L. (2010). Examining maladaptive beliefs about sleep across insomnia patient groups. Journal of Psychosomatic Research, 68(1), 57–65. CrossRef
go back to reference Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Marsh, G. R., & Quillian, R. E. (2001). Does cognitive-behavioral insomnia therapy alter dysfunctional beliefs about sleep? Sleep, 24(5), 591–599. CrossRef Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Marsh, G. R., & Quillian, R. E. (2001). Does cognitive-behavioral insomnia therapy alter dysfunctional beliefs about sleep? Sleep, 24(5), 591–599. CrossRef
go back to reference Edinger, J. D., Bonnet, M. H., Bootzin, R. R., Doghramji, K., Dorsey, C. M., Espie, C. A.,. .. American Academy of Sleep Medicine Work, G (2004). Derivation of research diagnostic criteria for insomnia: report of an American Academy of Sleep Medicine Work Group. Sleep, 27(8), 1567–1596. CrossRef Edinger, J. D., Bonnet, M. H., Bootzin, R. R., Doghramji, K., Dorsey, C. M., Espie, C. A.,. .. American Academy of Sleep Medicine Work, G (2004). Derivation of research diagnostic criteria for insomnia: report of an American Academy of Sleep Medicine Work Group. Sleep, 27(8), 1567–1596. CrossRef
go back to reference Edinger, J. D., Wyatt, J. K., Stepanski, E. J., Olsen, M. K., Stechuchak, K. M., Carney, C. E.,. .. Krystal, A. D. (2011). Testing the reliability and validity of DSM-IV-TR and ICSD-2 insomnia diagnoses. Results of a multitrait-multimethod analysis. Archives of General Psychiatry, 68(10), 992–1002. CrossRef Edinger, J. D., Wyatt, J. K., Stepanski, E. J., Olsen, M. K., Stechuchak, K. M., Carney, C. E.,. .. Krystal, A. D. (2011). Testing the reliability and validity of DSM-IV-TR and ICSD-2 insomnia diagnoses. Results of a multitrait-multimethod analysis. Archives of General Psychiatry, 68(10), 992–1002. CrossRef
go back to reference Edinger, J. D., Buysse, D. J., Deriy, L., Germain, A., Lewin, D. S., Ong, J. C., & Morgenthaler, T. I. (2015). Quality measures for the care of patients with insomnia. Journal of Clinical Sleep Medicine, 11(3), 311–334. PubMedPubMedCentral Edinger, J. D., Buysse, D. J., Deriy, L., Germain, A., Lewin, D. S., Ong, J. C., & Morgenthaler, T. I. (2015). Quality measures for the care of patients with insomnia. Journal of Clinical Sleep Medicine, 11(3), 311–334. PubMedPubMedCentral
go back to reference Espie, C. A., Inglis, S. J., Tessier, S., & Harvey, L. (2001). The clinical effectiveness of cognitive behaviour therapy for chronic insomnia: implementation and evaluation of a sleep clinic in general medical practice. Behaviour Research and Therapy, 39(1), 45–60. CrossRef Espie, C. A., Inglis, S. J., Tessier, S., & Harvey, L. (2001). The clinical effectiveness of cognitive behaviour therapy for chronic insomnia: implementation and evaluation of a sleep clinic in general medical practice. Behaviour Research and Therapy, 39(1), 45–60. CrossRef
go back to reference Espie, C. A., Kyle, S. D., Williams, C., Ong, J. C., Douglas, N. J., Hames, P., & Brown, J. S. (2012). A randomized, placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered via an automated media-rich web application. Sleep, 35(6), 769–781. CrossRef Espie, C. A., Kyle, S. D., Williams, C., Ong, J. C., Douglas, N. J., Hames, P., & Brown, J. S. (2012). A randomized, placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered via an automated media-rich web application. Sleep, 35(6), 769–781. CrossRef
go back to reference Garland, S. N., Carlson, L. E., Stephens, A. J., Antle, M. C., Samuels, C., & Campbell, T. S. (2014). Mindfulness-based stress reduction compared with cognitive behavioral therapy for the treatment of insomnia comorbid with cancer: a randomized, partially blinded, noninferiority trial. Journal of Clinical Oncology, 32(5), 449–457. CrossRef Garland, S. N., Carlson, L. E., Stephens, A. J., Antle, M. C., Samuels, C., & Campbell, T. S. (2014). Mindfulness-based stress reduction compared with cognitive behavioral therapy for the treatment of insomnia comorbid with cancer: a randomized, partially blinded, noninferiority trial. Journal of Clinical Oncology, 32(5), 449–457. CrossRef
go back to reference Gross, C. R., Kreitzer, M. J., Reilly-Spong, M., Wall, M., Winbush, N. Y., Patterson, R.,. .. Cramer-Bornemann, M. (2011). Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: a randomized controlled clinical trial. Explore, 7(2), 76–87. CrossRef Gross, C. R., Kreitzer, M. J., Reilly-Spong, M., Wall, M., Winbush, N. Y., Patterson, R.,. .. Cramer-Bornemann, M. (2011). Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: a randomized controlled clinical trial. Explore, 7(2), 76–87. CrossRef
go back to reference Hauri, P. J. (1977). Current concepts: the sleep disorders. Kalamazoo: The Upjohn Company. Hauri, P. J. (1977). Current concepts: the sleep disorders. Kalamazoo: The Upjohn Company.
go back to reference Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. CrossRef Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. CrossRef
go back to reference Johns, M. W. (1991). A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep, 14(6), 540–545. CrossRef Johns, M. W. (1991). A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep, 14(6), 540–545. CrossRef
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte Press. Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte Press.
go back to reference Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46(10), 1121–1123. CrossRef Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46(10), 1121–1123. CrossRef
go back to reference Krystal, A. D. (2007). Treating the health, quality of life, and functional impairments in insomnia. Journal of Clinical Sleep Medicine, 3(1), 63–72. PubMed Krystal, A. D. (2007). Treating the health, quality of life, and functional impairments in insomnia. Journal of Clinical Sleep Medicine, 3(1), 63–72. PubMed
go back to reference Morgenthaler, T., Kramer, M., Alessi, C., Friedman, L., Boehlecke, B., Brown, T.,. .. Swick, T. (2006). Practice parameters for the psychological and behavioral treatment of insomnia: an update. An American Academy of Sleep Medicine Report. Sleep, 29(11), 1415–1419. Morgenthaler, T., Kramer, M., Alessi, C., Friedman, L., Boehlecke, B., Brown, T.,. .. Swick, T. (2006). Practice parameters for the psychological and behavioral treatment of insomnia: an update. An American Academy of Sleep Medicine Report. Sleep, 29(11), 1415–1419.
go back to reference Morin, C. M. (1993). Insomnia: psychological assessment and management. New York: The Guilford Press. Morin, C. M. (1993). Insomnia: psychological assessment and management. New York: The Guilford Press.
go back to reference Morin, C. M., Blais, F., & Savard, J. (2002). Are changes in beliefs and attitudes about sleep related to sleep improvements in the treatment of insomnia? Behaviour Research and Therapy, 40(7), 741–752. CrossRef Morin, C. M., Blais, F., & Savard, J. (2002). Are changes in beliefs and attitudes about sleep related to sleep improvements in the treatment of insomnia? Behaviour Research and Therapy, 40(7), 741–752. CrossRef
go back to reference Morin, C. M., LeBlanc, M., Belanger, L., Ivers, H., Merette, C., & Savard, J. (2011). Prevalence of insomnia and its treatment in Canada. The Canadian Journal of Psychiatry / La Revue canadienne de psychiatrie, 56(9). CrossRef Morin, C. M., LeBlanc, M., Belanger, L., Ivers, H., Merette, C., & Savard, J. (2011). Prevalence of insomnia and its treatment in Canada. The Canadian Journal of Psychiatry / La Revue canadienne de psychiatrie, 56(9). CrossRef
go back to reference Nicassio, P. M., Mendlowitz, D. R., Fussell, J. J., & Petras, L. (1985). The phenomenology of the pre-sleep state: the development of the pre-sleep arousal scale. Behaviour Research and Therapy, 23(3), 263–271. CrossRef Nicassio, P. M., Mendlowitz, D. R., Fussell, J. J., & Petras, L. (1985). The phenomenology of the pre-sleep state: the development of the pre-sleep arousal scale. Behaviour Research and Therapy, 23(3), 263–271. CrossRef
go back to reference Ohayon, M. M. (2002). Epidemiology of insomnia: what we know and what we still need to learn. Sleep Medicine Reviews, 6(2), 97–111. CrossRef Ohayon, M. M. (2002). Epidemiology of insomnia: what we know and what we still need to learn. Sleep Medicine Reviews, 6(2), 97–111. CrossRef
go back to reference Ong, J. C. (2017). Mindfulness-based therapy for insomnia. Washington, DC: American Psychological Association. CrossRef Ong, J. C. (2017). Mindfulness-based therapy for insomnia. Washington, DC: American Psychological Association. CrossRef
go back to reference Ong, J. C., & Sholtes, D. (2010). A mindfulness-based approach to the treatment of insomnia. Journal of Clinical Psychology, 66(11), 1175–1184. CrossRef Ong, J. C., & Sholtes, D. (2010). A mindfulness-based approach to the treatment of insomnia. Journal of Clinical Psychology, 66(11), 1175–1184. CrossRef
go back to reference Ong, J. C., & Smith, C. E. (2017). Using mindfulness for the treatment of insomnia. Current Sleep Medicine Reports, 3, 57–65. CrossRef Ong, J. C., & Smith, C. E. (2017). Using mindfulness for the treatment of insomnia. Current Sleep Medicine Reports, 3, 57–65. CrossRef
go back to reference Ong, J. C., Shapiro, S. L., & Manber, R. (2008). Combining mindfulness meditation with cognitive-behavior therapy for insomnia: a treatment-development study. Behavior Therapy, 39(2), 171–182. CrossRef Ong, J. C., Shapiro, S. L., & Manber, R. (2008). Combining mindfulness meditation with cognitive-behavior therapy for insomnia: a treatment-development study. Behavior Therapy, 39(2), 171–182. CrossRef
go back to reference Ong, J. C., Shapiro, S. L., & Manber, R. (2009). Mindfulness meditation and cognitive behavioral therapy for insomnia: a naturalistic 12-month follow-up. Explore, 5(1), 30–36. CrossRef Ong, J. C., Shapiro, S. L., & Manber, R. (2009). Mindfulness meditation and cognitive behavioral therapy for insomnia: a naturalistic 12-month follow-up. Explore, 5(1), 30–36. CrossRef
go back to reference Ong, J. C., Ulmer, C. S., & Manber, R. (2012). Improving sleep with mindfulness and acceptance: a metacognitive model of insomnia. Behaviour Research and Therapy, 50(11), 651–660. CrossRef Ong, J. C., Ulmer, C. S., & Manber, R. (2012). Improving sleep with mindfulness and acceptance: a metacognitive model of insomnia. Behaviour Research and Therapy, 50(11), 651–660. CrossRef
go back to reference Ong, J. C., Manber, R., Segal, Z., Xia, Y., Shapiro, S., & Wyatt, J. K. (2014). A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep, 37(9), 1553–1563. CrossRef Ong, J. C., Manber, R., Segal, Z., Xia, Y., Shapiro, S., & Wyatt, J. K. (2014). A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep, 37(9), 1553–1563. CrossRef
go back to reference Palagini, L., Ong, J. C., & Riemann, D. (2017). The mediating role of sleep-related metacognitive processes in trait and pre-sleep state hyperarousal in insomnia disorder. Journal of Psychosomatic Research, 99, 59–65. CrossRef Palagini, L., Ong, J. C., & Riemann, D. (2017). The mediating role of sleep-related metacognitive processes in trait and pre-sleep state hyperarousal in insomnia disorder. Journal of Psychosomatic Research, 99, 59–65. CrossRef
go back to reference Pavlova, M., Berg, O., Gleason, R., Walker, F., Roberts, S., & Regestein, Q. (2001). Self-reported hyperarousal traits among insomnia patients. Journal of Psychosomatic Research, 51(2), 435–441. CrossRef Pavlova, M., Berg, O., Gleason, R., Walker, F., Roberts, S., & Regestein, Q. (2001). Self-reported hyperarousal traits among insomnia patients. Journal of Psychosomatic Research, 51(2), 435–441. CrossRef
go back to reference Perlis, M., Jungquist, C., Smith, M., & Posner, P. (2005). Cognitive behavioral treatment of insomnia: a session-by-session guide. New York: Springer. Perlis, M., Jungquist, C., Smith, M., & Posner, P. (2005). Cognitive behavioral treatment of insomnia: a session-by-session guide. New York: Springer.
go back to reference Regestein, Q., Pavlova, M., & Casares, F. (1996). Validation of the hyperarousal scale in primary insomnia subjects. Sleep Research, 25, 344. Regestein, Q., Pavlova, M., & Casares, F. (1996). Validation of the hyperarousal scale in primary insomnia subjects. Sleep Research, 25, 344.
go back to reference Riemann, D., Spiegelhalder, K., Feige, B., Voderholzer, U., Berger, M., Perlis, M., & Nissen, C. (2010). The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Medicine Reviews, 14(1), 19–31. CrossRef Riemann, D., Spiegelhalder, K., Feige, B., Voderholzer, U., Berger, M., Perlis, M., & Nissen, C. (2010). The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Medicine Reviews, 14(1), 19–31. CrossRef
go back to reference Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press. Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
go back to reference Spielman, A. J., Saskin, P., & Thorpy, M. J. (1987). Treatment of chronic insomnia by restriction of time in bed. Sleep, 10(1), 45–56. PubMed Spielman, A. J., Saskin, P., & Thorpy, M. J. (1987). Treatment of chronic insomnia by restriction of time in bed. Sleep, 10(1), 45–56. PubMed
go back to reference Stepanski, E., Koshorek, G., Zorick, F., Glinn, M., Roehrs, T., & Roth, T. (1989). Characteristics of individuals who do or do not seek treatment for chronic insomnia. Psychosomatics, 30(4), 421–427. CrossRef Stepanski, E., Koshorek, G., Zorick, F., Glinn, M., Roehrs, T., & Roth, T. (1989). Characteristics of individuals who do or do not seek treatment for chronic insomnia. Psychosomatics, 30(4), 421–427. CrossRef
go back to reference Tang, Y.-Y., Tang, R., & Posner, M. I. (2016). Mindfulness meditation improves emotion regulation and reduces drug abuse. Drug and Alcohol Dependence, 163, S13–S18. CrossRef Tang, Y.-Y., Tang, R., & Posner, M. I. (2016). Mindfulness meditation improves emotion regulation and reduces drug abuse. Drug and Alcohol Dependence, 163, S13–S18. CrossRef
go back to reference Valko, P. O., Bassetti, C. L., Bloch, K. E., Held, U., & Baumann, C. R. (2008). Validation of the fatigue severity scale in a Swiss cohort. Sleep, 31(11), 1601–1607. CrossRef Valko, P. O., Bassetti, C. L., Bloch, K. E., Held, U., & Baumann, C. R. (2008). Validation of the fatigue severity scale in a Swiss cohort. Sleep, 31(11), 1601–1607. CrossRef
go back to reference Waine, J., Broomfield, N. M., Banham, S., & Espie, C. A. (2009). Metacognitive beliefs in primary insomnia: developing and validating the Metacognitions Questionnaire–Insomnia (MCQ-I). Journal of Behavior Therapy and Experimental Psychiatry, 40(1), 15–23. CrossRef Waine, J., Broomfield, N. M., Banham, S., & Espie, C. A. (2009). Metacognitive beliefs in primary insomnia: developing and validating the Metacognitions Questionnaire–Insomnia (MCQ-I). Journal of Behavior Therapy and Experimental Psychiatry, 40(1), 15–23. CrossRef
go back to reference Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. CrossRef Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. CrossRef
go back to reference Zhang, J. X., Liu, X. H., Xie, X. H., Zhao, D., Shan, M. S., Zhang, X. L.,. .. Cui, H. (2015). Mindfulness-based stress reduction for chronic insomnia in adults older than 75 years: a randomized, controlled, single-blind clinical trial. Explore, 11(3), 180–185. CrossRef Zhang, J. X., Liu, X. H., Xie, X. H., Zhao, D., Shan, M. S., Zhang, X. L.,. .. Cui, H. (2015). Mindfulness-based stress reduction for chronic insomnia in adults older than 75 years: a randomized, controlled, single-blind clinical trial. Explore, 11(3), 180–185. CrossRef
Metagegevens
Titel
A Randomized Controlled Trial of Mindfulness Meditation for Chronic Insomnia: Effects on Daytime Symptoms and Cognitive-Emotional Arousal
Auteurs
Jason C. Ong
Yinglin Xia
Christine E. Smith-Mason
Rachel Manber
Publicatiedatum
24-02-2018
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 6/2018
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-018-0911-6