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Article: Comparing the Effects of Mindfulness-Based Cognitive Therapy and Sleep Psycho-Education with Exercise on Chronic Insomnia: A Randomised Controlled Trial

TitleComparing the Effects of Mindfulness-Based Cognitive Therapy and Sleep Psycho-Education with Exercise on Chronic Insomnia: A Randomised Controlled Trial
Authors
KeywordsMindfulness-based cognitive therapy
Primary chronic insomnia
Sleep
Intervention
Primary health care
Adult
Chinese population
Issue Date2017
PublisherS Karger AG. The Journal's web site is located at http://www.karger.com/PPS
Citation
Psychotherapy and Psychosomatics, 2017, v. 86 n. 4, p. 241-253 How to Cite?
AbstractBackground: Mindfulness-based cognitive therapy (MBCT) is a potential treatment for chronic insomnia. We evaluated the efficacy of MBCT for insomnia (MBCT-I) by comparing it with a sleep psycho-education with exercise control (PEEC) group. Methods: Adults with chronic primary insomnia (n = 216) were randomly allocated to the MBCT-I or PEEC group. The MBCT-I included mindfulness and psycho-education with cognitive and behavioural components under cognitive behavioural therapy for insomnia. PEEC included psycho-education of sleep hygiene and stimulus control, and exercises. Any change in insomnia severity was measured by the Insomnia Severity Index (ISI). Secondary outcomes included sleep parameters measured by a sleep diary, health service utilisation, absence from work and mindfulness measured by the Five Facet Mindfulness Questionnaire. Results: The ISI score significantly decreased in the MBCT-I group compared with the PEEC group at 2 months (i.e., post-intervention) (p = 0.023, effect size [95% CI] -0.360 [-0.675, -0.046]) but not at 5 or 8 months. Treatment response rates and remission rates based on the ISI cut-off scores were not significantly different between groups. Wake time after sleep onset (WASO) was less in the MBCT-I group at 2 and 5 months. At 8 months, both groups showed a reduced ISI score, sleep onset latency and WASO, and increased sleep efficiency and total sleep time; however, no group differences were seen. Other outcome measures did not significantly improve in either group. Conclusions: Long-term benefits were not seen in MBCT-I when compared with PEEC, although short-term benefits were seen.
Persistent Identifierhttp://hdl.handle.net/10722/247173
ISSN
2020 Impact Factor: 17.659
2020 SCImago Journal Rankings: 3.531
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, SY-
dc.contributor.authorZhang, D-
dc.contributor.authorLi, CC-
dc.contributor.authorYip, BH-
dc.contributor.authorChan, DC-
dc.contributor.authorLing, Y-
dc.contributor.authorLo, CS-
dc.contributor.authorWoo, DM-
dc.contributor.authorSun, Y-
dc.contributor.authorMa, H-
dc.contributor.authorMak, WW-
dc.contributor.authorGao, T-
dc.contributor.authorLee, TM-
dc.contributor.authorWing, Y-
dc.date.accessioned2017-10-18T08:23:26Z-
dc.date.available2017-10-18T08:23:26Z-
dc.date.issued2017-
dc.identifier.citationPsychotherapy and Psychosomatics, 2017, v. 86 n. 4, p. 241-253-
dc.identifier.issn0033-3190-
dc.identifier.urihttp://hdl.handle.net/10722/247173-
dc.description.abstractBackground: Mindfulness-based cognitive therapy (MBCT) is a potential treatment for chronic insomnia. We evaluated the efficacy of MBCT for insomnia (MBCT-I) by comparing it with a sleep psycho-education with exercise control (PEEC) group. Methods: Adults with chronic primary insomnia (n = 216) were randomly allocated to the MBCT-I or PEEC group. The MBCT-I included mindfulness and psycho-education with cognitive and behavioural components under cognitive behavioural therapy for insomnia. PEEC included psycho-education of sleep hygiene and stimulus control, and exercises. Any change in insomnia severity was measured by the Insomnia Severity Index (ISI). Secondary outcomes included sleep parameters measured by a sleep diary, health service utilisation, absence from work and mindfulness measured by the Five Facet Mindfulness Questionnaire. Results: The ISI score significantly decreased in the MBCT-I group compared with the PEEC group at 2 months (i.e., post-intervention) (p = 0.023, effect size [95% CI] -0.360 [-0.675, -0.046]) but not at 5 or 8 months. Treatment response rates and remission rates based on the ISI cut-off scores were not significantly different between groups. Wake time after sleep onset (WASO) was less in the MBCT-I group at 2 and 5 months. At 8 months, both groups showed a reduced ISI score, sleep onset latency and WASO, and increased sleep efficiency and total sleep time; however, no group differences were seen. Other outcome measures did not significantly improve in either group. Conclusions: Long-term benefits were not seen in MBCT-I when compared with PEEC, although short-term benefits were seen.-
dc.languageeng-
dc.publisherS Karger AG. The Journal's web site is located at http://www.karger.com/PPS-
dc.relation.ispartofPsychotherapy and Psychosomatics-
dc.subjectMindfulness-based cognitive therapy-
dc.subjectPrimary chronic insomnia-
dc.subjectSleep-
dc.subjectIntervention-
dc.subjectPrimary health care-
dc.subjectAdult-
dc.subjectChinese population-
dc.titleComparing the Effects of Mindfulness-Based Cognitive Therapy and Sleep Psycho-Education with Exercise on Chronic Insomnia: A Randomised Controlled Trial-
dc.typeArticle-
dc.identifier.emailSun, Y: gyysun@hku.hk-
dc.identifier.emailLee, TM: tmclee@hku.hk-
dc.identifier.authoritySun, Y=rp02807-
dc.identifier.authorityLee, TM=rp00564-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1159/000470847-
dc.identifier.pmid28647747-
dc.identifier.scopuseid_2-s2.0-85021692239-
dc.identifier.hkuros279729-
dc.identifier.volume86-
dc.identifier.issue4-
dc.identifier.spage241-
dc.identifier.epage253-
dc.identifier.eissn1423-0348-
dc.identifier.isiWOS:000404960600004-
dc.publisher.placeSwitzerland-
dc.identifier.issnl0033-3190-

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