TY - JOUR
T1 - Comparing the Effects of Mindfulness-Based Cognitive Therapy and Sleep Psycho-Education with Exercise on Chronic Insomnia
T2 - A Randomised Controlled Trial
AU - Wong, Samuel Yeung Shan
AU - Zhang, De Xing
AU - Li, Carole Chi Kwan
AU - Yip, Benjamin Hon Kei
AU - Chan, Dicken Cheong Chun
AU - Ling, Yuet Man
AU - Lo, Cola Siu Lin
AU - Woo, Doris Mei Sum
AU - Sun, Yu Ying
AU - Ma, Helen
AU - Mak, Winnie Wing Sze
AU - Gao, Ting
AU - Lee, Tatia Mei Chun
AU - Wing, Yun Kwok
N1 - Publisher Copyright:
© 2017 S. Karger AG, Basel.
PY - 2017/7/1
Y1 - 2017/7/1
N2 - Background: 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.
AB - Background: 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.
KW - Adult
KW - Chinese population
KW - Intervention
KW - Mindfulness-based cognitive therapy
KW - Primary chronic insomnia
KW - Primary health care
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=85021692239&partnerID=8YFLogxK
U2 - 10.1159/000470847
DO - 10.1159/000470847
M3 - Article
C2 - 28647747
AN - SCOPUS:85021692239
SN - 0033-3190
VL - 86
SP - 241
EP - 253
JO - Psychotherapy and Psychosomatics
JF - Psychotherapy and Psychosomatics
IS - 4
ER -