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Mindfulness and Behaviour Therapy for Insomnia: An Assessment of Treatment Effect in a Sleep Disorders Clinic Population with Insomnia

Published online by Cambridge University Press:  27 November 2020

Allie Peters ,
John Reece ,
Hailey Meaklim Open the ORCID record for Hailey Meaklim [Opens in a new window] ,
Moira Junge ,
David Cunnington ,
Jason C. Ong ,
Mervyn Jackson  and
Kenneth Mark Greenwood
Allie Peters
Affiliation:
Melbourne Sleep Disorders Centre, Melbourne, Victoria, Australia RMIT University, Melbourne, Victoria, Australia
John Reece*
Affiliation:
Australian College of Applied Psychology, Melbourne, Victoria, Australia
Hailey Meaklim
Affiliation:
Melbourne Sleep Disorders Centre, Melbourne, Victoria, Australia Monash University, Melbourne, Victoria, Australia
Moira Junge
Affiliation:
Melbourne Sleep Disorders Centre, Melbourne, Victoria, Australia
David Cunnington
Affiliation:
Melbourne Sleep Disorders Centre, Melbourne, Victoria, Australia
Jason C. Ong
Affiliation:
Department of Neurology, Centre for Circadian and Sleep Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Mervyn Jackson
Affiliation:
RMIT University, Melbourne, Victoria, Australia
Kenneth Mark Greenwood
Affiliation:
University of the Sunshine Coast, Maroochydore DC, Queensland, Australia
*
*Corresponding author: John Reece, Australian College of Applied Psychology, Level 10, 123 Lonsdale Street, Melbourne, VIC3000, Australia. Email: john.reece@acap.edu.au
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Abstract

Insomnia is a common major health concern, which causes significant distress and disruption in a person's life. The objective of this paper was to evaluate a 6-week version of Mindfulness-Based Therapy for Insomnia (MBTI) in a sample of people attending a sleep disorders clinic with insomnia, including those with comorbidities. Thirty participants who met the DSM-IV-TR diagnosis of insomnia participated in a 6-week group intervention. Outcome measures were a daily sleep diary and actigraphy during pre-treatment and follow-up, along with subjective sleep outcomes collected at baseline, end-of-treatment, and 3-month follow-up. Trend analyses showed that MBTI was associated with a large decrease in insomnia severity (p < .001), with indications of maintenance of treatment effect. There were significant improvements in objective sleep parameters, including sleep onset latency (p = .005), sleep efficiency (p = .033), and wake after sleep onset (p = .018). Significant improvements in subjective sleep parameters were also observed for sleep efficiency (p = .005) and wake after sleep onset (p < .001). Overall, this study indicated that MBTI can be successfully delivered in a sleep disorders clinic environment, with evidence of treatment effect for both objective and subjective measures of sleep.

Keywords

mindfulnessinsomniatreatmentMBTIinterventionsleep
Type
Standard Paper
Information
Behaviour Change , Volume 38 , Issue 1 , April 2021 , pp. 25 - 39
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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