A randomized controlled trial of mindfulness meditation for chronic insomnia
- PMID: 25142566
- PMCID: PMC4153063
- DOI: 10.5665/sleep.4010
A randomized controlled trial of mindfulness meditation for chronic 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.
Keywords: behavior therapy; clinical trial; complementary and alternative medicine; insomnia; meditation; mindfulness; sleep.
© 2014 Associated Professional Sleep Societies, LLC.
Figures
Similar articles
-
Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: a randomized controlled clinical trial.Explore (NY). 2011 Mar-Apr;7(2):76-87. doi: 10.1016/j.explore.2010.12.003. Explore (NY). 2011. PMID: 21397868 Free PMC article. Clinical Trial.
-
Increased high-frequency NREM EEG power associated with mindfulness-based interventions for chronic insomnia: Preliminary findings from spectral analysis.J Psychosom Res. 2019 May;120:12-19. doi: 10.1016/j.jpsychores.2019.02.012. Epub 2019 Feb 28. J Psychosom Res. 2019. PMID: 30929703 Free PMC article.
-
The value of mindfulness meditation in the treatment of insomnia.Curr Opin Pulm Med. 2015 Nov;21(6):547-52. doi: 10.1097/MCP.0000000000000207. Curr Opin Pulm Med. 2015. PMID: 26390335 Review.
-
How mindfulness changed my sleep: focus groups with chronic insomnia patients.BMC Complement Altern Med. 2014 Feb 10;14:50. doi: 10.1186/1472-6882-14-50. BMC Complement Altern Med. 2014. PMID: 24512477 Free PMC article. Clinical Trial.
-
Mindfulness as an Adjunct or Alternative to CBT-I.Sleep Med Clin. 2023 Mar;18(1):59-71. doi: 10.1016/j.jsmc.2022.09.002. Sleep Med Clin. 2023. PMID: 36764787 Review.
Cited by
-
The role of arts therapies in mitigating Sleep Initiation and Maintenance Disorders: a systematic review.Front Psychiatry. 2024 May 16;15:1386529. doi: 10.3389/fpsyt.2024.1386529. eCollection 2024. Front Psychiatry. 2024. PMID: 38818021 Free PMC article.
-
2023 Guidelines on the Diagnosis and Treatment of Insomnia in Adults - Brazilian Sleep Association.Sleep Sci. 2023 Nov 22;16(Suppl 2):507-549. doi: 10.1055/s-0043-1776281. eCollection 2023 Oct. Sleep Sci. 2023. PMID: 38370879 Free PMC article. Review.
-
Current Situation and Mental Health of Pregnant Women During the Prevention and Control of Novel Coronavirus Infection: A Cross-Sectional Study on the Investigation of Influencing Factors.Int J Womens Health. 2024 Feb 2;16:193-202. doi: 10.2147/IJWH.S445473. eCollection 2024. Int J Womens Health. 2024. PMID: 38328512 Free PMC article.
-
Mindfulness-based cognitive therapy improves insomnia symptoms in individuals with recurrent depression: secondary analyses from a randomized controlled trial.Front Psychiatry. 2024 Jan 19;14:1231040. doi: 10.3389/fpsyt.2023.1231040. eCollection 2023. Front Psychiatry. 2024. PMID: 38312915 Free PMC article.
-
How Modifiable Are Modifiable Dementia Risk Factors? A Framework for Considering the Modifiability of Dementia Risk Factors.J Prev Alzheimers Dis. 2024;11(1):22-37. doi: 10.14283/jpad.2023.119. J Prev Alzheimers Dis. 2024. PMID: 38230714 Free PMC article. Review.
References
-
- Ohayon MM. Epidemiology of insomnia: What we know and what we still need to learn. Sleep Med Rev. 2002;6:97–111. - PubMed
-
- Morin CM, LeBlanc M, Belanger L, Ivers H, Merette C, Savard J. Prevalence of insomnia and its treatment in canada. Can J Psychiatry. 2011;56:540–8. - PubMed
-
- Roth T, Coulouvrat C, Hajak G, et al. Prevalence and perceived health associated with insomnia based on DSM-IV-TR; international statistical classification of diseases and related health problems, tenth revision; and research diagnostic criteria/international classification of sleep disorders, second edition criteria: results from the America insomnia survey. Biol Psychiatry. 2011;69:592–600. - PubMed
-
- Morgenthaler T, Kramer M, Alessi C, et al. Practice parameters for the psychological and behavioral treatment of insomnia: an update. an American Academy of Sleep Medicine report. Sleep. 2006;29:1415–9. - PubMed
Publication types
MeSH terms
Associated data
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical