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Evaluation of the effectiveness of mindfulness-based cognitive therapy to treat chronic insomnia
Affiliation:1. National Jewish Health, Denver, CO, United States;2. University of Murcia, Murcia, Spain;3. Duke University, Durham, NC, United States;1. Department of Health Sciences, University of York, York YO10 5DD, UK;2. School of Psychology, University of Leeds, Leeds LS2 9JT, UK;3. HMP Wealstun, Thorpe Arch, Wetherby LS237AZ, UK;4. School of Medicine, University of Leeds, Leeds LS2 9JT, UK;1. Department of Clinical Experimental Medicine, Psychiatric Unit, University of Pisa, Italy;2. Department of Neurology, Northwestern Feinberg School of Medicine, Chicago, IL, USA;3. Department of Clinical Psychology and Psychophysiology/Sleep Medicine, Center for Mental Disorders, University of Freiburg Medical Center, Freiburg, Germany
Abstract:IntroductionAs having positive effects on reducing distress and symptoms associated with different mental and physical disorders, many studies have focused on mindfulness-based cognitive therapy.ObjectiveIt is suggested that mindfulness-based cognitive therapy (MBCT) could help reducing insomnia by focusing on certain cognitive factors associated to insomnia.MethodA pre-experimental, pre-test protocol with a post-test and three month follow-up was used to measure the effect of a group intervention of eight sessions and 12 participants.ResultsThe intervention had a positive effect on participants’ subjective evaluation regarding their sleep and the gains were maintained after three months. However, after the intervention, no significant effect was found on the objective measures of sleep. Two factors associated to the maintenance of insomnia, such as dysfunctional beliefs and attitudes about sleep and mental control strategies were improved following treatment and these improvements were maintained during the follow-up.ConclusionThe results of this study suggest that mindfulness-based cognitive therapy might be an interesting addition in the treatment of insomnia, given that it focuses on certain cognitive factors that contribute to the maintenance of insomnia.
Keywords:Insomnia  Mindfulness-based cognitive therapy  Beliefs and attitudes about sleep  Mental control strategies  Insomnie  Thérapie cognitive basée sur la pleine conscience  Croyances et attitudes à propos du sommeil  Stratégies de contrôle mental
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