Dataset Information

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.

SUBMITTER: Ong JC

PROVIDER: S-EPMC4153063 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature

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Publications

A randomized controlled trial of mindfulness meditation for chronic insomnia.

Ong Jason C JC Manber Rachel R Segal Zindel Z Xia Yinglin Y Shapiro Shauna S Wyatt James K JK

Sleep 20140901 9

<h4>Study objectives</h4>To evaluate the efficacy of mindfulness meditation for the treatment of chronic insomnia.<h4>Design</h4>Three-arm, single-site, randomized controlled trial.<h4>Setting</h4>Academic medical center.<h4>Participants</h4>Fifty-four adults with chronic insomnia.<h4>Interventions</h4>Participants were randomized to either mindfulness-based stress reduction (MBSR), mindfulness-based therapy for insomnia (MBTI), or an eight-week self-monitoring (SM) condition.<h4>Measurements an ...[more]

PMID: 25142566

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Dataset Information

A randomized controlled trial of mindfulness meditation for chronic insomnia.

Study objectives

Design

Setting

Participants

Interventions

Measurements and results

Conclusions

Trial registration

Publications

A randomized controlled trial of mindfulness meditation for chronic insomnia.

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