A Randomized Controlled Trial of Mindfulness Meditation for Chronic Insomnia: Effects on Daytime Symptoms and Cognitive-Emotional Arousal

Ong, Jason C.; Xia, Yinglin; Smith-Mason, Christine E; Manber, Rachel

doi:10.1007/s12671-018-0911-6

Cited by 44 publications

(46 citation statements)

References 37 publications

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“…No study could be selected for ayurveda, chelation, energy healing therapy, folk medicine, reiki, vitamin, massage, music therapy, and qi gong. Of the 40 studies selected, 12 focused on melatonin as possible intervention for insomnia disorder [ 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ], 9 on meditative movement therapies [ 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 ] (particularly, n = 1 on yoga [ 72 ], 6 on mindfulness [ 73 , 74 , 75 , 78 , 79 , 80 ] and 2 on tai chi [76.77]), 7 on exercise [ 81 , 82 , 83 , 84 , 85 , 86 , 87 ], 5 on natural herbal pharmacotherapy [ 88 , 89 , 90 , 91 , 92 ], 2 on light exposure [ 93 , 94 ], 2 on transcranial magnetic stimulation (rTMS) [ 95 , 96 ], 1 on homeopathy [ 97 ], 1 on hypnotherapy [ 98 ], and 1 on dietary supplements [ 99 ]. Two studies which evaluated exercise [ 82 , 83 ], one study evaluating melatonin [ 61 ], and...…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials Evaluating the Evidence Base of Melatonin, Light Exposure, Exercise, and Complementary and Alternative Medicine for Patients with Insomnia Disorder

Baglioni

Bostanova

Bacaro

et al. 2020

JCM

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Insomnia is a prevalent disorder and it leads to relevant impairment in health-related quality of life. Recent clinical guidelines pointed out that Cognitive-Behavior Therapy for Insomnia (CBT-I) should be considered as first-line intervention. Nevertheless, many other interventions are commonly used by patients or have been proposed as effective for insomnia. These include melatonin, light exposure, exercise, and complementary and alternative medicine. Evaluation of comparable effectiveness of these interventions with first-line intervention for insomnia is however still lacking. We conducted a systematic review and network meta-analysis on the effects of these interventions. PubMed, PsycInfo, PsycArticles, MEDLINE, and CINAHL were systematically searched and 40 studies were included in the systematic review, while 36 were entered into the meta-analysis. Eight network meta-analyses were conducted. Findings support effectiveness of melatonin in improving sleep-onset difficulties and of meditative movement therapies for self-report sleep efficiency and severity of the insomnia disorder. Some support was observed for exercise, hypnotherapy, and transcranial magnetic resonance, but the number of studies for these interventions is still too small. None of the considered interventions received superior evidence to CBT-I, which should be more widely disseminated in primary care.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials Evaluating the Evidence Base of Melatonin, Light Exposure, Exercise, and Complementary and Alternative Medicine for Patients with Insomnia Disorder

Baglioni

Bostanova

Bacaro

et al. 2020

JCM

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“…Patient reports of decreased emotional distress, enhanced well-being, and improved sleep are extremely positive and hopeful. While we have not studied the program' s efficacy using control group comparisons, or double-blind random sampling, there have been studies linking similar programs to improved patient outcomes (Ong, Xia, Smith-Mason, & Manber, 2018). Patient reports of decreased emotional distress, enhanced well-being, and improved sleep along with objective data supporting such claims, particularly when other treatment modalities were tried and deemed less than effective by the patients and their medical care providers, indicate that these programs are having a very positive effect.…”

Section: Creating Programs For Multiple Populations With Ongoing Assementioning

confidence: 99%

Developing and Implementing Mindfulness Programs in Hospital and Health‐Care Settings

Levasseur

Purzycki

Williams³

2019

New Dir Adult Contin Educ

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This chapter presents the process and operational considerations when developing and implementing mindfulness-based programs for both patients and staff in hospital and health-care settings.The meditation timer chimes, signaling the beginning of 15 minutes of silence. The setting is the small conference room of a very busy 42-bed total joint replacement unit. Five nurses, a unit clerk, and the nurse manager close their eyes, rest their hands lightly on their thighs, and are encouraged to take a few deep breaths. They have been instructed prior to the beginning of the session to focus on their breathing, which helps to keep them in the present moment. They know that it is normal to have thoughts racing through their minds. They acknowledge the thoughts, accept them, release them without judgment, and then return their focus to their breath. As the session ends with another gentle chime, the participants slowly open their eyes, take another breath, and gradually get up to finish the remainder of their shift. This "Mindful Moment" was a gentle break in their day and allows them to step back into a fast-paced environment with a relaxed mind and a renewed spirit.Hospital and health-care settings are in the business of attending to community health and wellness. Mindfulness programs for patients, the clinical workers who care for them, and for the general organization staff of such facilities are developing all over the country, as part of many such organizations' adult education and wellness efforts (Gelles, 2016). This chapter presents the process and operational considerations when developing and implementing mindfulness-based programs in hospitals or health-care settings based on our experience. "Mindful Moments" depicted in the scenario above was just one of the mindfulness-based programs we implemented throughout the health NEW DIRECTIONS FOR ADULT AND CONTINUING EDUCATION, no. 161, Spring 2019

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“…Post-hoc analyses showed a significant increase in the MBTI group, F(2, 24) = 5.22, p = .01, but not the MBSR group. Within the MBTI group, post-hoc tests showed a significant increase relative to baseline at follow-up (t [24] = -3.23, p = .004, d = 0.77) and a significant increase from post-treatment to follow-up (t [24] = 0.10, p = .097, d = 0.54). There was no significant change in gamma EEG power over time for the MBI groups combined.…”

Section: Long-term Effectsmentioning

confidence: 96%

“…A total of 54 participants met study criteria and were randomized to one of three conditions in the parent study (see Ong et al [23,24] for details) with 19 randomized to MBSR, 19 randomized to MBTI, and 16 randomized to the SM control. Overnight polysomnography (PSG) was assessed at baseline, post-treatment (8 weeks), and 6-month follow-up for the MBSR and MBTI groups and at baseline and post-monitoring (8 weeks) for the SM group.…”

Section: Participantsmentioning

confidence: 99%

“…The present study was a secondary analysis examining microarchitecture of sleep EEG from a randomized controlled trial comparing Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Therapy for Insomnia (MBTI) with a self-monitoring (SM) control for people with insomnia. Previous reports from this trial have focused on the clinical outcomes for insomnia [23], and self-reported cognitive-emotional measures [24]. The aim of this study was to assess both short and longer-term changes in EEG activity among participants who received an MBI, focusing on the high-frequency beta and gamma (25-40Hz) ranges.…”

Section: Introductionmentioning

confidence: 99%

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Increased high-frequency NREM EEG power associated with mindfulness-based interventions for chronic insomnia: Preliminary findings from spectral analysis

Goldstein

Turner

Dawson

et al. 2019

Journal of Psychosomatic Research

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Objective: Mindfulness-based interventions (MBI) have been shown to reduce subjective symptoms of insomnia but the effects on objective measures remain unclear. The purpose of this study was to examine sleep EEG microarchitecture patterns from a randomized controlled trial of Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Therapy for Insomnia (MBTI). Methods: Sleep EEG spectral analysis was conducted on 22 participants with chronic insomnia (>6 months) randomized to 8-week MBSR, MBTI, or self-monitoring control (SM). Overnight polysomnography with 6-channel EEG was conducted at baseline, posttreatment, and 6-month follow-up. Spectral power averaged from channels C3/C4 across NREM epochs (excluding N1) was examined for within-group changes and relationships with self-report measures. Results: Increases in absolute NREM beta (16-25Hz) power were observed from baseline to post-treatment (p = .02, d = 0.53) and maintained at 6-month follow-up (p = .01, d = 0.57) in the combined MBI groups, and additionally in the gamma (25-40Hz) range at follow-up for the MBTI group only. No significant changes in these frequency bands were observed for SM. Following mindfulness intervention, NREM beta was positively associated with Five-Facet Mindfulness (FFM) score (rho = 0.37, p = .091) and Insomnia Severity Index (rho =-0.43, p = .047). Conclusion: These results in people with insomnia corroborate prior reports of increased high-frequency sleep EEG power associated with mindfulness training. This change in beta EEG pattern merits further evaluation as a potential marker of the effects of mindfulness meditation on sleep, especially given the contradictory findings in the context of insomnia.

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A Randomized Controlled Trial of Mindfulness Meditation for Chronic Insomnia: Effects on Daytime Symptoms and Cognitive-Emotional Arousal

Cited by 44 publications

References 37 publications

A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials Evaluating the Evidence Base of Melatonin, Light Exposure, Exercise, and Complementary and Alternative Medicine for Patients with Insomnia Disorder

A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials Evaluating the Evidence Base of Melatonin, Light Exposure, Exercise, and Complementary and Alternative Medicine for Patients with Insomnia Disorder

Developing and Implementing Mindfulness Programs in Hospital and Health‐Care Settings

Increased high-frequency NREM EEG power associated with mindfulness-based interventions for chronic insomnia: Preliminary findings from spectral analysis

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