Acceptance and commitment therapy for insomnia: a pilot study

Rafihi‐Ferreira, Renatha El; Neto, Francisco Lotufo; Morin, Charles M.; Toscanini, Andrea Cecília; Borges, D. Suzuki; Brasil, Israel Soares Pompeu de Sousa; Gallinaro, João Guilherme de Mello e; Conway, S.G.; Hasan, Rosa

doi:10.1016/j.sleep.2019.11.1030

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, only two randomized studies have been conducted to evaluate ACT in chronic insomnia. The first one, which compared CBT with ACT in 31 patients, found equivalent effects of both therapies on insomnia, anxiety, beliefs about sleep and experiential avoidance (Rafihi‐Ferreira et al., 2019). The second study compared unguided internet‐delivered ACT with a WCL in 86 patients (mainly with subclinical insomnia) and found improvement in the ACT group with small to moderate effect size (Lappalainen et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

“…In an observational cohort study, an ACT treatment for chronic pain was associated with improved sleep (Daly‐Eichenhardt et al., 2016). More recently, two randomized studies (face‐to‐face pilot and unguided internet‐delivered ACT) reported promising results in insomnia‐related outcomes (Lappalainen et al., 2019; Rafihi‐Ferreira et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Telehealth‐delivered CBT‐I programme enhanced by acceptance and commitment therapy for insomnia and hypnotic dependence: A pilot randomized controlled trial

Chapoutot

Peter‐Derex

Schoendorff³

et al. 2020

Journal of Sleep Research

View full text Add to dashboard Cite

Summary Cognitive behavioural therapy for insomnia is the recommended treatment for chronic insomnia. However, up to a quarter of patients dropout from cognitive behavioural therapy for insomnia programmes. Acceptance, mindfulness and values‐based actions may constitute complementary therapeutic tools to cognitive behavioural therapy for insomnia. The current study sought to evaluate the efficacy of a remotely delivered programme combining the main components of cognitive behavioural therapy for insomnia (sleep restriction and stimulus control) with the third‐wave cognitive behavioural therapy acceptance and commitment therapy in adults with chronic insomnia and hypnotic dependence on insomnia symptoms and quality of life. Thirty‐two participants were enrolled in a pilot randomized controlled trial: half of them were assigned to a 3‐month waiting list before receiving the four “acceptance and commitment therapy‐enhanced cognitive behavioural therapy for insomnia” treatment sessions using videoconference. The primary outcome was sleep quality as measured by the Insomnia Severity Index and the Pittsburgh Sleep Quality Index. All participants also filled out questionnaires about quality of life, use of hypnotics, depression and anxiety, acceptance, mindfulness, thought suppression, as well as a sleep diary at baseline, post‐treatment and 6‐month follow‐up. A large effect size was found for Insomnia Severity Index and Pittsburgh Sleep Quality Index, but also daytime improvements, with increased quality of life and acceptance at post‐treatment endpoint in acceptance and commitment therapy‐enhanced cognitive behavioural therapy for insomnia participants. Improvement in Insomnia Severity Index and Pittsburgh Sleep Quality Index was maintained at the 6‐month follow‐up. Wait‐list participants increased their use of hypnotics, whereas acceptance and commitment therapy‐enhanced cognitive behavioural therapy for insomnia participants evidenced reduced use of them. This pilot study suggests that web‐based cognitive behavioural therapy for insomnia incorporating acceptance and commitment therapy processes may be an efficient option to treat chronic insomnia and hypnotic dependence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Telehealth‐delivered CBT‐I programme enhanced by acceptance and commitment therapy for insomnia and hypnotic dependence: A pilot randomized controlled trial

Chapoutot

Peter‐Derex

Schoendorff³

et al. 2020

Journal of Sleep Research

View full text Add to dashboard Cite

show abstract

“…ACT focuses on the therapeutic goal of living better, not just sleeping better, which prevents insomniacs from obsessing about sleep and thus facilitates falling asleep. There have been only few RCTs specifically evaluating ACT for insomnia [ 134 , 140 , 141 , 142 ]. Nevertheless, many studies have demonstrated a positive effect of ACT on insomnia symptoms in various pathologies.…”

Section: Acceptance and Commitment Therapy For Discontinuing Long-term Benzodiazepine Usementioning

confidence: 99%

Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for the Discontinuation of Long-Term Benzodiazepine Use in Insomnia and Anxiety Disorders

Chapoutot

Peter‐Derex

Bastuji

et al. 2021

IJERPH

View full text Add to dashboard Cite

Benzodiazepines have proven to be highly effective for treating insomnia and anxiety. Although considered safe when taken for a short period of time, a major risk–benefit dilemma arises in the context of long-term use, relating to addiction, withdrawal symptoms, and potential side effects. For these reasons, benzodiazepines are not recommended for treating chronic sleep disorders, anxiety disorders, nor for people over the age of 65, and withdrawal among long-term users is a public health issue. Indeed, only 5% of patients manage to discontinue using these drugs on their own. Even with the help of a general practitioner, this rate does not exceed 25 to 30% of patients, of which approximately 7% manage to remain drug-free in the long term. Cognitive Behavioral Therapies (CBT) offer a crucial solution to this problem, having been shown to increase abstinence success to 70–80%. This article examines traditional and novel CBT techniques in this regard, such as Acceptance and Commitment Therapy, which address both the underlying condition (insomnia/anxiety) and the substance-related disorder. The theoretical framework and evidence supporting the use of these approaches are reviewed. Finally, current research gaps are discussed, and key research perspectives are proposed.

show abstract

Acceptance and commitment therapy for insomnia: a pilot study

Cited by 2 publications

References 0 publications

Telehealth‐delivered CBT‐I programme enhanced by acceptance and commitment therapy for insomnia and hypnotic dependence: A pilot randomized controlled trial

Telehealth‐delivered CBT‐I programme enhanced by acceptance and commitment therapy for insomnia and hypnotic dependence: A pilot randomized controlled trial

Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for the Discontinuation of Long-Term Benzodiazepine Use in Insomnia and Anxiety Disorders

Contact Info

Product

Resources

About