Acceptance and commitment therapy for insomnia and sleep quality: A systematic review and meta-analysis

Ruan, Jiayin; Chen, Shu‐Cheng; Liang, Jiagui; Mak, YW; Ho, Fiona Yan Yee; Chung, Ka Fai; Tong, Anthony Kwok Kwun; Zhang, Xue Lin; Yeung, Wing Fai

doi:10.1016/j.jcbs.2022.09.002

Cited by 5 publications

(4 citation statements)

References 65 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…55,68 When compared with CBT-I, ACT showed no differences in subjective sleep parameters. 55,68 Chapoutot and colleagues 94 observed reduced hypnotics, Z-drugs, and BZDs consumption in response to ACT. Although studies involving ACT suggest promising results for the intervention of chronic insomnia, they do not present the same empirical support as CBT-I, recommending its use as an adjuvant to CBT-I.…”

Section: Bibliotherapymentioning

confidence: 94%

“…[50][51][52] Other CBT-I settings and modalities have been proposed to increase its dissemination, including videoconference or phone calls, messages in virtual chat rooms or e-mail, bibliotherapy, self-guided books, and digital platforms. [52][53][54] Moreover, other non-pharmacological approaches have been developed and tested independently or combined with CBT-I, such as interventions based on ACT 55 and mindfulness techniques. 56,57 This chapter aims to recommend the approaches with the highest level of scientific evidence for clinical outcomes and follow-up, considering objective parameters assessed with PSG and actigraphy and subjective ones obtained from sleep diaries and questionnaires that assess the severity of insomnia symptoms and the quality of sleep, especially ISI and PSQI, respectively.…”

Section: Non-pharmacological Insomnia Treatmentmentioning

confidence: 99%

“…93 The outcome of CBT-I in patients with more years of chronic insomnia and medication use is inferior to those in the opposite condition. 83 Compared with a waiting list and a psychoeducation control group, ACT reduced the severity of insomnia 55,68 and improved sleep parameters and secondary outcomes such as dysfunctional beliefs and attitudes about sleep, acceptance of sleep problems, daytime sleepiness, and cognitive suppression. 55,68 When compared with CBT-I, ACT showed no differences in subjective sleep parameters.…”

Section: Bibliotherapymentioning

confidence: 99%

“…83 Compared with a waiting list and a psychoeducation control group, ACT reduced the severity of insomnia 55,68 and improved sleep parameters and secondary outcomes such as dysfunctional beliefs and attitudes about sleep, acceptance of sleep problems, daytime sleepiness, and cognitive suppression. 55,68 When compared with CBT-I, ACT showed no differences in subjective sleep parameters. 55,68 Chapoutot and colleagues 94 observed reduced hypnotics, Z-drugs, and BZDs consumption in response to ACT.…”

Section: Bibliotherapymentioning

confidence: 99%

See 3 more Smart Citations

2023 Guidelines on the Diagnosis and Treatment of Insomnia in Adults – Brazilian Sleep Association

Drager,

Assis,

Bacelar

et al. 2023

Sleep Sci

View full text Add to dashboard Cite

Chronic insomnia disorder (simplified in this document as insomnia) is an increasingly common clinical condition in society and a frequent complaint at the offices of different areas of health practice (particularly Medicine and Psychology). This scenario has been accompanied by a significant evolution in treatment, as well as challenges in approaching patients in an appropriately way. This clinical guideline, coordinated by the Brazilian Sleep Association and the Brazilian Association of Sleep Medicine and counting on the active participation of various specialists in the area, encompasses an update on the diagnosis and treatment of insomnia in adults. To this end, it followed a structured methodology. Topics of interest related to diagnosis were written based on theoretical framework, evidence in the literature, and professional experience. As for the topics related to the treatment of insomnia, a series of questions were developed based on the PICO acronym (P – Patient, problem, or population; I – Intervention; C – Comparison, control, or comparator; O – Outcome). The work groups defined the eligible options within each of these parameters. Regarding pharmacological interventions, only the ones currently available in Brazil or possibly becoming available in the upcoming years were considered eligible. Systematic reviews were conducted to help prepare the texts and define the level of evidence for each intervention. The final result is an objective and practical document providing recommendations with the best scientific support available to professionals involved in the management of insomnia.

show abstract

Section: Bibliotherapymentioning

confidence: 94%