Mindfulness meditation for insomnia: A meta-analysis of randomized controlled trials

Gong, Hongyun; Ni, Chenxu; Liu, Yun-Zi; Zhang, Yi; Su, Wen‐Jun; Lian, Yong‐Jie; Peng, Wei; Jiang, Chun‐Lei

doi:10.1016/j.jpsychores.2016.07.016

Cited by 168 publications

(89 citation statements)

References 33 publications

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“…This suggests that the term CBT‐I is used as a convenient label but that treatment could include different evidence‐based psychological interventions, such as motivational and emotional strategies, which are currently less well defined or standardized. Recently, other psychotherapeutic approaches, such as mindfulness and hypnotherapy, centring on powering emotion‐regulation skills, have been empirically investigated (Gong et al, ; Kanen, Nazir, Sedky, & Pradhan, ; Lam et al, ) and acceptance and commitment therapy has been proposed as a possible intervention for non‐responders to CBT‐I (Hertenstein et al, ). Together with the main strategies listed in Table , knowledge on sleeping medication tapering or withdrawal should be considered a component of CBT‐I.…”

Section: The Cbt‐i Academymentioning

confidence: 99%

The European Academy for Cognitive Behavioural Therapy for Insomnia: An initiative of the European Insomnia Network to promote implementation and dissemination of treatment

Baglioni

Altena

Bjorvatn

et al. 2019

Journal of Sleep Research

149

142

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Insomnia, the most prevalent sleep disorder worldwide, confers marked risks for both physical and mental health. Furthermore, insomnia is associated with considerable direct and indirect healthcare costs. Recent guidelines in the US and Europe unequivocally conclude that cognitive behavioural therapy for insomnia (CBT‐I) should be the first‐line treatment for the disorder. Current treatment approaches are in stark contrast to these clear recommendations, not least across Europe, where, if any treatment at all is delivered, hypnotic medication still is the dominant therapeutic modality. To address this situation, a Task Force of the European Sleep Research Society and the European Insomnia Network met in May 2018. The Task Force proposed establishing a European CBT‐I Academy that would enable a Europe‐wide system of standardized CBT‐I training and training centre accreditation. This article summarizes the deliberations of the Task Force concerning definition and ingredients of CBT‐I, preconditions for health professionals to teach CBT‐I, the way in which CBT‐I should be taught, who should be taught CBT‐I and to whom CBT‐I should be administered. Furthermore, diverse aspects of CBT‐I care and delivery were discussed and incorporated into a stepped‐care model for insomnia.

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Section: The Cbt‐i Academymentioning

confidence: 99%

The European Academy for Cognitive Behavioural Therapy for Insomnia: An initiative of the European Insomnia Network to promote implementation and dissemination of treatment

Baglioni

Altena

Bjorvatn

et al. 2019

Journal of Sleep Research

149

142

View full text Add to dashboard Cite

show abstract

“…CBT‐I involves behavioral techniques such as sleep education, sleep hygiene instruction, stimulus control, sleep restriction, and relaxation training, but also addresses unhelpful beliefs and attitudes about sleep (for a review, see Edinger & Means, ). There is also emerging evidence that sleep problems can be treated successfully using protocols that include a mindfulness component (for a meta‐analytic review, see Gong et al., ). Mindfulness can be defined as ‘the awareness that emerges through paying attention on purpose, in the present moment, and nonjudgmentally to the unfolding of experience’ (Kabat‐Zinn, , p. 145).…”

Section: Introductionmentioning

confidence: 99%

Who benefits from adolescent sleep interventions? Moderators of treatment efficacy in a randomized controlled trial of a cognitive‐behavioral and mindfulness‐based group sleep intervention for at‐risk adolescents

Blake

Schwartz

et al. 2017

Child Psychology Psychiatry

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Background: The aim of this study was to test moderators of therapeutic improvement in an adolescent cognitivebehavioral and mindfulness-based group sleep intervention. Specifically, we examined whether the effects of the program on postintervention sleep outcomes were dependent on participant gender and/or measures of sleep duration, anxiety, depression, and self-efficacy prior to the interventions. Method: Secondary analysis of a randomized controlled trial conducted with 123 adolescent participants (female = 59.34%; mean age = 14.48 years, range 12.04-16.31 years) who had elevated levels of sleep problems and anxiety symptoms. Participants were randomized into either a group sleep improvement intervention (n = 63) or group active control 'study skills' intervention (n = 60). The sleep intervention ('Sleep SENSE') was cognitive behavioral in approach, incorporating sleep education, sleep hygiene, stimulus control, and cognitive restructuring, but also had added anxiety-reducing, mindfulness, and motivational interviewing elements. Components of the active control intervention ('Study SENSE') included personal organization, persuasive writing, critical reading, referencing, memorization, and note taking. Participants completed the Pittsburgh Sleep Quality Index (PSQI), Spence Children's Anxiety Scale (SCAS), Center for Epidemiologic Studies Depression Scale (CES-D), and General Self-Efficacy Scale (GSE) and wore an actigraph and completed a sleep diary for five school nights prior to the interventions. Sleep assessments were repeated at postintervention. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12612001177842; http://www.anzctr.org.au/TrialSearch.aspx?searchTxt=ACTRN12612001177842&isBa sic=True). Results: The results showed that compared with the active control intervention, the effect of the sleep intervention on self-reported sleep quality (PSQI global score) at postintervention was statistically significant among adolescents with relatively moderate to high SCAS, CES-D, and GSE prior to the intervention, but not among adolescents with relatively low SCAS, CES-D, and GSE prior to the intervention. The results were consistent across genders. However, the effects of the sleep intervention on actigraphy-measured sleep onset latency and sleep diarymeasured sleep efficiency at postintervention were not dependent on actigraphy-measured total sleep time, SCAS, CES-D, or GSE prior to the intervention. Conclusions: This study provides evidence that some sleep benefits of adolescent cognitive-behavioral sleep interventions are greatest among those with higher levels of anxiety and depressive symptoms, suggesting that this may be an especially propitious group to whom intervention efforts could be targeted. Furthermore, adolescents with lower levels of self-efficacy may need further targeted support (e.g. additional motivational interviewing) to help them reach treatment goals.

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“…A high‐quality study scored >8 points, whereas a low‐quality study scored <5 points. Other studies that scored 5–8 points were rated as moderate grade . Uncertainty or disagreement was resolved by discussion to reach a consensus.…”

Section: Methodsmentioning

confidence: 99%

“…Other studies that scored 5-8 points were rated as moderate grade. 27 Uncertainty or disagreement was resolved by discussion to reach a consensus.…”

Section: Quality Assessmentmentioning

confidence: 99%

Chromium supplementation in women with polycystic ovary syndrome: Systematic review and meta‐analysis

Tang

Sun

Gong

2017

J of Obstet and Gynaecol

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Aim: Increasing evidence has suggested that chromium supplementation may improve the clinical symptoms of polycystic ovary syndrome (PCOS), yet the results have been inconsistent. To derive a more precise estimation of the efficacy of chromium, a meta-analysis was performed. Methods: Studies published in PubMed, EMBASE and the Cochrane Library up to April 2017 were retrieved. Standardized mean differences (SMD) with 95%CI were calculated for net changes using random-effects or fixed-effects models. Results: A total of six randomized clinical trials (RCT) with 351 PCOS women were ultimately collected in this meta-analysis. All included RCT were of moderate-high quality. On pooled analysis, insulin resistance was significantly decreased (SMD, À0.84; 95%CI: À1.30 to À0.38; P = 0.0004), while the total testosterone (SMD, 0.36; 95%CI: 0.07-0.65; P = 0.02) and free testosterone (SMD, 0.80; 95%CI: 0.48-1.12; P < 0.00001) were markedly increased in chromium-treated PCOS patients compared with control groups. No significant difference was found in other indexes of insulin metabolism (body mass index, fasting insulin, fasting blood sugar and quantitative insulin sensitivity check index), hormone status (luteinizing hormone, follicle-stimulating hormone and prolactin) and lipid profiles (cholesterol and triglycerides) between the two groups. Conclusion: Supplementation with chromium may not have significant benefits for women with PCOS. More RCT with low heterogeneity, however, are required to corroborate the present findings.

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Mindfulness meditation for insomnia: A meta-analysis of randomized controlled trials

Cited by 168 publications

References 33 publications

The European Academy for Cognitive Behavioural Therapy for Insomnia: An initiative of the European Insomnia Network to promote implementation and dissemination of treatment

The European Academy for Cognitive Behavioural Therapy for Insomnia: An initiative of the European Insomnia Network to promote implementation and dissemination of treatment

Who benefits from adolescent sleep interventions? Moderators of treatment efficacy in a randomized controlled trial of a cognitive‐behavioral and mindfulness‐based group sleep intervention for at‐risk adolescents

Chromium supplementation in women with polycystic ovary syndrome: Systematic review and meta‐analysis

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