Embracing mindfulness-based therapies may be one way of treating insomnia for patients who have failed on other types of treatment.
Jason C. Ong, PhD, or Rush University Medical Center in Chicago, Illinois, and colleagues conducted a trial with 54 adults that had chronic insomnia. The patients were randomized to receive either mindfulness-based stress reduction (MBSR), mindfulness-based therapy for insomnia (MBTI), or an eight-week self-monitoring (SM) condition.
Mindfulness therapies for insomnia typically involve meditation, breathing, yoga, walking and even eating exercises to observe and subsequently make changes to one’s relationship with sleep.
Linear mixed models showed that those receiving a meditation-based intervention (MBSR or MBTI) had significantly greater reductions on total wake time minutes (43.75 vs. 1.09), pre-sleep arousal scale (7.13 vs. 0.16), and Insomnia Severity Index (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, though no significant differences were found when comparing MBSR to MBTI from baseline-to-post. 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.
The purpose of the study is to evaluate the efficacy of mindfulness meditation for the treatment of chronic insomnia. Fifty-four adults with chronic insomnia were randomized to either mindfulness-based stress reduction, mindfulness-based therapy for insomnia, or an eight-week self-monitoring (SM) condition.