Mindfulness-based Cognitive Therapy to Improve Sleep Quality in Older Adults with Insomnia

• Manuel Camino ^[1] ; Encarnacion Satorres ^[1] ; Iraida Delhom ^[2] ; Elena Real ^[1] ; Mireia Abella ^[1] ; Juan C. Meléndez ^[1]
  1. [1] Universitat de València

     Universitat de València

     Valencia, España

     
  2. [2] Universidad Internacional de Valencia

     Universidad Internacional de Valencia

     Valencia, España

     
• Localización: Psychosocial Intervention, ISSN 1132-0559, Vol. 31, Nº. 3, 2022, págs. 159-167
• Idioma: inglés
• DOI: 10.5093/pi2022a12
• Títulos paralelos:
  • Terapia cognitiva basada en mindfulness para mejorar la calidad del sueño en adultos mayores con insomnio
• Enlaces
  • Texto completo
• Dialnet Métricas: 1 Cita
• Resumen
  • español

    Existe una alta prevalencia de insomnio en los adultos mayores, lo que tiene consecuencias negativas para su bienestar y calidad de vida. La recomendación para los tratamientos de primera línea es administrar intervenciones no farmacológicas. El objetivo de esta investigación fue verificar la efectividad de la terapia cognitiva basada en mindfulness en adultos mayores con insomnio subclínico y moderado, estudiando su impacto en la calidad del sueño. Participaron 106 adultos mayores que fueron asignados a los grupos de insomnio subclínico (n = 50) o de insomnio moderado (n = 56); posteriormente, fueron asignados aleatoriamente a los grupos de control y de intervención. Los sujetos fueron evaluados antes y después de la intervención con el índice de gravedad del insomnio y el índice de calidad del sueño de Pittsburgh. Se obtuvieron resultados significativos en ambas escalas, con una reducción de los síntomas de insomnio en los grupos de intervención subclínica y moderada. La administración de un tratamiento que combina mindfulness y terapia cognitiva es eficaz para tratar el insomnio en adultos mayores.

  • English

    There is a high prevalence of insomnia in older adults, which has negative consequences for their well-being and quality of life. The recommendation for first-line treatments is to administer non-pharmacological interventions. The objective of this research was to verify the effectiveness of Mindfulness-Based Cognitive Therapy in older adults with subclinical and moderate insomnia, studying its impact on sleep quality. One hundred and six older adults participated and were assigned to the subclinical insomnia (n = 50) or moderate insomnia (n = 56) groups; subsequently, they were randomly assigned to the control and intervention groups. Subjects were evaluated at two times with the Insomnia Severity Index and the Pittsburgh Sleep Quality Index. Significant results were obtained on both scales, with a reduction in insomnia symptoms in the subclinical and moderate intervention groups. The administration of a treatment that combines mindfulness and cognitive therapy is effective for treating insomnia in older adults.

• Referencias bibliográficas
  • American Psychiatric Association (APA, 2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
  • American Sleep Disorders Association. (1997). The international classification of sleep disorders: Diagnostic and coding manual. ASDA.
  • Arnedt, J. T., Conroy, D. A., Mooney, A., Furgal, A., Sen, A., & Eisenberg, D. (2021). Telemedicine versus face-to-face delivery of cognitive...
  • Baglioni, C., Altena, E., Bjorvatn, B., Blom, K., Bothelius, K., Devoto, A., Espie, C. A., Frase, L., Gavriloff, D., Tuuliki, H., Hoflehner,...
  • Bélanger, L., Harvey, A. G., Fortier-Brochu, É., Beaulieu-Bonneau, S., Eidelman, P., Talbot, L., Ivers, H., Hein, K., Lamy, M., Soehner, A....
  • Berkley, A. S., Carter, P. A., Yoder, L. H., Acton, G., & Holahan, C. K. (2020). The effects of insomnia on older adults’ quality of life...
  • Biddle, D. J., Hermens, D. F., Lallukka, T., Aji, M., & Glozier, N. (2019). Insomnia symptoms and short sleep duration predict trajectory...
  • Billioti de Gage, S., Pariente, A., & Bégaud, B. (2015). Is there really a link between benzodiazepine use and the risk of dementia? Expert...
  • Brewster, G. S., Riegel, B., & Gehrman, P. R. (2018). Insomnia in the older adult. Sleep Medicine Clinics, 13(1), 13-19. https://doi.org/10.1016/j....
  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument...
  • Carney, C. E., Harris, A. L., Moss, T. G., & Edinger, J. D. (2010). Distinguishing rumination from worry in clinical insomnia. Behaviour...
  • Cheung, J. M., Jarrin, D. C., Ballot, O., Bharwani, A. A., & Morin, C. M. (2019). A systematic review of cognitive behavioral therapy...
  • Davidson, J. R., Dickson, C., & Han, H. (2019). Cognitive behavioural treatment for insomnia in primary care: A systematic review of sleep...
  • Dragioti, E., Bernfort, L., Larsson, B., Gerdle, B., & Levin, L. A. (2018). Association of insomnia severity with well-being, quality...
  • Dzierzewski, J. M., Griffin, S. C., Ravyts, S., & Rybarczyk, B. (2018). Psychological interventions for late-life insomnia: Current and...
  • Espie, C. A., MacMahon, K. M., Kelly, H. L., Broomfield, N. M., Douglas, N. J., Engleman, H. M., McKinstry, B., Morin, C. M., Walker, A.,...
  • Fernández-Mendoza, J., Rodriguez-Munoz, A., Vela-Bueno, A., OlavarrietaBernardino, S., Calhoun, S. L., Bixler, E. O., & Vgontzas, A. N....
  • Fernández-Mendoza, J., & Vgontzas, A. N. (2013). Insomnia and its impact on physical and mental health. Current Psychiatry Reports, 15(12),...
  • Foley, D. J., Monjan, A. A., Brown, S. L., Simonsick, E. M., Wallace, R. B., & Blazer, D. G. (1995). Sleep complaints among elderly persons:...
  • Foulk, M. A., Ingersoll-Dayton, B., Kavanagh, J., Robinson, E., & Kales, H. C. (2014). Mindfulness-based cognitive therapy with older...
  • Frase, L., Nissen, C., Riemann, D., & Spiegelhalder, K. (2018). Making sleep easier: Pharmacological interventions for insomnia. Expert...
  • Gebara, M. A., Siripong, N., DiNapoli, E. A., Maree, R. D., Germain, A., Reynolds, C. F., Kasckow, J. W., Weiss, P. M., & Karp, J. F....
  • Gross, C. R., Kreitzer, M. J., Reilly-Spong, M., Wall, M., Winbush, N. Y., Patterson, R., Mahowald, M., & Cramer-Bornemann, M. (2011)....
  • Gunja, N. (2013). In the Zzz zone: The effects of Z-drugs on human performance and driving. Journal of Medical Toxicology, 9(2), 163-171....
  • Harris, K., Spiegelhalder, K., Espie, C. A., MacMahon, K. M., Woods, H. C., & Kyle, S. D. (2015). Sleep-related attentional bias in 84)insomnia:...
  • Harvey, A. G., Bélanger, L., Talbot, L., Eidelman, P., Beaulieu-Bonneau, S., Fortier-Brochu, É., Ivers, H., Lamy, M., Hein, K., Soehner, A....
  • Heidenreich, T., Tuin, I., Pflug, B., Michal, M., & Michalak, J. (2006). Mindfulness-based cognitive therapy for persistent insomnia:...
  • Hertenstein, E., Feige, B., Gmeiner, T., Kienzler, C., Spiegelhalder, K., Johann, A., Jansson-Fröjmark, M., Palagini, L., Rücker, G., Riemann,...
  • Hita-Contreras, F., Martínez-López, E., Latorre-Román, P. A., Garrido, F., Santos, M. A., & Martínez-Amat, A. (2014). Reliability and...
  • Ho, F. Y. Y., Chung, K. F., Yeung, W. F., Ng, T. H., Kwan, K. S., Yung, K. P., & Cheng, S. K. (2015). Self-help cognitive-behavioral therapy...
  • Jiang, A., Rosario, M., Stahl, S., Gill, J. M., & Rusch, H. L. (2021). The effect of virtual mindfulness-based interventions on sleep...
  • Kabat-Zinn, J. (2003). Mindfulness-based stress reduction (MBSR). Constructivism in the Human Sciences, 8(2), 73-107.
  • Kamel, N. S., & Gammack, J. K. (2006). Insomnia in the elderly: Cause, approach, and treatment. The American Journal of Medicine, 119(6),...
  • Kanen, J. W., Nazir, R., Sedky, K., & K Pradhan, B. (2015). The effects of mindfulness-based interventions on sleep disturbance: A meta-analysis....
  • Kim, S. M., Park, J. M., & Seo, H. J. (2016). Effects of mindfulness-based stress reduction for adults with sleep disturbance: A protocol...
  • Lau, W. K., Leung, M. K., Wing, Y. K., & Lee, T. M. (2018). Potential mechanisms of mindfulness in improving sleep and distress. Mindfulness,...
  • Li, J., Vitiello, M. V., & Gooneratne, N. S. (2018). Sleep in normal aging. Sleep Medicine Clinics, 13(1), 1-11. https://doi.org/10.1016/j.jsmc.2017.09.001
  • Low, T., Conduit, R., Varma, P., Meaklim, H., & Jackson, M. L. (2020). Treating subclinical and clinical symptoms of insomnia with a mindfulnessbased...
  • Mathew, K. L., Whitford, H. S., Kenny, M. A., & Denson, L. A. (2010). The long-term effects of mindfulness-based cognitive therapy as...
  • McCurry, S. M., Guthrie, K. A., Morin, C. M., Woods, N. F., Landis, C. A., Ensrud, K. E., Larson, J. C., Joffe, H., Cohen, L. S., Hunt, J....
  • Morin, C. M. (1993). Insomnia: Psychological assessment and management. Guilford Press.
  • Morin, C. M., & Benca, R. (2012). Chronic insomnia. The Lancet, 379(9821), 1129-1141. https://doi.org/10.1016/S0140-6736(11)60750-2
  • Morin, C. M., & Jarrin, D. C. (2013). Epidemiology of insomnia: Prevalence, course, risk factors, and public health burden. Sleep Medicine...
  • Morin, C. M., LeBlanc, M., Daley, M., Gregoire, J. P., & Merette, C. (2006). Epidemiology of insomnia: Prevalence, self-help treatments,...
  • Ohayon, M. M., Carskadon, M. A., Guilleminault, C., & Vitiello, M. V. (2004). Meta-analysis of quantitative sleep parameters from childhood...
  • Ong, J. C., Manber, R., Segal, Z., Xia, Y., Shapiro, S., & Wyatt, J. K. (2014). A randomized controlled trial of mindfulness meditation...
  • Ong, J. C., Shapiro, S. L., & Manber, R. (2009). Mindfulness meditation and cognitive behavioral therapy for insomnia: A naturalistic...
  • Ong, J. C., & Smith, C. E. (2017). Using mindfulness for the treatment of insomnia. Current Sleep Medicine Reports, 3(2), 57-65. https://doi....
  • Ong, J. C., Ulmer, C. S., & Manber, R. (2012). Improving sleep with mindfulness and acceptance: A metacognitive model of insomnia. Behaviour...
  • Palagini, L., Faraguna, U., Mauri, M., Gronchi, A., Morin, C. M., & Riemann, D. (2016). Association between stress-related sleep reactivity...
  • Patel, D., Steinberg, J., & Patel, P. (2018). Insomnia in the elderly: A review. Journal of Clinical Sleep Medicine, 14(6), 1017-1024....
  • Perez-Blasco, J., Sales, A., Meléndez, J. C., & Mayordomo, T. (2016). The effects of mindfulness and self-compassion on improving the...
  • Pourmotabbed, A., Boozari, B., Babaei, A., Asbaghi, O., Campbell, M. S., Mohammadi, H., Hadi, A., & Moradi, S. (2020). Sleep and frailty...
  • Qaseem, A., Kansagara, D., Forciea, M. A., Cooke, M., & Denberg, T. D. (2016). Management of chronic insomnia disorder in adults: A clinical...
  • Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G., Espie, C. A., Garcia-Borreguero, D., Gjerstad, M.,...
  • Rosenberg, R., Citrome, L., & Drake, C. L. (2021). Advances in the treatment of chronic insomnia: A narrative review of new nonpharmacologic...
  • Rusch, H. L., Rosario, M., Levison, L. M., Olivera, A., Livingston, W. S., Wu, T., & Gill, J. M. (2019). The effect of mindfulness meditation...
  • Sandlund, C., Hetta, J., Nilsson, G. H., Ekstedt, M., & Westman, J. (2017). Improving insomnia in primary care patients: A randomized...
  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing...
  • Selvanathan, J., Pham, C., Nagappa, M., Peng, P. W., Englesakis, M., Espie, C. A., Morin, C. M., & Chung, F. (2021). Cognitive behavioral...
  • Sexton, C. E., Sykara, K., Karageorgiou, E., Zitser, J., Rosa, T., Yaffe, K., & Leng, Y. (2020). Connections between insomnia and cognitive...
  • Shallcross, A. J., Gross, J. J., Visvanathan, P. D., Kumar, N., Palfrey, A., Ford, B. Q., Dimidjian, S., Shirk, S., Holm-Denoma, J., Goode,...
  • Shallcross, A. J., & Visvanathan, P. D. (2016). Mindfulness-based cognitive therapy for insomnia. In S. J. Eisendrath (Ed.), Mindfulness-based...
  • Staner, L. (2010). Comorbidity of insomnia and depression. Sleep Medicine Reviews, 14(1), 35-46. https://doi.org/10.1016/j.smrv.2009.09.003
  • Tang, Y. Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., Yu, Q., Sui, D., Rothbart, M. K., Fan, M., & Posner, M. I. (2007). Short-term...
  • Vanhuffel, H., Rey, M., Lambert, I., Da Fonseca, D., & Bat-Pitault, F. (2017). Contribution of mindfulness meditation in cognitive behavioral...
  • Wang, Y. Y., Wang, F., Zheng, W., Zhang, L., Ng, C. H., Ungvari, G. S., & Xiang, Y. T. (2020). Mindfulness-based interventions for insomnia:...
  • Williams, J. M. G., Crane, C., Barnhofer, T., Brennan, K., Duggan, D. S., Fennell, M. J., Hackmann, A., Krusche, A., Muse, K., Von Rohr, I....
  • Williams, J. M. G., & Kuyken, W. (2012). Mindfulness-based cognitive therapy: A promising new approach to preventing depressive relapse....
  • Winbush, N. Y., Gross, C. R., & Kreitzer, M. J. (2007). The effects of mindfulness-based stress reduction on sleep disturbance: A systematic...
  • Woods, H., Marchetti, L. M., Biello, S. M., & Espie, C. A. (2009). The clock as a focus of selective attention in those with primary insomnia:...
  • Zachariae, R., Lyby, M. S., Ritterband, L. M., & O’Toole, M. S. (2016). Efficacy of internet-delivered cognitive-behavioral therapy for...
  • Zhang, J. X., Liu, X. H., Xie, X. H., Zhao, D., Shan, M. S., Zhang, X. L., Kong, X. M., & Cui, H. (2015). Mindfulness-based stress reduction...
  • Zhao, Y., Liu, J. E., Lewis, F. M., Nie, Z. H., Qiu, H., Han, J., Su, Y. L., & Yang, S. S. (2020). Effects of mindfulness-based cognitive...
  • Zhong, G., Wang, Y., Zhang, Y., & Zhao, Y. (2015). Association between benzodiazepine use and dementia: A meta-analysis. PloS one, 10(5),...