A Meta-Analysis of Mindfulness-Based Therapies for Insomnia and Sleep Disturbance Moving Toward Processes of Change

Joshua A Rash; Victoria A J Kavanagh; Sheila N Garland

doi:10.1016/j.jsmc.2022.06.002

A Meta-Analysis of Mindfulness-Based Therapies for Insomnia and Sleep Disturbance Moving Toward Processes of Change

Sleep Med Clin. 2022 Sep;17(3):329-353. doi: 10.1016/j.jsmc.2022.06.002. Epub 2022 Sep 8.

Authors

Joshua A Rash¹, Victoria A J Kavanagh¹, Sheila N Garland²

Affiliations

¹ Department of Psychology, Faculty of Science, Memorial University of Newfoundland, 232 Elizabeth Avenue, St John's, Newfoundland A1B 3X9, Canada.
² Department of Psychology, Faculty of Science, Memorial University of Newfoundland, 232 Elizabeth Avenue, St John's, Newfoundland A1B 3X9, Canada; Division of Oncology, Faculty of Medicine, Memorial University of Newfoundland, 300 Prince Phillip Drive, St John's, Newfoundland A1B 3V6, Canada. Electronic address: sheila.garland@mun.ca.

PMID: 36150798
DOI: 10.1016/j.jsmc.2022.06.002

Abstract

MBTs are increasingly being investigated as a viable treatment of insomnia or sleep disturbance. To date, 13 trials published since 2010 suggest that MBTs are efficacious for improving symptoms of insomnia and sleep quality relative to psychological placebos and inactive control conditions with medium to large effects. Limited evidence suggests that these effects are sustained at 3-month follow-up. Despite this, limited data were collected evaluating the empirically supported mechanisms or processes of change. The authors propose a testable model in the psychological process model of sleep that they hope will advance the next generation of research into MBTs for insomnia.

Keywords: Insomnia; Mechanisms; Meta-analysis; Mindfulness; Sleep.

Publication types

Meta-Analysis
Review

MeSH terms

Humans
Mindfulness*
Sleep
Sleep Initiation and Maintenance Disorders* / therapy