Effects and mechanisms of a mindfulness-based intervention on insomnia
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Medication alone is not sufficient to treat insomnia. In addition, the side effects of sleep medications themselves cannot be ignored during treatment. Insomnia begins with poor sleep quality and discomfort, but as it continues, patients fall into a vicious circle of insomnia with negative thoughts and dysfunctional and distorted perceptions related to sleep. Mindfulness-based intervention for insomnia corrects these sequential cognitive and behavioral processes. The mindfulness technique basically recognizes all the thoughts, feelings, and experiences that occur to us as they are, nonjudgmentally, and then trains them to return to the senses of our body. In this way, while noticing all the processes of the sequential vicious cycle and training them to return to our bodies (e.g., breathing), mindfulness determines whether we are really sleepy or just fatigued. This mindfulness-based intervention can be a useful nonpharmaceutical intervention for insomnia, and its stability and efficacy has been proven by many studies.
Abstract
Medication alone is not sufficient to treat insomnia. In addition, the side effects of sleep medications themselves cannot be ignored during treatment. Insomnia begins with poor sleep quality and discomfort, but as it continues, patients fall into a vicious circle of insomnia with negative thoughts and dysfunctional and distorted perceptions related to sleep. Mindfulness-based intervention for insomnia corrects these sequential cognitive and behavioral processes. The mindfulness technique basically recognizes all the thoughts, feelings, and experiences that occur to us as they are, nonjudgmentally, and then trains them to return to the senses of our body. In this way, while noticing all the processes of the sequential vicious cycle and training them to return to our bodies (e.g., breathing), mindfulness determines whether we are really sleepy or just fatigued. This mindfulness-based intervention can be a useful nonpharmaceutical intervention for insomnia, and its stability and efficacy has been proven by many studies.
참고문헌 (52)
- Silber MH, "Clinical practice : chronic insomnia", N Engl J Med, 353, pp.803~810 (2005)
- Nowell PD, "Benzodiazepines and zolpidem for chronic insomnia : a meta-analysis of treatment efficacy", JAMA, 278, pp.2170~2177 (1997)
- Morin CM, "Behavioral and pharmacological therapies for late-life insomnia : a randomized controlled trial", JAMA, 281, pp.991~999 (1999)
- Montgomery P, "Cognitive behavioural interventions for sleep problems in adults aged 60+", Cochrane Database Syst Rev, (1), pp.CD003161~ (2003)
- Black DS, "Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances : a randomized clinical trial", JAMA Intern Med, 175, pp.494~501 (2015)
- Korean NeuroPsychiatric Association, "Textbook of neuropsychiatry", IAmIsCompany, 365~ (2017)
- Falsafi N, "A randomized controlled trial of mindfulness versus yoga : effects on depression and", or anxiety in college students, 2016, pp.22, 483~497
- Michalak J, "Mindfulness-based cognitive therapy and a group version of the cognitive behavioral analysis system of psychotherapy for chronic depression : follow-up data of a randomized controlled trial and the moderating role of childhood adversities", Psychother Psychosom, 85, pp.378~380 (2016)
- Hoge EA, "Randomized controlled trial of mindfulness meditation for generalized anxiety disorder : effects on anxiety and stress reactivity", J Clin Psychiatry, 74, pp.786~792 (2013)
- Feuille M, "Pain, mindfulness, and spirituality: a randomized controlled trial comparing effects of mindfulness and relaxation on pain-related outcomes in migraineurs", J Health Psychol, 20, pp.1090~1106 (2015)
- Shorey RC, "A randomized controlled trial of a mindfulness and acceptance group therapy for residential substance use patients", Subst Use Misuse, 52, pp.1400~1410 (2017)
- Ruffault A, "Randomized controlled trial of a 12-month computerized mindfulness-based intervention for obese patients with binge eating disorder : the MindOb study protocol", Contemp Clin Trials, 49, pp.126~133 (2016)
- Gu J, "How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? : a systematic review and meta-analysis of mediation studies", Clin Psychol Rev, 37, pp.1~12 (2015)
- Tang YY, "The neuroscience of mindfulness meditation", Nat Rev Neurosci, 16, pp.213~225 (2015)
- Marchand WR, "Neural mechanisms of mindfulness and meditation : evidence from neuroimaging studies", World J Radiol, 6, pp.471~479 (2014)
- Alda M, "Zen meditation, length of telomeres, and the role of experiential avoidance and compassion", Mindfulness(N Y), 7, pp.651~659 (2016)
- Epel E, "Can meditation slow rate of cellular aging?: cognitive stress, mindfulness, and telomeres", Ann N Y Acad Sci, 1172, pp.34~53 (2009)
- Shallcross AJ, "Mindfulness-based cognitive therapy", pp.19~29 (2016), Springer International Publishing AG
- Morin CM, "Cognitive-behavioral therapy of insomnia", Sleep Med Clin, 1, pp.375~386 (2006)
- Taylor DJ, "Cognitive and behavioural therapy for insomnia(CBT-I)in psychiatric populations : a systematic review", Int Rev Psychiatry, 26, pp.205~213 (2014)
- Cahn BR, "Meditation states and traits: EEG, ERP, and neuroimaging studies", Psychol Bull, 132, pp.180~211 (2006)
- Jevning R, "The physiology of meditation : a review : a wakeful hypometabolic integrated response", Neurosci Biobehav Rev, 16, pp.415~424 (1992)
- Brefczynski-Lewis JA, "Neural correlates of attentional expertise in longterm meditation practitioners", Proc Natl Acad Sci U S A, 104, pp.11483~11488 (2007)
- Lazar SW, "Functional brain mapping of the relaxation response and meditation", Neuroreport, 11, pp.1581~1585 (2000)
- Hölzel BK, "Differential engagement of anterior cingulate and adjacent medial frontal cortex in adept meditators and non-meditators", Neurosci Lett, 421, pp.16~21 (2007)
- Farb NA, "Attending to the present : mindfulness meditation reveals distinct neural modes of self-reference", Soc Cogn Affect Neurosci, 2, pp.313~322 (2007)
- Newberg A, "The measurement of regional cerebral blood flow during the complex cognitive task of meditation : a preliminary SPECT study", Psychiatry Res, 106, pp.113~122 (2001)
- Aftanas LI, "Human anterior and frontal midline theta and lower alpha reflect emotionally positive state and internalized attention : high-resolution EEG investigation of meditation", Neurosci Lett, 310, pp.57~60 (2001)
- Olendzki A, "Unlimiting mind : the radically experiential psychology of Buddhism" (2010), Wisdom Publications
- Carmody J, "An empirical study of the mechanisms of mindfulness in a mindfulness-based stress reduction program", J Clin Psychol, 65, pp.613~626 (2009)
- Kerr CE, "Developing an observing attitude : an analysis of meditation diaries in an MBSR clinical trial", Clin Psychol Psychother, 18, pp.80~93 (2011)
- Fresco DM, "Initial psychometric properties of the experiences questionnaire : validation of a self-report measure of decentering", Behav Ther, 38, pp.234~246 (2007)
- Teasdale JD, "Metacognitive awareness and prevention of relapse in depression : empirical evidence", J Consult Clin Psychol, 70, pp.275~287 (2002)
- Hargus E, "Effects of mindfulness on meta-awareness and specificity of describing prodromal symptoms in suicidal depression", Emotion, 10, pp.34~42 (2010)
- Teasdale JD, "Metacognition, mindfulness and the modification of mood disorders", Clin Psychol Psychother, 6, pp.146~155 (1999)
- Smith H, "Buddhism: a concise introduction" (2003), HarperCollins
- Buckner RL, "The brain’s default network: anatomy, function, and relevance to disease", Ann N Y Acad Sci, 1124, pp.1~38 (2008)
- Marchand WR, "Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression, anxiety, pain, and psychological distress", J Psychiatr Pract, 18, pp.233~252 (2012)
- Northoff G, "Self-referential processing in our brain : a meta-analysis of imaging studies on the self", Neuroimage, 31, pp.440~457 (2006)
- McKiernan KA, "Interrupting the"stream of consciousness" : an fMRI investigation", Neuroimage, 29, pp.1185~1191 (2006)
- Neff K, "Self-compassion : an alternative conceptualization of a healthy attitude toward oneself", Self Ident, 2, pp.85~101 (2003)
- Hollis-Walker L, "Mindfulness, self-compassion, and happiness in non-meditators: a theoretical and empirical examination", Per Individ Dif, 50, pp.222~227 (2011)
- Birnie K, "Exploring self-compassion and empathy in the context of mindfulness-based stress reduction(MBSR)", Stress Health, 26, pp.359~371 (2010)
- Gross CR, "Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: a randomized controlled clinical trial", Explore(NY), 7, pp.76~87 (2011)
- Lengacher CA, "The effects of mindfulness-based stress reduction on objective and subjective sleep parameters in women with breast cancer : a randomized controlled trial", Psychooncology, 24, pp.424~432 (2015)
- Garland SN, "Mindfulness-based stress reduction compared with cognitive behavioral therapy for the treatment of insomnia comorbid with cancer: a randomized, partially blinded, noninferiority trial", J Clin Oncol, 32, pp.449~457 (2014)
- Ong JC, "A randomized controlled trial of mindfulness meditation for chronic insomnia", Sleep, 37, pp.1553~1563 (2014)
- Wang YY, "Mindfulness-based interventions for insomnia : a meta-analysis of randomized controlled trials", Behav Sleep Med, 18, pp.1~9 (2020)
- Rash JA, "A meta-analysis of mindfulness-based therapies for insomnia and sleep disturbance : moving towards processes of change", Sleep Med Clin, 14, pp.209~233 (2019)
- Britton WB, "Polysomnographic and subjective profiles of sleep continuity before and after mindfulness-based cognitive therapy in partially remitted depression", Psychosom Med, 72, pp.539~548 (2010)
- Britton WB, "Mindfulness-based cognitive therapy improves polysomnographic and subjective sleep profiles in antidepressant users with sleep complaints", Psychother Psychosom, 81, pp.296~304 (2012)
- Ong J, "A mindfulness-based approach to the treatment of insomnia", J Clin Psychol, 66, pp.1175~1184 (2010)
