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Effects of mindfulness-based therapy for insomnia and a sleep hygiene/exercise programme on subjective-objective sleep discrepancy in older adults with sleep disturbances: Exploratory secondary analysis of a randomised clinical trial.

Journal of sleep research
December 1, 2022
Noof Abdullah Saad Shaif et al. (3 authors)
Randomized Controlled TrialJournal ArticleResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate whether mindfulness-based therapy for insomnia (MBTI) could reduce discrepancies between subjective and objective sleep parameters in older adults compared to a sleep hygiene, education, and exercise program (SHEEP).

Results Summary

MBTI significantly reduced sleep onset latency discrepancy and improved sleep perception, correlating with better sleep quality and reduced insomnia symptoms. No significant change was observed in wake after sleep onset discrepancy for either intervention.

Population

Older adults with sleep disturbances

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based therapy for insomnia (MBTI)
decrease
sleep onset latency discrepancy measured by polysomnography
older adults with sleep disturbances
-
decreased significantly
#1
mindfulness-based therapy for insomnia (MBTI)
decrease
sleep onset latency discrepancy measured by actigraphy
older adults with sleep disturbances
-
decreased significantly
#2
sleep hygiene, education, and exercise programme (SHEEP)
decrease
sleep onset latency discrepancy measured by polysomnography
older adults with sleep disturbances
-
decreased significantly
#3
sleep hygiene, education, and exercise programme (SHEEP)
decrease
sleep onset latency discrepancy measured by actigraphy
older adults with sleep disturbances
-
decreased significantly
#4
mindfulness-based therapy for insomnia (MBTI)
no change
wake after sleep onset discrepancy
older adults with sleep disturbances
-
no significant change
#5
sleep hygiene, education, and exercise programme (SHEEP)
no change
wake after sleep onset discrepancy
older adults with sleep disturbances
-
no significant change
#6
mindfulness-based therapy for insomnia (MBTI)
neutral
change in sleep onset latency discrepancy
older adults with sleep disturbances
-
was correlated with
#7
mindfulness-based therapy for insomnia (MBTI)
neutral
change in insomnia symptoms
older adults with sleep disturbances
-
was correlated with
#8
mindfulness-based therapy for insomnia (MBTI)
neutral
change in objectively measured trait mindfulness
older adults with sleep disturbances
-
was correlated with
#9
mindfulness-based therapy for insomnia (MBTI)
decrease
sleep onset latency discrepancies
older adults with sleep disturbances
-
was effective in reducing
#10
mindfulness-based therapy for insomnia (MBTI)
increase
sleep perception
older adults with sleep disturbances
-
improving
#11
mindfulness-based therapy for insomnia (MBTI)
increase
sleep quality
older adults with sleep disturbances
-
drove an improvement in
#12
mindfulness-based therapy for insomnia (MBTI)
increase
insomnia symptoms
older adults with sleep disturbances
-
drove an improvement in
#13
mindfulness-based therapy for insomnia (MBTI)
increase
trait mindfulness
mindfulness-based therapy for insomnia group
-
Increases in
#14
Abstract

Older adults with poor sleep tend to show a discrepancy between objective and self-reported sleep parameters, which can trigger a vicious cycle that worsens their sleep complaints. Cognitive-behavioural therapy can reduce this discrepancy, but alternative behavioural therapies remain untested. The present exploratory study aimed to investigate the effects of mindfulness-based therapy for insomnia (MBTI) on reducing sleep discrepancies in comparison with a sleep hygiene, education, and exercise programme (SHEEP). Older adults were randomly allocated into the mindfulness-based therapy for insomnia group (n = 55) or the sleep hygiene, education, and exercise programme group (n = 58). Subjective and objective sleep parameters were measured using sleep diaries, polysomnography (PSG), and actigraphy. Sleep discrepancies were calculated using the Bland-Altman method for sleep onset latency (SOL) and wake after sleep onset (WASO). Additionally, correlations between the change in sleep discrepancies and the change in subjective sleep quality and trait mindfulness were measured within each group. Sleep onset latency discrepancy measured by polysomnography and actigraphy decreased significantly after the MBTI and SHEEP interventions. In contrast, there was no significant change in wake after sleep onset discrepancy in either group. The change in sleep onset latency discrepancy was correlated with the change in insomnia symptoms and objectively measured trait mindfulness. Mindfulness-based therapy for insomnia was effective in reducing sleep onset latency discrepancies and improving sleep perception in older adults with sleep disturbances, which in turn drove an improvement in sleep quality and insomnia symptoms. Increases in trait mindfulness may have been an important mechanism in improving sleep perception in the mindfulness-based therapy for insomnia group.

Medical Subject Headings (MeSH)
HumansSleep Initiation and Maintenance DisordersMindfulnessSleep HygieneSleepActigraphyExercise Therapy
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations3
Citations/Year1.0
Relative Citation Ratio0.59
NIH Percentile32%
Research Impact Scores
APT Score0.25
Weight Score2.61
Normalized Score0.72
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