Effects of mindfulness-based cognitive therapy on older adults with sleep disorders: a systematic review and meta-analysis.
Study Goal
The researchers aimed to analyze the effectiveness of mindfulness-based programs on improving sleep quality in healthy, non-institutionalized older adults.
Results Summary
Mindfulness significantly reduced poor sleep quality in older adults with both long-term and short-term sleep disorders, showing moderate negative effect sizes across different sleep assessment tools (ISI, PSQI, SOL). The results were statistically significant and consistent.
Population
Healthy, non-institutionalized older adults
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindfulness-based program | decrease | poor sleep quality | healthy non-institutionalized older people | - | was found to reduce | #1 |
mindfulness | decrease | poor sleep quality | people with both long-term and short-term sleep disorders | - | was found to reduce | #2 |
mindfulness | decrease | poor sleep quality | - | -0.344 | Weighting effect model Hedge'g | #3 |
mindfulness | decrease | Insomnia Severity Index (ISI) | - | -0.326 | moderate and negative effect sizes according to the Hedge's g index | #4 |
mindfulness | decrease | Pittsburgh Sleep Quality Index (PSQI) | - | -0.343 | moderate and negative effect sizes according to the Hedge's g index | #5 |
mindfulness | decrease | Sleep Onset Latency (SOL) | - | -0.28 | moderate and negative effect sizes according to the Hedge's g index | #6 |
mindfulness | decrease | poor sleep quality | older people | - | can be used to remedy | #7 |
OBJECTIVE: This systematic review and meta-analysis was conducted to analyze the effectiveness of a mindfulness-based program on sleep quality in healthy non-institutionalized older people. METHODS: This study was conducted following the PRISMA (Preferred Reporting Items For Systematic Reviews And Meta-Analyses) guidelines. The search was conducted during May and June 2023 using four databases: Pubmed, Scopus, Web of Science, and CINAHL. Different keywords combined with Boolean operators were used. Only 10 articles of the initial 177 were included. In the study, the standardized mean difference (SMD) was used along with a 95% confidence interval to measure the effect. Heterogeneity among the studies, assessed using Cochran's Q-test and the I2 statistic was found to be low, leading to the use of a fixed-effects model in the analysis. The effect size was expressed as Hedge'g. Furthermore, a subgroup analysis was conducted, taking into account the various tools used to assess sleep conditions. RESULTS: Mindfulness was found to reduce poor sleep quality in people with both long-term and short-term sleep disorders. Weighting effect model Hedge'g = -0.344 with a 95% confidence interval ranging from -0.425 to -0.263. In all cases, statistically significant results were observed, as well as moderate and negative effect sizes according to the Hedge's g index: -0.326 for Insomnia Severity Index (ISI), -0.343 for Pittsburgh Sleep Quality Index (PSQI), and -0.28 for Sleep Onset Latency (SOL). CONCLUSION: This systematic review and meta-analysis found that mindfulness can be used to remedy poor sleep quality in older people, so it could be a viable treatment option for insomnia or other problems related to poor sleep quality in this population.