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how best to treat insomnia:comparing cognitive therapy with mindfulness

Enhancing CBT for Chronic Insomnia: A Randomised Clinical Trial of Additive Components of Mindfulness or Cognitive Therapy on length and quality of sleep.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12618000359235
Enrollment
57
Registered
2018-03-09
Start date
2009-10-14
Completion date
2010-11-20
Last updated
2019-10-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

the study sought to determine whether Cognitive Therapy or Mindfulness-based therapy better assists participants with primary insomnia. Participants were allocated to each treatment or a wait-list control. Those in the wait-list were allocated to an active treatment after the wait-list period. Outcome measures included quality of sleep and amount of time asleep.

Interventions

Mindfulness Therapy (MT): 4 x 1 hour per week for 4 weeks delivered in an urban medical practise by registered psychologists. In session meditations included practising observing without judging experiences, focusing on the breath, focusing on the senses in the here and now. Participants were also encouragedto listen to Mindfulness Meditation CDs 6 days out of 7 (including Body Scan meditation and Sitting meditation). Cognitive Therapy (CBT): 4 x 1 hour per week for 4 weeks delivered in an ur

Mindfulness Therapy (MT): 4 x 1 hour per week for 4 weeks delivered in an urban medical practise by registered psychologists. In session meditations included practising observing without judging experiences, focusing on the breath, focusing on the senses in the here and now. Participants were also encouragedto listen to Mindfulness Meditation CDs 6 days out of 7 (including Body Scan meditation and Sitting meditation). Cognitive Therapy (CBT): 4 x 1 hour per week for 4 weeks delivered in an urban medical practise by registered psychologists. The intervention includes explaining to patients how cognition mediate poor sleep and tailored behavioural experiments to demonstrate how changing these ideas improves sleep . Each participant received either MT or CBT in a one-to-one format. there were no formal assessment of checking homework assignments for either CBT or MT

Sponsors

Murdoch University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

(i) 18–65 years of age; (ii) complaint of difficulty initiating or maintaining sleep for at least 6 months; (iii) mean sleep onset latency or minutes awake after sleep for longer than 30 min for at least three nights per week as assessed by 1-week sleep diary; (iv) interference in daytime functioning; (v) total sleep time on sleep diary under 6.5 h for more than three nights out of every seven; and (vi) taking no medication to assist sleep or be taking a stable dose of medication (stable for 1 month).

Exclusion criteria

(i) they presented clear evidence of other sleep disorders (sleep apnoea, periodic leg movements during sleep, nightmare disorder, narcolepsy, parasomnia) based on a sleep history assessment interview protocol (ii) they were receiving treatment of insomnia from another mental health professional; (iii) they presented with sleep disturbances due to a medical/physical condition as assessed by clinical interview; (iv) they had sleep disturbances due to the physiological effect of a substance; and (v) the insomnia was assessed as purely secondary to another psychological disorder.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026