Chronic Insomnia
Conditions
Interventions
MBCT:MBCT course
Sponsors
JC School of Public Health and Primary Care, the Chinese University of Hong Kong
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. being 18 years of age or older; 2. having, at baseline assessment, chronic insomnia based on established criteria (DSM IV and ICD-10 combined) that include: (1) difficulties initiating and/or maintaining sleep, defined as a sleep onset latency and /or wake after sleep onset greater than 30 minutes, with a corresponding sleep time of less than 6.5 hours at least 3 nights per week as measured by daily sleep diaries; (2) duration of longer than 6 months and c) significant impairment of daytime functioning (rating of >=2 on item 5 of the Insomnia Severity Index [ISI]; 3. can understand Cantonese; 4. are willing to attend the mindfulness-based cognitive therapy program; 5. are willing to discontinue their sleep medications for a period of 2 weeks (washout period) prior to enrolling in the study or agree to keep constant the dosage and frequency of sleep medication during the study period among those who regularly use sleep medications.
Exclusion criteria
Exclusion criteria: 1. illiterate subjects as they will not be able to complete the meditation diary or PEC work sheet and questionnaires; 2. psychiatric and medical co-morbidities that are potentially life threatening (i.e. psychosis, suicidal ideation, terminal medical illness) or conditions expected to severely limit patient participation or adherence (e.g. psychosis, current substance or alcohol abuse, dementia, pregnancy); 3. presence of a progressive medical illness such as dementia that is directly related to the onset and course of insomnia; 4. screened positive for major depression, eating disorder, substance abuse or anxiety disorder using the Primary Health Questionnaire (PHQ); 5. presence of psychotic symptoms or disorder; 6. night shift work; 7. those already using cognitively behavioural therapy or are planning to start cognitive behavioural therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Insomnia severity index and sleep diary; | — |
Countries
China
Contacts
Public ContactSamuel Yeung Shan, WONG
Outcome results
None listed