Research status and analysis of mindfulness meditation regulating insomnia_West China Medical Journal

Authors：

CAI Mengqian ,  CUI Miaoling

Department of Nursing, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, P. R. China;

Corresponding?author：

CUI Miaoling, Email: cuimiaoling@126.com

Keywords：

Mindfulness meditation; Insomnia; Review

DOI：

10.7507/1002-0179.202003363

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

As a common public health problem, insomnia has brought a serious social burden. In recent years, with the rapid development of sleep medicine, mindfulness meditation has gradually emerged in the field of insomnia as a new non-drug therapy. This article will review the current status of insomnia treatment, the related concepts, principles of regulating insomnia, intervention methods, and application in different insomnia groups of mindfulness meditation, and summarize the current problems of mindfulness meditation in regulating insomnia through literature analysis. It aims to raise the attention of medical staff to insomnia, promote the development of localized mindfulness meditation theory in China, provide new ideas for insomnia management, and further improve the sleep quality of the population.

Citation： CAI Mengqian, CUI Miaoling. Research status and analysis of mindfulness meditation regulating insomnia. West China Medical Journal, 2021, 36(4): 524-528. doi: 10.7507/1002-0179.202003363 Copy

1.	中華醫學會神經病學分會, 中華醫學會神經病學分會睡眠障礙學組. 中國成人失眠診斷與治療指南(2017 版). 中華神經科雜志, 2018, 51(5): 324-335.
2.	Incze M, Redberg RF, Gupta A. I have insomnia-what should I do?. JAMA Intern Med, 2018, 178(11): 1572.
3.	Moore M. Looking for a good night’s sleep. Lancet, 2012, 380(9839): 322-323.
4.	健康界, 喜臨門, 中國睡眠研究會, 等. 《2020 喜臨門中國睡眠指數報告》. (2020-03-21)[2020-03-21]. http://zk.cn-healthcare.com/doc-show-40382.html.
5.	Xu W, Tan CC, Zou JJ, et al. Sleep problems and risk of all-cause cognitive decline or dementia: an updated systematic review and meta-analysis. J Neurol Neurosurg Psychiatry, 2020, 91(3): 236-244.
6.	盧小麗, 陳軍軍, 唐艷燕. 認知行為療法對肝移植術后患者焦慮情緒及睡眠質量的影響. 華西醫學, 2015, 30(4): 750-753.
7.	邢佳, 董斐, 張迎, 等. 慢性失眠癥診斷與團體心理行為治療的研究進展. 中國全科醫學, 2019, 22(30): 3762-3767.
8.	Ong JC, Manber R, Segal Z, et al. A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep, 2014, 37(9): 1553-1563.
9.	Wilson S, Anderson K, Baldwin D, et al. British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders: an update. J Psychopharmacol, 2019, 33(8): 923-947.
10.	Riemann D, Baglioni C, Bassetti C, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res, 2017, 26(6): 675-700.
11.	Morin CM, Benca R. Chronic insomnia. Lancet, 2012, 379(9821): 1129-1141.
12.	Billioti de Gage S, Bégaud B, Bazin F, et al. Benzodiazepine use and risk of dementia: prospective population based study. BMJ, 2012, 345: e6231.
13.	Lemyre A, Belzile F, Landry M, et al. Pre-sleep cognitive activity in adults: a systematic review. Sleep Med Rev, 2020, 50: 101253.
14.	Sivertsen B, Omvik S, Pallesen S, et al. Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial. JAMA, 2006, 295(24): 2851-2858.
15.	Lancee J, van Straten A, Morina N, et al. Guided online or face-to-face cognitive behavioral treatment for insomnia: a randomized wait-list controlled trial. Sleep, 2016, 39(1): 183-191.
16.	Lee J, Finkelstein J. Consumer sleep tracking devices: a critical review. Stud Health Technol Inform, 2015, 210: 458-460.
17.	陳昇. 針刺結合太極拳 24 式對治療失眠的干預作用研究. 長春: 長春中醫藥大學, 2019: 1-71.
18.	周艷, 倪永華, 劉曉麗. 艾灸涌泉穴配合穴位貼敷提高心腦血管病人睡眠質量的療效觀察. 中華中醫藥學刊, 2015, 33(2): 417-419.
19.	Creswell JD. Mindfulness Interventions. Annu Rev Psychol, 2017, 68: 491-516.
20.	Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Random House, 2006: 1-510.
21.	Gross CR, Kreitzer MJ, Reilly-Spong M, et al. Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: a randomized controlled clinical trial. Explore (N Y), 2011, 7(2): 76-87.
22.	Heidenreich T, Tuin I, Pflug B, et al. Mindfulness-based cognitive therapy for persistent insomnia: a pilot study. Psychother Psychosom, 2006, 75(3): 188-189.
23.	Ong JC, Shapiro SL, Manber R. Mindfulness meditation and cognitive behavioral therapy for insomnia: a naturalistic 12-month follow-up. Explore (N Y), 2009, 5(1): 30-36.
24.	Ong JC, Ulmer CS, Manber R. Improving sleep with mindfulness and acceptance: a metacognitive model of insomnia. Behav Res Ther, 2012, 50(11): 651-660.
25.	Lindsay EK, Creswell JD. Mechanisms of mindfulness training: monitor and acceptance theory (MAT). Clin Psychol Rev, 2017, 51: 48-59.
26.	Lau WKW, Leung MK, Wing YK, et al. Potential mechanisms of mindfulness in improving sleep and distress. Mindfulness (N Y), 2018, 9(2): 547-555.
27.	H?lzel BK, Carmody J, Vangel M, et al. Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res, 2011, 191(1): 36-43.
28.	Schutte NS, Malouff JM. A meta-analytic review of the effects of mindfulness meditation on telomerase activity. Psychoneuroendocrinology, 2014, 42: 45-48.
29.	Howlett RDM, Lustig KA, MacDonald KJ, et al. Hyperarousal is associated with socioemotional processing in individuals with insomnia symptoms and good sleepers. Brain Sci, 2020, 10(2): 112.
30.	Bonnet MH, Arand DL. Hyperarousal and insomnia: state of the science. Sleep Med Rev, 2010, 14(1): 9-15.
31.	Dentico D, Ferrarelli F, Riedner BA, et al. Short meditation trainings enhance non-rem sleep low-frequency oscillations. PLoS One, 2016, 11(2): e0148961.
32.	Ferrarelli F, Smith R, Dentico D, et al. Experienced mindfulness meditators exhibit higher parietal-occipital EEG gamma activity during NREM sleep. PLoS One, 2013, 8(8): e73417.
33.	Goldstein MR, Turner AD, Dawson SC, et al. Increased high-frequency NREM EEG power associated with mindfulness-based interventions for chronic insomnia: preliminary findings from spectral analysis. J Psychosom Res, 2019, 120: 12-19.
34.	Voiss P, H?xtermann MD, Dobos G, et al. Cancer, sleep problems, and mind-body medicine use: results of the 2017 National Health Interview Survey. Cancer, 2019, 125(24): 4490-4497.
35.	Zimmermann FF, Burrell B, Jordan J. The acceptability and potential benefits of mindfulness-based interventions in improving psychological well-being for adults with advanced cancer:a systematic review. Complement Ther Clin Pract, 2018, 30: 68-78.
36.	Cillessen L, Johannsen M, Speckens AEM, et al. Mindfulness-based interventions for psychological and physical health outcomes in cancer patients and survivors: a systematic review and meta-analysis of randomized controlled trials. Psychooncology, 2019, 28(12): 2257-2269.
37.	Christodoulou G, Black DS. Mindfulness-based interventions and sleep among cancer survivors: a critical analysis of randomized controlled trials. Curr Oncol Rep, 2017, 19(9): 60.
38.	Zhang H, Li Y, Li M, et al. A randomized controlled trial of mindfulness-based stress reduction for insomnia secondary to cervical cancer: sleep effects. Appl Nurs Res, 2019, 48: 52-57.
39.	Andersen SR, Würtzen H, Steding-Jessen M, et al. Effect of mindfulness-based stress reduction on sleep quality: results of a randomized trial among Danish breast cancer patients. Acta Oncol, 2013, 52(2): 336-344.
40.	王坤, 陳長英, 艾建賽, 等. 正念減壓療法對乳腺癌患者化療期間疲乏及睡眠質量的影響. 中華護理雜志, 2017, 52(5): 518-523.
41.	Bollu PC, Kaur H. Sleep medicine: insomnia and sleep. Mo Med, 2019, 116(1): 68-75.
42.	Shorofsky M, Bourbeau J, Kimoff I RJ, et al. A population based study of sleep disorders in chronic obstructive pulmonary disease: sleep quality and acute exacerbations of COPD. Am J Respir Crit Care Med, 2016, 193: A5995.
43.	Farver-Vestergaard I, O’Toole MS, O’Connor M, et al. Mindfulness-based cognitive therapy in COPD: a cluster randomised controlled trial. Eur Respir J, 2018, 51(2): 1702082.
44.	Farver-Vestergaard I, O’Connor M, Smith NC, et al. Tele-delivered mindfulness-based cognitive therapy in chronic obstructive pulmonary disease: a mixed-methods feasibility study. J Telemed Telecare, 2019, 25(8): 468-475.
45.	Harrison SL, Lee A, Janaudis-Ferreira T, et al. Mindfulness in people with a respiratory diagnosis: a systematic review. Patient Educ Couns, 2016, 99(3): 348-355.
46.	邢翀, 王瑋. 慢性阻塞性肺疾病患者睡眠障礙研究進展. 中國實用內科雜志, 2019, 39(8): 720-724.
47.	Klatt MD, Buckworth J, Malarkey WB. Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Educ Behav, 2009, 36(3): 601-614.
48.	Crain TL, Schonert-Reichl KA, Roeser RW. Cultivating teacher mindfulness: effects of a randomized controlled trial on work, home, and sleep outcomes. J Occup Health Psychol, 2017, 22(2): 138-152.
49.	Greeson JM, Juberg MK, Maytan M, et al. A randomized controlled trial of Koru: a mindfulness program for college students and other emerging adults. J Am Coll Health, 2014, 62(4): 222-233.
50.	Schumer MC, Lindsay EK, Creswell JD. Brief mindfulness training for negative affectivity: a systematic review and meta-analysis. J Consult Clin Psychol, 2018, 86(7): 569-583.

1. 中華醫學會神經病學分會, 中華醫學會神經病學分會睡眠障礙學組. 中國成人失眠診斷與治療指南(2017 版). 中華神經科雜志, 2018, 51(5): 324-335.
2. Incze M, Redberg RF, Gupta A. I have insomnia-what should I do?. JAMA Intern Med, 2018, 178(11): 1572.
3. Moore M. Looking for a good night’s sleep. Lancet, 2012, 380(9839): 322-323.
4. 健康界, 喜臨門, 中國睡眠研究會, 等. 《2020 喜臨門中國睡眠指數報告》. (2020-03-21)[2020-03-21]. http://zk.cn-healthcare.com/doc-show-40382.html.
5. Xu W, Tan CC, Zou JJ, et al. Sleep problems and risk of all-cause cognitive decline or dementia: an updated systematic review and meta-analysis. J Neurol Neurosurg Psychiatry, 2020, 91(3): 236-244.
6. 盧小麗, 陳軍軍, 唐艷燕. 認知行為療法對肝移植術后患者焦慮情緒及睡眠質量的影響. 華西醫學, 2015, 30(4): 750-753.
7. 邢佳, 董斐, 張迎, 等. 慢性失眠癥診斷與團體心理行為治療的研究進展. 中國全科醫學, 2019, 22(30): 3762-3767.
8. Ong JC, Manber R, Segal Z, et al. A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep, 2014, 37(9): 1553-1563.
9. Wilson S, Anderson K, Baldwin D, et al. British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders: an update. J Psychopharmacol, 2019, 33(8): 923-947.
10. Riemann D, Baglioni C, Bassetti C, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res, 2017, 26(6): 675-700.
11. Morin CM, Benca R. Chronic insomnia. Lancet, 2012, 379(9821): 1129-1141.
12. Billioti de Gage S, Bégaud B, Bazin F, et al. Benzodiazepine use and risk of dementia: prospective population based study. BMJ, 2012, 345: e6231.
13. Lemyre A, Belzile F, Landry M, et al. Pre-sleep cognitive activity in adults: a systematic review. Sleep Med Rev, 2020, 50: 101253.
14. Sivertsen B, Omvik S, Pallesen S, et al. Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial. JAMA, 2006, 295(24): 2851-2858.
15. Lancee J, van Straten A, Morina N, et al. Guided online or face-to-face cognitive behavioral treatment for insomnia: a randomized wait-list controlled trial. Sleep, 2016, 39(1): 183-191.
16. Lee J, Finkelstein J. Consumer sleep tracking devices: a critical review. Stud Health Technol Inform, 2015, 210: 458-460.
17. 陳昇. 針刺結合太極拳 24 式對治療失眠的干預作用研究. 長春: 長春中醫藥大學, 2019: 1-71.
18. 周艷, 倪永華, 劉曉麗. 艾灸涌泉穴配合穴位貼敷提高心腦血管病人睡眠質量的療效觀察. 中華中醫藥學刊, 2015, 33(2): 417-419.
19. Creswell JD. Mindfulness Interventions. Annu Rev Psychol, 2017, 68: 491-516.
20. Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Random House, 2006: 1-510.
21. Gross CR, Kreitzer MJ, Reilly-Spong M, et al. Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: a randomized controlled clinical trial. Explore (N Y), 2011, 7(2): 76-87.
22. Heidenreich T, Tuin I, Pflug B, et al. Mindfulness-based cognitive therapy for persistent insomnia: a pilot study. Psychother Psychosom, 2006, 75(3): 188-189.
23. Ong JC, Shapiro SL, Manber R. Mindfulness meditation and cognitive behavioral therapy for insomnia: a naturalistic 12-month follow-up. Explore (N Y), 2009, 5(1): 30-36.
24. Ong JC, Ulmer CS, Manber R. Improving sleep with mindfulness and acceptance: a metacognitive model of insomnia. Behav Res Ther, 2012, 50(11): 651-660.
25. Lindsay EK, Creswell JD. Mechanisms of mindfulness training: monitor and acceptance theory (MAT). Clin Psychol Rev, 2017, 51: 48-59.
26. Lau WKW, Leung MK, Wing YK, et al. Potential mechanisms of mindfulness in improving sleep and distress. Mindfulness (N Y), 2018, 9(2): 547-555.
27. H?lzel BK, Carmody J, Vangel M, et al. Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res, 2011, 191(1): 36-43.
28. Schutte NS, Malouff JM. A meta-analytic review of the effects of mindfulness meditation on telomerase activity. Psychoneuroendocrinology, 2014, 42: 45-48.
29. Howlett RDM, Lustig KA, MacDonald KJ, et al. Hyperarousal is associated with socioemotional processing in individuals with insomnia symptoms and good sleepers. Brain Sci, 2020, 10(2): 112.
30. Bonnet MH, Arand DL. Hyperarousal and insomnia: state of the science. Sleep Med Rev, 2010, 14(1): 9-15.
31. Dentico D, Ferrarelli F, Riedner BA, et al. Short meditation trainings enhance non-rem sleep low-frequency oscillations. PLoS One, 2016, 11(2): e0148961.
32. Ferrarelli F, Smith R, Dentico D, et al. Experienced mindfulness meditators exhibit higher parietal-occipital EEG gamma activity during NREM sleep. PLoS One, 2013, 8(8): e73417.
33. Goldstein MR, Turner AD, Dawson SC, et al. Increased high-frequency NREM EEG power associated with mindfulness-based interventions for chronic insomnia: preliminary findings from spectral analysis. J Psychosom Res, 2019, 120: 12-19.
34. Voiss P, H?xtermann MD, Dobos G, et al. Cancer, sleep problems, and mind-body medicine use: results of the 2017 National Health Interview Survey. Cancer, 2019, 125(24): 4490-4497.
35. Zimmermann FF, Burrell B, Jordan J. The acceptability and potential benefits of mindfulness-based interventions in improving psychological well-being for adults with advanced cancer:a systematic review. Complement Ther Clin Pract, 2018, 30: 68-78.
36. Cillessen L, Johannsen M, Speckens AEM, et al. Mindfulness-based interventions for psychological and physical health outcomes in cancer patients and survivors: a systematic review and meta-analysis of randomized controlled trials. Psychooncology, 2019, 28(12): 2257-2269.
37. Christodoulou G, Black DS. Mindfulness-based interventions and sleep among cancer survivors: a critical analysis of randomized controlled trials. Curr Oncol Rep, 2017, 19(9): 60.
38. Zhang H, Li Y, Li M, et al. A randomized controlled trial of mindfulness-based stress reduction for insomnia secondary to cervical cancer: sleep effects. Appl Nurs Res, 2019, 48: 52-57.
39. Andersen SR, Würtzen H, Steding-Jessen M, et al. Effect of mindfulness-based stress reduction on sleep quality: results of a randomized trial among Danish breast cancer patients. Acta Oncol, 2013, 52(2): 336-344.
40. 王坤, 陳長英, 艾建賽, 等. 正念減壓療法對乳腺癌患者化療期間疲乏及睡眠質量的影響. 中華護理雜志, 2017, 52(5): 518-523.
41. Bollu PC, Kaur H. Sleep medicine: insomnia and sleep. Mo Med, 2019, 116(1): 68-75.
42. Shorofsky M, Bourbeau J, Kimoff I RJ, et al. A population based study of sleep disorders in chronic obstructive pulmonary disease: sleep quality and acute exacerbations of COPD. Am J Respir Crit Care Med, 2016, 193: A5995.
43. Farver-Vestergaard I, O’Toole MS, O’Connor M, et al. Mindfulness-based cognitive therapy in COPD: a cluster randomised controlled trial. Eur Respir J, 2018, 51(2): 1702082.
44. Farver-Vestergaard I, O’Connor M, Smith NC, et al. Tele-delivered mindfulness-based cognitive therapy in chronic obstructive pulmonary disease: a mixed-methods feasibility study. J Telemed Telecare, 2019, 25(8): 468-475.
45. Harrison SL, Lee A, Janaudis-Ferreira T, et al. Mindfulness in people with a respiratory diagnosis: a systematic review. Patient Educ Couns, 2016, 99(3): 348-355.
46. 邢翀, 王瑋. 慢性阻塞性肺疾病患者睡眠障礙研究進展. 中國實用內科雜志, 2019, 39(8): 720-724.
47. Klatt MD, Buckworth J, Malarkey WB. Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Educ Behav, 2009, 36(3): 601-614.
48. Crain TL, Schonert-Reichl KA, Roeser RW. Cultivating teacher mindfulness: effects of a randomized controlled trial on work, home, and sleep outcomes. J Occup Health Psychol, 2017, 22(2): 138-152.
49. Greeson JM, Juberg MK, Maytan M, et al. A randomized controlled trial of Koru: a mindfulness program for college students and other emerging adults. J Am Coll Health, 2014, 62(4): 222-233.
50. Schumer MC, Lindsay EK, Creswell JD. Brief mindfulness training for negative affectivity: a systematic review and meta-analysis. J Consult Clin Psychol, 2018, 86(7): 569-583.

West China Medical Journal

Research status and analysis of mindfulness meditation regulating insomnia

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content