ACT for sleep - Internet-delivered self-help ACT for sub-clinical and clinical insomnia: A randomized controlled trial

Lappalainen, Päivi; Langrial, Sitwat; Oinas-Kukkonen, Harri; Muotka, Joona; Lappalainen, Raimo

doi:10.1016/j.jcbs.2019.04.001

Cited by 45 publications

(30 citation statements)

References 44 publications

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“…The first one, which compared CBT with ACT in 31 patients, found equivalent effects of both therapies on insomnia, anxiety, beliefs about sleep and experiential avoidance (Rafihi-Ferreira et al, 2019). The second study compared unguided internet-delivered ACT with a WCL in 86 patients (mainly with subclinical insomnia) and found improvement in the ACT group with small to moderate effect size (Lappalainen et al, 2019). None of these studies evaluated the im- .00 *** although a quarter of participants did not apply sleep restrictions and only half of them applied stimulus control, most of them still reported sleep improvement.…”

Section: Discussionmentioning

confidence: 99%

“…In an observational cohort study, an ACT treatment for chronic pain was associated with improved sleep (Daly‐Eichenhardt et al., 2016). More recently, two randomized studies (face‐to‐face pilot and unguided internet‐delivered ACT) reported promising results in insomnia‐related outcomes (Lappalainen et al., 2019; Rafihi‐Ferreira et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

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Telehealth‐delivered CBT‐I programme enhanced by acceptance and commitment therapy for insomnia and hypnotic dependence: A pilot randomized controlled trial

Chapoutot

Peter‐Derex

Schoendorff³

et al. 2020

Journal of Sleep Research

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Summary Cognitive behavioural therapy for insomnia is the recommended treatment for chronic insomnia. However, up to a quarter of patients dropout from cognitive behavioural therapy for insomnia programmes. Acceptance, mindfulness and values‐based actions may constitute complementary therapeutic tools to cognitive behavioural therapy for insomnia. The current study sought to evaluate the efficacy of a remotely delivered programme combining the main components of cognitive behavioural therapy for insomnia (sleep restriction and stimulus control) with the third‐wave cognitive behavioural therapy acceptance and commitment therapy in adults with chronic insomnia and hypnotic dependence on insomnia symptoms and quality of life. Thirty‐two participants were enrolled in a pilot randomized controlled trial: half of them were assigned to a 3‐month waiting list before receiving the four “acceptance and commitment therapy‐enhanced cognitive behavioural therapy for insomnia” treatment sessions using videoconference. The primary outcome was sleep quality as measured by the Insomnia Severity Index and the Pittsburgh Sleep Quality Index. All participants also filled out questionnaires about quality of life, use of hypnotics, depression and anxiety, acceptance, mindfulness, thought suppression, as well as a sleep diary at baseline, post‐treatment and 6‐month follow‐up. A large effect size was found for Insomnia Severity Index and Pittsburgh Sleep Quality Index, but also daytime improvements, with increased quality of life and acceptance at post‐treatment endpoint in acceptance and commitment therapy‐enhanced cognitive behavioural therapy for insomnia participants. Improvement in Insomnia Severity Index and Pittsburgh Sleep Quality Index was maintained at the 6‐month follow‐up. Wait‐list participants increased their use of hypnotics, whereas acceptance and commitment therapy‐enhanced cognitive behavioural therapy for insomnia participants evidenced reduced use of them. This pilot study suggests that web‐based cognitive behavioural therapy for insomnia incorporating acceptance and commitment therapy processes may be an efficient option to treat chronic insomnia and hypnotic dependence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Telehealth‐delivered CBT‐I programme enhanced by acceptance and commitment therapy for insomnia and hypnotic dependence: A pilot randomized controlled trial

Chapoutot

Peter‐Derex

Schoendorff³

et al. 2020

Journal of Sleep Research

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“…These flexibility processes gradually interacting with one another produce greater psychological flexibility or inflexibility processes interact with one another and cause psychopathology. In other words, ACT is about providing room for pain and helping clients to move forward toward chosen values to create a meaningful life and enhancing the quality of life and/or addressing issues, which is the main duty of mental health providers (Tanhan, 2018 (Kyllönen, Muotka, Puolakanaho, Astikainen, Keinonen, & Lappalainen, 2018;Pleger, Treppner, Diefenbacher, Schade, Dambacher, & Fydrich, 2018;Proctor, Moghaddam, Evangelou, & Das Nair, 2018;Puolakanaho et al, 2019), obsessive compulsive disorder (Rohani, Rasouli-Azad, Twohig, Ghoreishi, Lee, & Akbari, 2018;Twohig et al, 2018), cancer related psychological issues (González-Fernández, Fernández-Rodríguez, Paz-Caballero, & Pérez-Álvarez, 2018;McClure, Bricker, Mull, & Heffner, 2019;Wells-Di Gregorio et al, 2019), chronic pain (Razavi, Aboalghasimi, Akbari, & Nadirinabi, 2019), migraine (Grazzi, Bernstein, Raggi, Sansone, Grignani, Searl, & Rizzoli, 2019), sleep issues (Päivi, Sitwat, Harri, Joona, & Raimo, 2019;Wiklund, Linton, Alföldi, & Gerdle, 2018), suicide prevention (Bazley & Pakenham, 2019;Ducasse et al, 2018), psychosis (Spidel, Daigneault, Kealy, & Lecomte, 2019). In addition, online versions of ACT RCTs were conducted to address various issues including pain (Lin et al, 2017;Simister, Tkachuk, Shay, Vincent, Pear, & Skrabek, 2018), depression (Molander et al, 2018), stress (Hofer et al, 2018), and smoking (Bricker, Mull, McClure, Watson, & Heffner, 2018).…”

Section: Tanhan 200mentioning

confidence: 99%

Acceptance and Commitment Therapy with Ecological Systems Theory: Addressing Muslim Mental Health Issues and Wellbeing

Tanhan

2019

2717-7564

151

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Muslims across the word underutilize mental health services for addressing their wellbeing and biopsychosocial, spiritual, and contextual issues. By 2030, the global Muslim population is expected to reach 2.2 billion people. This indicates that Muslim mental health is gaining importance and would require contextually (i.e., spiritually, culturally, empirically) more effective services. Practitioners used Acceptance and Commitment Therapy (ACT) and Ecological Systems Theory (EST) to promote wellbeing and address psychopathology for diverse groups. However, rigorous and comprehensive literature from 1986 to 2019 did not produce research addressing how ACT could be consumed to serve Muslims. Researchers in Muslim mental health have suggested benefitting from EST yet only few have mentioned using ACT. ACT is one of the most effective therapies based on randomized control trials to enhance wellbeing and address psychopathology. The main purposes of this paper are to (a) explain how ACT is one of the most appropriate counseling approaches to be utilized with Muslims because ACT and Islam have many commonalities and (b) propose ACT with EST perspective to enable a much more contextual perspective of ACT so that mental health professionals could promote wellbeing and address psychopathology at all ecological levels for all, starting with Muslims. With the arrival of third and fourth wave of counseling approaches, the use of positive psychology in research and practice has increased dramatically. ACT, Islam, and EST also highly stress a positive approach perspective thus considering of ACT and EST together might promise more effective research and practice in positive and abnormal psychology.

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“…In two previous pilot studies ACT interventions for eight weeks improved subjective sleep quality among four and 15 individuals with insomnia [ 48 , 49 ]. An ACT intervention improved sleep patterns in adults with insomnia (n = 43), compared to a wait-list condition (n = 40) [ 50 ]. ACT-interventions improved subjective sleep among ten individuals with insomnia poorly responding to CBT-interventions before [ 51 ].…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Commitment Therapy (ACT) Improves Sleep Quality, Experiential Avoidance, and Emotion Regulation in Individuals with Insomnia—Results from a Randomized Interventional Study

Zakiei

Khazaie

Rostampour

et al. 2021

Life

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Insomnia is a common problem in the general population. To treat insomnia, medication therapies and insomnia-related cognitive-behavioral interventions are often applied. The aim of the present study was to investigate the influence of acceptance and commitment therapy (ACT) on sleep quality, dysfunctional sleep beliefs and attitudes, experiential avoidance, and acceptance of sleep problems in individuals with insomnia, compared to a control condition. A total of 35 participants with diagnosed insomnia (mean age: 41.46 years old; 62.9% females) were randomly assigned to the ACT intervention (weekly group therapy for 60–70 min) or to the active control condition (weekly group meetings for 60–70 min without interventional and psychotherapeutic character). At baseline and after eight weeks (end of the study), and again 12 weeks later at follow-up, participants completed self-rating questionnaires on sleep quality, dysfunctional beliefs and attitudes about sleep, emotion regulation, and experiential avoidance. Furthermore, participants in the intervention condition kept a weekly sleep log for eight consecutive weeks (micro-analysis). Every morning, participants completed the daily sleep log, which consisted of items regarding subjective sleep duration, sleep quality, and the feeling of being restored. Sleep quality, dysfunctional beliefs and attitudes towards sleep, emotion regulation, and experiential avoidance improved over time, but only in the ACT condition compared to the control condition. Improvements remained stable until follow-up. Improvements in experiential avoidance were related to a favorable change in sleep and cognitive-emotional processing. Micro-analyses showed that improvements occurred within the first three weeks of treatment. The pattern of results suggests that ACT appeared to have improved experiential avoidance, which in turn improved both sleep quality and sleep-related cognitive-emotional processes at longer-term in adults with insomnia.

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ACT for sleep - Internet-delivered self-help ACT for sub-clinical and clinical insomnia: A randomized controlled trial

Abstract: This is a self-archived version of an original article. This version may differ from the original in pagination and typographic details.

Cited by 45 publications

References 44 publications

Telehealth‐delivered CBT‐I programme enhanced by acceptance and commitment therapy for insomnia and hypnotic dependence: A pilot randomized controlled trial

Telehealth‐delivered CBT‐I programme enhanced by acceptance and commitment therapy for insomnia and hypnotic dependence: A pilot randomized controlled trial

Acceptance and Commitment Therapy with Ecological Systems Theory: Addressing Muslim Mental Health Issues and Wellbeing

Acceptance and Commitment Therapy (ACT) Improves Sleep Quality, Experiential Avoidance, and Emotion Regulation in Individuals with Insomnia—Results from a Randomized Interventional Study

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