Cognitive behavioral therapy and acceptance and commitment therapy for insomnia: Exploring the potential benefit of psychological flexibility and self-compassion combined with behavioral strategies

Miller-Mendes, Mariana; Castilho, Paula; Clara, Maria Inês; Clemente, Vanda; Gomes, Ana Allen

doi:10.1016/j.newideapsych.2023.101013

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2024

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Cited by 4 publications

References 113 publications

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Efficacy of acceptance and commitment therapy as a stand-alone treatment for Insomnia: Protocol of a randomized waitlist controlled trial

Looman,

Schoenmakers,

Blanken

et al. 2024

Journal of Behavioral and Cognitive Therapy

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Efficacy of acceptance and commitment therapy as a stand-alone treatment for Insomnia: Protocol of a randomized waitlist controlled trial

Looman,

Schoenmakers,

Blanken

et al. 2024

Journal of Behavioral and Cognitive Therapy

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The effects of acceptance and commitment therapy (ACT) on psychological and physical outcomes among cancer patients and survivors: An umbrella review

Sauer,

Haussmann,

Weissflog

2024

Journal of Contextual Behavioral Science

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Comparing the experiences of cancer survivors living with sleep disturbances between differing levels of psychological distress: a qualitative study

Chan,

Ng,

Fielding

et al. 2024

BMC Psychiatry

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Background Psychological distress often co-occurs with sleep disturbances; but the specific mechanisms linking the two remain unclear. A qualitative study explored perceptions and factors associated with sleep disturbances in cancer survivors between patients with varying levels of psychological distress. Methods Thirty-three Cantonese speaking mixed type cancer survivors were recruited from a community cancer care program. Participants that scored > 5 on the Pittsburgh Sleep Quality Index and had non-clinical or borderline to clinical levels of psychological distress underwent semi-structured interviews. Interviews were analyzed using grounded theory. Results Common triggers of sleep disturbances included unresolved treatment side-effects, intrusive thoughts about cancer and fear of cancer recurrence or progression, poor sleep hygiene and a lack of routine. Those with higher levels of distress exhibited more worry about recovery after cancer. Further, they engaged in thought suppression and experienced meta-worry about negative emotions and worry of poor sleep impacting recovery and cancer progression. They commonly exhibited high sleep reactivity and were observed to have limited social support. In contrast, those with low distress adopted better adaptive mechanisms, including a changed commitment to prioritizing health and positive reappraisal of their recovery progress. Self-distraction was used to cope with sleep disturbances and they had fewer expectations of good sleep quality. Conclusions Findings provided insights into the suitability of interventions for patients with sleep disturbances. Interventions targeting maladaptive emotion-focused coping may be more effective in addressing sleep disturbances in cancer survivors with higher distress. Interventions adopting a stepped-care approach may be advantageous in managing sleep disturbances by catering for varying levels of distress.

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Cognitive behavioral therapy and acceptance and commitment therapy for insomnia: Exploring the potential benefit of psychological flexibility and self-compassion combined with behavioral strategies

Cited by 4 publications

References 113 publications

Efficacy of acceptance and commitment therapy as a stand-alone treatment for Insomnia: Protocol of a randomized waitlist controlled trial

Efficacy of acceptance and commitment therapy as a stand-alone treatment for Insomnia: Protocol of a randomized waitlist controlled trial

The effects of acceptance and commitment therapy (ACT) on psychological and physical outcomes among cancer patients and survivors: An umbrella review

Comparing the experiences of cancer survivors living with sleep disturbances between differing levels of psychological distress: a qualitative study

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