Incorporating Principles from Acceptance and Commitment Therapy into Cognitive-Behavioral Therapy for Insomnia: A Case Example

Dalrymple, Kristy; Fiorentino, Lavinia; Politi, Mary C.; Posner, Donn

doi:10.1007/s10879-010-9145-1

Cited by 44 publications

(33 citation statements)

References 30 publications

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“…Moreover, future research could examine the use of interventions using positive psychology to target purpose in life in older adults. For example, mindfulness-based therapies (Ong 2016) and Acceptance and Commitment Therapies (Dalrymple et al 2010) include values and cultivation of compassion that could enhance purpose in life (Ong et al 2012). …”

Section: Resultsmentioning

confidence: 99%

Is purpose in life associated with less sleep disturbance in older adults?

Turner

Smith

Ong

2017

Sleep Science Practice

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Background: Previous work has shown that purpose in life can be protective against numerous negative health outcomes including sleep disturbances. Given that sleep disturbances are common among older adults and African Americans, the aim of the present study was to examine the relationship between purpose in life, overall sleep quality, and the presence of sleep disorders in a community-based bi-racial sample of older adults. Methods: Participants were 825 non-demented older African Americans (n = 428) and Whites (n = 397) from two cohort studies, the Minority Aging Research Study (MARS) and the Rush Memory and Aging Project (MAP). Participants completed a 32-item questionnaire assessing sleep quality and symptoms of Sleep Apnea, Restless Leg Syndrome (RLS) and REM Behavior Disorder (RBD). Purpose in life was assessed with a 10-item measure modified from Ryff & Keyes's scales of Psychological Well Being. Results: In a series of hierarchical multiple linear regressions controlling for the demographic covariates of age, sex, race, and education, higher levels of purpose in life were associated with better sleep quality at baseline. Using longitudinal follow-up data, higher levels of purpose in life was associated with lower risk of sleep apnea at baseline, 1-year follow-up, and 2-year follow-up, as well as reduced symptoms of RLS at 1-year and 2-year follow-up. Conclusions: These findings provide support for the hypothesis that a higher level of meaning and purpose in life among older adults is related to better sleep quality and appears to be protective against symptoms of sleep apnea and RLS.

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Section: Resultsmentioning

confidence: 99%

Is purpose in life associated with less sleep disturbance in older adults?

Turner

Smith

Ong

2017

Sleep Science Practice

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“…These elements cause a lasting change in one's behavior, which results in the rise of happiness and fulfillment of personal goals [45]. Studies have shown that CBTI, as the second generation of behavioral therapies, plays an important role in improving quality and duration of sleep [46]; accordingly the result from the work of Edinger et al have confirmed this through polysomnography. Such improvement may persist for up to 24 months [47].…”

Section: Discussionmentioning

confidence: 97%

The effect of acceptance and commitment therapy on insomnia and sleep quality: A systematic review

et al. 2020

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Background: Acceptance and Commitment Therapy (ACT), as a type of behavioral therapy, attempts to respond to changes in people's performance and their relationship to events. ACT can affect sleep quality by providing techniques to enhance the flexibility of patients' thoughts, yet maintaining mindfullness. Therefore, for the first time, a systematic review on the effects of ACT on sleep quality has been conducted. Methods: This systematic review was performed to determine the effect of ACT on insomnia and sleep quality. To collect articles, the PubMed, Web of Science (WOS), Cochrane library, Embase, Scopus, Science Direct, ProQuest, Mag Iran, Irandoc, and Google Scholar databases were searched, without a lower time-limit, and until April 2020. Results: Related articles were derived from 9 research repositories, with no lower time-limit and until April 2020. After assessing 1409 collected studies, 278 repetitive studies were excluded. Moreover, following the primary and secondary evaluations of the remaining articles, 1112 other studies were removed, and finally a total of 19 intervention studies were included in the systematic review process. Within the remaining articles, a sample of 1577 people had been assessed for insomnia and sleep quality. Conclusion: The results of this study indicate that ACT has a significant effect on primary and comorbid insomnia and sleep quality, and therefore, it can be used as an appropriate treatment method to control and improve insomnia.

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“…Follow-up data revealed that 61% of participants had no relapse of insomnia during the 12 months following treatment, supporting the long-term benefits of this treatment (Ong, Shapiro, & Manber, 2009). A similar approach has also been taken combining ACT with CBTI (Dalrymple, Fiorentino, Politi, & Posner, 2010). This case study reported on the successful treatment of an individual with insomnia using behavioral strategies with acceptance-based strategies.…”

Section: Metacognitive Therapies For Insomniamentioning

confidence: 99%

Improving sleep with mindfulness and acceptance: A metacognitive model of insomnia

Ong

Ulmer

Manber

2012

Behaviour Research and Therapy

295

212

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While there is accumulating evidence to suggest that therapies using mindfulness and acceptance-based approaches have benefits for improving the symptoms of insomnia, it is unclear how these treatments work. The goal of this paper is to present a conceptual framework for the cognitive mechanisms of insomnia based upon mindfulness and acceptance approaches. The existing cognitive and behavioral models of insomnia are first reviewed and a two-level model of cognitive (primary) and metacognitive (secondary) arousal is presented in the context of insomnia. We then focus on the role of metacognition in mindfulness and acceptance-based therapies, followed by a review of these therapies in the treatment of insomnia. A conceptual framework is presented detailing the mechanisms of metacognition in the context of insomnia treatments. This model proposes that increasing awareness of the mental and physical states that are present when experiencing insomnia symptoms and then learning how to shift mental processes can promote an adaptive stance to one’s response to these symptoms. These metacognitive processes are characterized by balanced appraisals, cognitive flexibility, equanimity, and re-commitment to values and are posited to reduce sleep-related arousal, leading to remission from insomnia. We hope that this model will further the understanding and impact of mindfulness and acceptance-based approaches to insomnia.

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Incorporating Principles from Acceptance and Commitment Therapy into Cognitive-Behavioral Therapy for Insomnia: A Case Example

Cited by 44 publications

References 30 publications

Is purpose in life associated with less sleep disturbance in older adults?

Is purpose in life associated with less sleep disturbance in older adults?

The effect of acceptance and commitment therapy on insomnia and sleep quality: A systematic review

Improving sleep with mindfulness and acceptance: A metacognitive model of insomnia

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