The European Academy for Cognitive Behavioural Therapy for Insomnia: An initiative of the European Insomnia Network to promote implementation and dissemination of treatment

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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“…Nonetheless, in patients who do not respond well to CBT-I treatment, ACT is recognised as an alternative treatment [13].…”

Section: Participantsmentioning

confidence: 99%

“…CBT-I affects the factors influencing insomnia preservation. These factors include dysregulation of sleep drive, sleep-interfering behaviours, and cognitions [13].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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“…Insomnia is the most common sleep disorder worldwide [ 1 ] and was defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders as a dissatisfaction with sleep owing to difficulties in falling asleep, staying asleep, or waking up too early [ 2 ]. However, there is a lack of consensus over its diagnosis due to differences in sensitivity and specificity between the different methods used to identify it (actigraphy, polysomnography, and self-reports, among others).…”

Section: Introductionmentioning

confidence: 99%

Insomnia Interventions in the Workplace: A Systematic Review and Meta-Analysis

Vega‐Escaño

Pórcel‐Gálvez

Diego‐Cordero

et al. 2020

IJERPH

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The aim of this systematic review and meta-analysis was to identify and evaluate the impact of interventions to improve or reduce insomnia in the workforce through randomized clinical trials. Following the recommendations of the PRISMA and MARS statement, a systematic literature search was carried out on the PubMed, Web of Science, CINHAL, and PsycINFO databases, with no restrictions on the language or publication date. For the meta-analysis, a random-effects model and the Insomnia Severity Index were used as outcome measures. To assess the risk of bias and the quality of evidence, the Cochrane Collaboration tool and the GRADE method were used, respectively. Twenty-two studies were included in the systematic review and 12 studies in the meta-analysis, making a total of 14 intervention groups with a sample of 827 workers. Cognitive behavioral therapy was the most widely used intervention. According to the estimated difference between the means, a moderate effect for the reduction of insomnia symptoms after the intervention (MD −2.08, CI 95%: [−2.68, −1.47]) and a non-significant degree of heterogeneity were obtained (p = 0.64; I2 = 0%). The quality of the evidence and the risk of bias were moderate. The results suggest that interventions on insomnia in the workplace are effective for improving workers’ health, and that improvements in the quality of sleep and a decrease in the symptoms of insomnia are produced, thanks to an increase in weekly sleeping hours and a reduction in latency at sleep onset. As regards work, they also led to improvements in productivity, presenteeism, and job burnout.

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“…Finally, there are few providers with adequate training to provide CBT for insomnia [70]. For that reason, a system of standardized CBT-I training and training center accreditation should be implemented to increase the number of sleep medicine centers offering this treatment option [71,72].…”

Section: Resultsmentioning

confidence: 99%

Cognitive-Behavioral and Pharmacological Treatments for Insomnia: A Combined Approach

Cicolin¹,

Giordano²

2020

CMI

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Insomnia is the most prevalent sleep disorder (10-40%). It is defined as the subjective perception of difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate opportunity for sleep and that results in some form of daytime impairment. Among the typical symptoms, there are fatigue, decreased mood or irritability, general malaise, and cognitive impairment. According to the International Classification of Sleep Disorders 3rd edition, ICSD-3, it has been defined as chronic (lasting more than three months) or short-term insomnia (less than three months).In clinical practice, the usual therapeutic approach is pharmacological (benzodiazepines, z drugs, slow wave sleep enhancers), even if the American Academy of Sleep Medicine (AASM), the American College of Physicians (ACP), and the European Sleep Research Society (ESRS) guidelines suggest that the first clinical choice should be non-pharmacological (cognitive behavioral therapy). A combined (non-pharmacological and pharmacological)approach could be considered in poor responders to manage drug dependence and to increase compliance to treatment and patients’ quality of life.

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The European Academy for Cognitive Behavioural Therapy for Insomnia: An initiative of the European Insomnia Network to promote implementation and dissemination of treatment

Cited by 181 publications

References 107 publications

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

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

Insomnia Interventions in the Workplace: A Systematic Review and Meta-Analysis

Cognitive-Behavioral and Pharmacological Treatments for Insomnia: A Combined Approach

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