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：

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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.	中华医学会神经病学分会, 中华医学会神经病学分会睡眠障碍学组. 中国成人失眠诊断与治疗指南(2017 版). 中华神经科杂志, 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, 喜临门, 中国睡眠研究会, 等. 《2020 喜临门中国睡眠指数报告》. (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.	卢小丽, 陈军军, 唐艳燕. 认知行为疗法对肝移植术后患者焦虑情绪及睡眠质量的影响. 华西医学, 2015, 30(4): 750-753.
7.	邢佳, 董斐, 张迎, 等. 慢性失眠症诊断与团体心理行为治疗的研究进展. 中国全科医学, 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.	陈昇. 针刺结合太极拳 24 式对治疗失眠的干预作用研究. 长春: 长春中医药大学, 2019: 1-71.
18.	周艳, 倪永华, 刘晓丽. 艾灸涌泉穴配合穴位贴敷提高心脑血管病人睡眠质量的疗效观察. 中华中医药学刊, 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.	Hölzel 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, Höxtermann 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, 陈长英, 艾建赛, 等. 正念减压疗法对乳腺癌患者化疗期间疲乏及睡眠质量的影响. 中华护理杂志, 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, 王玮. 慢性阻塞性肺疾病患者睡眠障碍研究进展. 中国实用内科杂志, 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. 中华医学会神经病学分会, 中华医学会神经病学分会睡眠障碍学组. 中国成人失眠诊断与治疗指南(2017 版). 中华神经科杂志, 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, 喜临门, 中国睡眠研究会, 等. 《2020 喜临门中国睡眠指数报告》. (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. 卢小丽, 陈军军, 唐艳燕. 认知行为疗法对肝移植术后患者焦虑情绪及睡眠质量的影响. 华西医学, 2015, 30(4): 750-753.
7. 邢佳, 董斐, 张迎, 等. 慢性失眠症诊断与团体心理行为治疗的研究进展. 中国全科医学, 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. 陈昇. 针刺结合太极拳 24 式对治疗失眠的干预作用研究. 长春: 长春中医药大学, 2019: 1-71.
18. 周艳, 倪永华, 刘晓丽. 艾灸涌泉穴配合穴位贴敷提高心脑血管病人睡眠质量的疗效观察. 中华中医药学刊, 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. Hölzel 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, Höxtermann 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, 陈长英, 艾建赛, 等. 正念减压疗法对乳腺癌患者化疗期间疲乏及睡眠质量的影响. 中华护理杂志, 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, 王玮. 慢性阻塞性肺疾病患者睡眠障碍研究进展. 中国实用内科杂志, 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

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