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Acceptance and commitment therapy-based behavioral intervention for insomnia: a pilot randomized controlled trial
El Rafihi-Ferreira, Renatha; Morin, Charles M.; Toscanini, Andrea C.; Lotufo Neto, Francisco; Brasil, Israel S.; Gallinaro, João G.; Borges, Daniel Suzuki; Conway, Silvia G.; Hasan, Rosa.
  • El Rafihi-Ferreira, Renatha; Universidade de São Paulo (USP). Faculdade de Medicina. Ambulatório de Sono Instituto de Psiquiatria, Hospital das Clínicas. São Paulo. BR
  • Morin, Charles M.; Universite? Laval. Ecole de Psychologie. Sainte-Foy. CA
  • Toscanini, Andrea C.; Universidade de São Paulo (USP). Faculdade de Medicina. Ambulatório de Sono Instituto de Psiquiatria, Hospital das Clínicas. São Paulo. BR
  • Lotufo Neto, Francisco; USP. Faculdade de Medicina. Instituto de Psiquiatria, Hospital das Clínicas. São Paulo. BR
  • Brasil, Israel S.; Universidade de São Paulo (USP). Faculdade de Medicina. Ambulatório de Sono Instituto de Psiquiatria, Hospital das Clínicas. São Paulo. BR
  • Gallinaro, João G.; Universidade de São Paulo (USP). Faculdade de Medicina. Ambulatório de Sono Instituto de Psiquiatria, Hospital das Clínicas. São Paulo. BR
  • Borges, Daniel Suzuki; Universidade de São Paulo (USP). Faculdade de Medicina. Ambulatório de Sono Instituto de Psiquiatria, Hospital das Clínicas. São Paulo. BR
  • Conway, Silvia G.; Universidade de São Paulo (USP). Faculdade de Medicina. Ambulatório de Sono Instituto de Psiquiatria, Hospital das Clínicas. São Paulo. BR
  • Hasan, Rosa; Universidade de São Paulo (USP). Faculdade de Medicina. Ambulatório de Sono Instituto de Psiquiatria, Hospital das Clínicas. São Paulo. BR
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 43(5): 504-509, Sept.-Oct. 2021. tab, graf
Article in English | LILACS | ID: biblio-1345477
ABSTRACT

Objective:

To evaluate a protocol for acceptance and commitment therapy-based behavioral intervention for insomnia (ACT-BBI-I) in adults compared to cognitive behavioral therapy for insomnia (CBT-I).

Methods:

Forty-five adults with chronic insomnia were randomized to ACT-BBI-I or CBT-I. Both interventions were performed in six weekly group sessions. The common treatment elements in both protocols included stimulus control and sleep restriction. CBT-I is focused on the cognitive restructuring of maladaptive beliefs about sleep and the daytime effects of insomnia. ACT-BBI-I focuses on therapeutic processes of acceptance, availability, values, defusion, and commitment. The results were evaluated through the following instruments a sleep diary, the Insomnia Severity Index, the Epworth Sleepiness Scale, the Hospital Anxiety and Depression Scale, the Acceptance and Action Questionnaire-II, and the Dysfunctional Beliefs and Attitudes about Sleep scale.

Results:

Both interventions had a significant positive impact on sleep patterns, insomnia, anxiety, beliefs about sleep, and psychological flexibility. All improvement was maintained at the 6-month follow-up.

Conclusion:

The results suggest that integrating principles of ACT with behavioral techniques may be useful for treating insomnia. Further research should identify whether the principles of ACT result in added effectiveness compared to behavioral components alone. Clinical trial registration RBR-7nc5wq
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Cognitive Behavioral Therapy / Acceptance and Commitment Therapy / Sleep Initiation and Maintenance Disorders Type of study: Controlled clinical trial / Practice guideline Limits: Adult / Humans Language: English Journal: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Journal subject: Psychiatry Year: 2021 Type: Article Affiliation country: Brazil / Canada Institution/Affiliation country: USP/BR / Universidade de São Paulo (USP)/BR / Universite? Laval/CA

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Full text: Available Index: LILACS (Americas) Main subject: Cognitive Behavioral Therapy / Acceptance and Commitment Therapy / Sleep Initiation and Maintenance Disorders Type of study: Controlled clinical trial / Practice guideline Limits: Adult / Humans Language: English Journal: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Journal subject: Psychiatry Year: 2021 Type: Article Affiliation country: Brazil / Canada Institution/Affiliation country: USP/BR / Universidade de São Paulo (USP)/BR / Universite? Laval/CA