Sleep advances : a journal of the Sleep Research Society
January 1, 2023
David A Kalmbach, Philip Cheng, Anthony N Reffi et al.
16 citations
A mindfulness-based sleep program for pregnant women with insomnia appears to work by reducing nighttime cognitive arousal and the effort invested in trying to sleep. In a small trial of 12 pregnant women with insomnia disorder, 75% reported high cognitive arousal before treatment, dropping to 8.3% after treatment. All women whose insomnia remitted had low cognitive arousal afterward, while half of non-remitters still had high arousal. Lower cognitive arousal and less sleep effort predicted same-week improvements in insomnia and later reductions in depression. The findings suggest that quieting a racing mind and decreasing sleep effort are key mechanisms through which mindfulness-based insomnia therapy alleviates both insomnia and depression during pregnancy.
Sleep medicine
August 1, 2023
David A Kalmbach, Philip Cheng, Anthony N Reffi et al.
15 citations
A proof-of-concept trial of a treatment combining mindfulness with behavioral sleep strategies (PUMAS) for pregnant women with insomnia found large reductions in insomnia, depression, and cognitive arousal. Among 12 participants with insomnia disorder (five also had depression), 83.3% achieved insomnia remission after six telemedicine sessions. All five depressed patients remitted from depression. Nocturnal cognitive arousal, perinatal-focused rumination, and sleep effort all showed large improvements. Patients rated sleep restriction and guided meditations as most helpful and were highly satisfied with the telemedicine format and meditation app.
Journal of sleep research
February 1, 2024
David A Kalmbach, Anthony N Reffi, Jason C Ong et al.
9 citations
A mindfulness sleep program for pregnant women with insomnia, combining behavioral sleep strategies and meditation, led to large increases in everyday mindfulness and medium-large increases in maternal-fetal attachment. Participants also reported large reductions in anxiety, repetitive thinking, insomnia-focused rumination, and sleep-related daytime impairment. These preliminary results from a small trial of 11 women suggest that such a program may benefit multiple aspects of maternal wellbeing beyond sleep and depressed mood.
Sleep
October 11, 2024
Jennifer M Mundt, Phyllis C Zee, Matthew D Schuiling et al.
3 citations
A remote mindfulness-based intervention adapted for narcolepsy was tested in three program lengths: brief (4 weeks), standard (8 weeks), and extended (12 weeks) among 60 adults with narcolepsy. Attendance, meditation practice, and data completeness benchmarks were met by 71.7%, 61.7%, and 78.3% of participants, respectively. All groups showed clinically meaningful improvements in mindfulness, self-compassion, self-efficacy for managing emotions, positive psychosocial impact, global mental health, and fatigue. Standard and extended groups also improved anxiety and depression; the extended group additionally improved social and cognitive functioning, daytime sleepiness, hypersomnia symptoms, and hypersomnia-related functioning. The extended program appears to offer the most clinical benefit while maintaining engagement.