Comparative Effectiveness of Mindfulness-Based Therapy in Sleep Quality of Chronic Insomnia Compared to Standard Cognitive Behavioral Therapy [CBT-I]: A Randomized Controlled Trial
Jarturong Siritienthong MD1, Tantawan Awirutworakul MD1, Sakda Arj-Ong Vallibhakara MD, PhD2
Affiliation : 1 Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 2 Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Objective : To (cid:976)ind the in(cid:976)luences of mindfulness-based approach and compare them with standard treatment outcomes.
Materials and Methods : Prospective randomized control trial was conducted by two treatment groups (n = 10 each) for eight-week
duration. Sleep-related parameters consisted of the Clinical Global Impression - severity [CGI-S], the Pittsburgh Sleep Quality
Index-Thai version [Thai-PSQI], the Hospital Anxiety and Depression Scale Thai version [Thai HADS] and the Philadelphia Mindfulness
Scale [PHLMS] were collected before and after both treatments.
Results : Mindfulness-based group had statistically signi(cid:976)icant improvement of better sleep quality and clinical impression
improvement-severity (p-value 0.0032 and <0.0001, respectively). Mindfulness level and sleep pro(cid:976)iles improved, although there
was no signi(cid:976)icant difference when both treatments were compared.
Conclusion : Mindfulness-based intervention improves sleep quality, and could be decreased impact of daily-life stress and lowered
severity of insomnia symptoms.
Keywords : Mindfulness, Sleep disturbance, Insomnia, Thai-PSQI, CGI-S, PHLMS, Thai HADS, CBT-I
