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    "doi": "10.1159\/000470847",
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    "title": "Comparing the Effects of Mindfulness-Based Cognitive Therapy and Sleep Psycho-Education with Exercise on Chronic Insomnia: A Randomised Controlled Trial",
    "authors": [
        "Samuel Yeung-shan Wong",
        "De-xing Zhang",
        "Carole Chi-kwan Li",
        "Benjamin Hon-kei Yip",
        "Dicken Cheong-chun Chan",
        "Yuet-man Ling",
        "Cola Siu-lin Lo",
        "Doris Mei-sum Woo",
        "Yu-ying Sun",
        "Helen Ma",
        "Winnie Wing-sze Mak",
        "Ting Gao",
        "Tatia Mei-chun Lee",
        "Yun-kwok Wing"
    ],
    "container": "Psychotherapy and Psychosomatics",
    "year": "2017",
    "doi_url": "https:\/\/doi.org\/10.1159\/000470847",
    "is_open_access": false,
    "oa_status": "closed",
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    "abstract": "BACKGROUND: Mindfulness-based cognitive therapy (MBCT) is a potential treatment for chronic insomnia. We evaluated the efficacy of MBCT for insomnia (MBCT-I) by comparing it with a sleep psycho-education with exercise control (PEEC) group. METHODS: Adults with chronic primary insomnia (n = 216) were randomly allocated to the MBCT-I or PEEC group. The MBCT-I included mindfulness and psycho-education with cognitive and behavioural components under cognitive behavioural therapy for insomnia. PEEC included psycho-education of sleep hygiene and stimulus control, and exercises. Any change in insomnia severity was measured by the Insomnia Severity Index (ISI). Secondary outcomes included sleep parameters measured by a sleep diary, health service utilisation, absence from work and mindfulness measured by the Five Facet Mindfulness Questionnaire. RESULTS: The ISI score significantly decreased in the MBCT-I group compared with the PEEC group at 2 months (i.e., post-intervention) (p = 0.023, effect size [95% CI] -0.360 [-0.675, -0.046]) but not at 5 or 8 months. Treatment response rates and remission rates based on the ISI cut-off scores were not significantly different between groups. Wake time after sleep onset (WASO) was less in the MBCT-I group at 2 and 5 months. At 8 months, both groups showed a reduced ISI score, sleep onset latency and WASO, and increased sleep efficiency and total sleep time; however, no group differences were seen. Other outcome measures did not significantly improve in either group. CONCLUSIONS: Long-term benefits were not seen in MBCT-I when compared with PEEC, although short-term benefits were seen.",
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            "source": "The HKU Scholars Hub (University of Hong Kong)",
            "landing_page_url": "http:\/\/hdl.handle.net\/10722\/247173",
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