Effects of mindfulness-based stress reduction on sleep quality and mental health for insomnia patients: A meta-analysis.
Tsai-Ling Chen, Shu-Chen Chang, Hsiu-Fen Hsieh, Chin-Yi Huang, Jui‐Hsiang Chuang, Hsiu-Hung Wang
Journal of Psychosomatic Research May 21, 2020 DOI: 10.1016/j.jpsychores.2020.110144 (opens in new tab) via Semantic Scholar
Summary
AI-generated from the abstractA meta-analysis of seven randomized controlled trials with 497 insomnia patients found that mindfulness-based stress reduction (MBSR) significantly improved sleep quality, depression, and anxiety compared to control conditions. The analysis showed moderate to large effect sizes for these outcomes. The authors conclude that MBSR is an effective supplement for improving sleep and mental health in adults with insomnia, though they call for future research using standardized methods to examine long-term effects.
Study at a glance
| Characteristics | Systematic review and meta-analysis Randomized Peer reviewed |
|---|---|
| Sample size | 497 |
| Population | Adults aged above 18 years with insomnia |
| Intervention | Mindfulness-based stress reduction (MBSR) |
| Keywords | Medicine Psychology |
| Key finding | MBSR significantly improved sleep quality, depression, and anxiety in insomnia patients compared to control groups. |
Abstract
OBJECTIVE Mindfulness-based stress reduction (MBSR) is a potentially effective supplement for the treatment of insomnia; however, there is no comprehensive review of its mental health effects among insomnia patients. This study aimed to synthesize relevant quantitative evidence and evaluate MBSR application and effectiveness for insomnia patients' sleep quality and mental health. METHODS A systematic search through eight databases from the earliest available dates until August 2019 was conducted. Randomized controlled trials assessing the effects of MBSR on sleep quality, anxiety, and depression as outcome measures among insomnia patients comprising patients aged above 18 years were included in this meta-analysis. Each study's quality was assessed using the modified Jadad quality scale. The Review Manager 5.3 software was used to calculate the standardized mean differences (SMD) with 95% confidence intervals (CIs) for the data analyses. RESULTS In total, data for 497 patients in seven randomized controlled trials were analyzed. The results revealed that compared to the control group, the MBSR group significantly improved in sleep quality (SMD = -0.69, 95% CI: -1.12~ - 0.26, Z = 3.16, p = .002), depression (SMD = -1.83, 95% CI: -2.81-0.84, Z = 3.63, p < .001), and anxiety (SMD = -1.74, 95% CI: -2.90-0.59, Z = 2.96, p = .003). A sensitivity analysis was undertaken. After carefully reviewing included trials, we can reasonably conclude that these heterogeneities did not impair the overall effect size of MBSR in the results. CONCLUSIONS MBSR significantly improved sleep quality and mental health. Future research is needed using standardized methods examining the long-term effects of MBSR on the mental health of individuals with insomnia.