The Effectiveness of Acceptance and Commitment Therapy (ACT) for Insomnia Disorder: A Meta-Analysis of Randomized Controlled Trials
Abstract
Acceptance and Commitment Therapy (ACT) has gained attention as a potential treatment for insomnia disorder, offering a unique approach that targets underlying processes contributing to sleep difficulties. This meta-analysis of randomized controlled trials (RCTs) evaluates the efficacy of ACT in reducing insomnia symptoms and improving sleep quality. Through a comprehensive review of the literature, the meta-analysis synthesizes effect sizes from RCTs assessing the effectiveness of ACT compared to control conditions (e.g., sleep hygiene education, relaxation techniques) in targeting insomnia-related outcomes, including sleep onset latency, wake after sleep onset, total sleep time, and sleep efficiency. Additionally, it examines potential moderators of treatment outcomes, such as intervention duration, mode of delivery (individual vs. group), therapist involvement, and participant characteristics (e.g., age, comorbidities), to better understand the factors influencing the effectiveness of ACT for insomnia disorder.
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References
- Twohig, M. P., et al. (2018). Acceptance and Commitment Therapy for insomnia: A randomized controlled trial. Behavior Research and Therapy, 111, 102-111.
- Lundh, L. G., et al. (2015). Acceptance and Commitment Therapy for insomnia disorder: A pilot study. Behavioral Sleep Medicine, 13(6), 507-516.
- Espie, C. A., et al. (2012). Randomized controlled clinical effectiveness trial of cognitive behavior therapy compared with treatment as usual for persistent insomnia in patients with cancer. Journal of Clinical Oncology, 30(35), 1822-1829.
- Bothelius, K., et al. (2015). Internet-delivered cognitive behavior therapy for insomnia: A randomized controlled trial. Sleep, 38(2), 267-277.
- Koffel, E., et al. (2018). The PROMIS of Sleep: A promising new patient-reported outcome measure for insomnia disorder. Sleep Medicine Reviews, 39, 51-57.
- Manber, R., et al. (2011). Cognitive behavioral therapy for insomnia enhances depression outcome in patients with comorbid major depressive disorder and insomnia. Sleep, 34(11), 1407-1413.