Insomnia is a common major health concern, which causes significant distress and disruption in a person's life. The objective of this paper was to evaluate a 6-week version of Mindfulness-Based Therapy for Insomnia (MBTI) in a sample of people attending a sleep disorders clinic with insomnia, including those with comorbidities. Thirty participants who met the DSM-IV-TR diagnosis of insomnia participated in a 6-week group intervention. Outcome measures were a daily sleep diary and actigraphy during pre-treatment and follow-up, along with subjective sleep outcomes collected at baseline, end-of-treatment, and 3-month follow-up. Trend analyses showed that MBTI was associated with a large decrease in insomnia severity (p < .001), with indications of maintenance of treatment effect. There were significant improvements in objective sleep parameters, including sleep onset latency (p = .005), sleep efficiency (p = .033), and wake after sleep onset (p = .018). Significant improvements in subjective sleep parameters were also observed for sleep efficiency (p = .005) and wake after sleep onset (p < .001). Overall, this study indicated that MBTI can be successfully delivered in a sleep disorders clinic environment, with evidence of treatment effect for both objective and subjective measures of sleep.

中文翻译：

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失眠症的正念和行为疗法：对睡眠障碍临床失眠人群治疗效果的评估

失眠是一种常见的主要健康问题，它会给一个人的生活带来巨大的痛苦和破坏。本文的目的是评估一个为期 6 周的基于正念的失眠治疗 (MBTI) 的样本，该样本是在睡眠障碍诊所就诊的失眠患者，包括有合并症的患者。30 名参加者遇到了帝斯曼-IV-TR失眠的诊断参加了为期6周的小组干预。结果测量是治疗前和随访期间的每日睡眠日记和活动记录，以及在基线、治疗结束和 3 个月随访时收集的主观睡眠结果。趋势分析表明，MBTI 与失眠严重程度的大幅下降有关（p< .001)，有维持治疗效果的迹象。客观睡眠参数有显着改善，包括入睡潜伏期（p= .005), 睡眠效率 (p= .033)，并在入睡后醒来 (p= .018)。在睡眠效率方面也观察到主观睡眠参数的显着改善（p= .005) 并在入睡后醒来 (p< .001)。总体而言，这项研究表明 MBTI 可以在睡眠障碍临床环境中成功实施，并有证据表明对睡眠的客观和主观测量都有治疗效果。