OBJECTIVE To evaluate a protocol for acceptance and commitment therapy-based behavioral intervention for insomnia (ACT-BBI-I) in adults compared to cognitive behavioral therapy for insomnia (CBT-I). METHODS Forty-five adults with chronic insomnia were randomized to ACT-BBI-I or CBT-I. Both interventions were performed in six weekly group sessions. The common treatment elements in both protocols included stimulus control and sleep restriction. CBT-I is focused on the cognitive restructuring of maladaptive beliefs about sleep and the daytime effects of insomnia. ACT-BBI-I focuses on therapeutic processes of acceptance, availability, values, defusion, and commitment. The results were evaluated through the following instruments: a sleep diary, the Insomnia Severity Index, the Epworth Sleepiness Scale, the Hospital Anxiety and Depression Scale, the Acceptance and Action Questionnaire-II, and the Dysfunctional Beliefs and Attitudes about Sleep scale. RESULTS Both interventions had a significant positive impact on sleep patterns, insomnia, anxiety, beliefs about sleep, and psychological flexibility. All improvement was maintained at the 6-month follow-up. CONCLUSION The results suggest that integrating principles of ACT with behavioral techniques may be useful for treating insomnia. Further research should identify whether the principles of ACT result in added effectiveness compared to behavioral components alone. CLINICAL TRIAL REGISTRATION RBR-7nc5wq.

中文翻译：

---

基于接受和承诺疗法的失眠行为干预：一项试点随机对照试验

目的 与失眠的认知行为疗法 (CBT-I) 相比，评估基于接受和承诺疗法的成人失眠行为干预 (ACT-BBI-I) 方案。方法 将 45 名患有慢性失眠的成年人随机分配到 ACT-BBI-I 或 CBT-I。两种干预措施都在每周六次的小组会议中进行。两种方案中的共同治疗要素包括刺激控制和睡眠限制。CBT-I 专注于对睡眠和白天失眠影响的适应不良信念的认知重构。ACT-BBI-I 专注于接受、可用性、价值观、解散和承诺的治疗过程。结果通过以下工具进行评估：睡眠日记、失眠严重程度指数、Epworth 嗜睡量表、医院焦虑和抑郁量表、接受和行动问卷-II，以及关于睡眠量表的功能失调的信念和态度。结果 两种干预措施都对睡眠模式、失眠、焦虑、睡眠信念和心理灵活性产生了显着的积极影响。所有改善在 6 个月的随访中得以保持。结论 结果表明，将 ACT 原则与行为技巧相结合可能有助于治疗失眠症。进一步的研究应该确定与单独的行为成分相比，ACT 的原则是否会带来更高的有效性。临床试验注册 RBR-7nc5wq。和心理弹性。所有改善在 6 个月的随访中得以保持。结论 结果表明，将 ACT 原则与行为技巧相结合可能有助于治疗失眠症。进一步的研究应该确定与单独的行为成分相比，ACT 的原则是否会带来更高的有效性。临床试验注册 RBR-7nc5wq。和心理弹性。所有改善在 6 个月的随访中得以保持。结论 结果表明，将 ACT 原则与行为技巧相结合可能有助于治疗失眠症。进一步的研究应该确定与单独的行为成分相比，ACT 的原则是否会带来更高的有效性。临床试验注册 RBR-7nc5wq。