I-CAN SLEEP: Rationale and design of a non-inferiority RCT of Mindfulness-based Stress Reduction and Cognitive Behavioral Therapy for the treatment of Insomnia in CANcer survivors

2011 ◽  
Vol 32 (5) ◽  
pp. 747-754 ◽  
Author(s):  
Sheila N. Garland ◽  
Linda E. Carlson ◽  
Michael C. Antle ◽  
Charles Samuels ◽  
Tavis Campbell
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cancer Survivors ◽  
Stress Reduction ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Mindfulness Based Stress Reduction

Mindfulness as a Component of Addiction Treatment (DRAFT)

2018 ◽  
Author(s):  
Sharone Abramowitz
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Patient Selection ◽  
Stress Reduction ◽  
Addiction Treatment ◽  
Mindfulness Meditation ◽  
Behavioral Therapy ◽  
Therapeutic Outcome ◽  
Cognitive Behavioral ◽  
Mindfulness Intervention ◽  
Mindfulness Based Stress Reduction

This compact chapter addresses patient selection and general principles of mindfulness-based interventions, specifically mindfulness-based stress reduction (MBSR). It describes mindfulness-oriented recovery enhancement (MORE) as a combination of mindfulness intervention and cognitive behavioral therapy, suggesting its effectiveness in reducing the perception of pain in more than half of the participants who complete training. While focusing principally on the patient, the chapter argues for the utility of mindfulness-based interventions in preserving the serenity and enhancing the effectiveness of the therapist. It also notes that while the therapeutic outcome may be modest, there is generally little cost and very little risk to initiation of mindfulness meditation and similar interventions. A text box is given with additional resources.

scholarly journals Mindfulness-based stress reduction and cognitive behavioral therapy for chronic low back pain

Pain ◽  
2016 ◽  
Vol 157 (11) ◽  
pp. 2434-2444 ◽  
Author(s):  
Judith A. Turner ◽  
Melissa L. Anderson ◽  
Benjamin H. Balderson ◽  
Andrea J. Cook ◽  
Karen J. Sherman ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cognitive Behavioral Therapy ◽  
Stress Reduction ◽  
Chronic Low Back Pain ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Low Back ◽  
Mindfulness Based Stress Reduction

Mindfulness-Based Stress Reduction Compared With Cognitive Behavioral Therapy for the Treatment of Insomnia Comorbid With Cancer: A Randomized, Partially Blinded, Noninferiority Trial

2014 ◽  
Vol 32 (5) ◽  
pp. 449-457 ◽  
Author(s):  
Sheila N. Garland ◽  
Linda E. Carlson ◽  
Alisa J. Stephens ◽  
Michael C. Antle ◽  
Charles Samuels ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sleep Quality ◽  
Stress Reduction ◽  
Behavioral Therapy ◽  
Sleep Onset ◽  
Cognitive Behavioral ◽  
Patients With Cancer ◽  
Mindfulness Based Stress Reduction ◽  
Insomnia Severity

Purpose Our study examined whether mindfulness-based stress reduction (MBSR) is noninferior to cognitive behavioral therapy for insomnia (CBT-I) for the treatment of insomnia in patients with cancer. Patients and Methods This was a randomized, partially blinded, noninferiority trial involving patients with cancer with insomnia recruited from a tertiary cancer center in Calgary, Alberta, Canada, from September 2008 to March 2011. Assessments were conducted at baseline, after the program, and after 3 months of follow-up. The noninferiority margin was 4 points measured by the Insomnia Severity Index. Sleep diaries and actigraphy measured sleep onset latency (SOL), wake after sleep onset (WASO), total sleep time (TST), and sleep efficiency. Secondary outcomes included sleep quality, sleep beliefs, mood, and stress. Results Of 327 patients screened, 111 were randomly assigned (CBT-I, n = 47; MBSR, n = 64). MBSR was inferior to CBT-I for improving insomnia severity immediately after the program (P = .35), but MBSR demonstrated noninferiority at follow-up (P = .02). Sleep diary–measured SOL was reduced by 22 minutes in the CBT-I group and by 14 minutes in the MBSR group at follow-up. Similar reductions in WASO were observed for both groups. TST increased by 0.60 hours for CBT-I and 0.75 hours for MBSR. CBT-I improved sleep quality (P < .001) and dysfunctional sleep beliefs (P < .001), whereas both groups experienced reduced stress (P < .001) and mood disturbance (P < .001). Conclusion Although MBSR produced a clinically significant change in sleep and psychological outcomes, CBT-I was associated with rapid and durable improvement and remains the best choice for the nonpharmacologic treatment of insomnia.

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