School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, 18 Innovation Walk, Clayton, Victoria, Australia.
Danny Frawley Centre, Moorabbin, Victoria, Australia.
Curr Psychiatry Rep. 2022 Nov;24(11):645-660. doi: 10.1007/s11920-022-01370-z. Epub 2022 Oct 13.
To review the recent literature on mindfulness-based strategies for improving self-report and objective measures of sleep, in individuals with psychiatric disorders.
Currently, research provides some support for the use of mindfulness-based interventions to improve sleep amongst individuals with psychiatric comorbidities. The strongest evidence was for the use of standardized programs, particularly for improving sleep in anxiety and depressive disorders. There is a paucity of well-controlled studies using validated subjective or objective measures of sleep. As these interventions were not specifically designed to target sleep, observed improvements may be an indirect consequence of reduced psychiatric symptoms. There is insufficient research into the application of mindfulness-based strategies to improve sleep or treat sleep disorders in people with psychiatric disorders. Well-controlled studies using standardized, mindfulness-based interventions developed to target sleep, such as mindfulness-based therapy for insomnia, may optimize the potential benefits of mindfulness for sleep in psychiatric populations.
回顾近期基于正念的策略对改善精神疾病患者自我报告和客观睡眠测量的研究。
目前，研究为使用基于正念的干预措施改善伴精神共病的个体的睡眠提供了一些证据。最有力的证据是使用标准化程序，特别是改善焦虑和抑郁障碍的睡眠。使用经过验证的主观或客观睡眠测量方法的对照研究很少。由于这些干预措施并非专门针对睡眠，因此观察到的改善可能是精神症状减轻的间接结果。正念策略在改善睡眠或治疗精神疾病患者睡眠障碍方面的应用研究还不够充分。使用专门针对睡眠的标准化、基于正念的干预措施（如基于正念的失眠疗法）进行的对照研究，可能会优化正念对精神科人群睡眠的潜在益处。
