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22-03-2024 | Insomnia | REVIEW

Associations Between Six Core Processes of Psychological Flexibility with Poor Sleep Outcomes: A Systematic Review and Meta-Analysis

Authors: Ali Zakiei, Habibolah Khazaie, Masoumeh Rostampour, Mohammad-Taher Moradi, Leeba Rezaie, Saeid Komasi, Renatha El Rafihi-Ferreira

Published in: Current Sleep Medicine Reports | Issue 2/2024

Abstract

Purpose of Review

While acceptance and commitment therapy (ACT) is one of the effective treatments for insomnia, one of the challenges in treating sleep disorders is unawareness of the role of the core processes of ACT. The present systematic review aimed to investigate the associations between the six core processes of psychological flexibility (i.e., acceptance, cognitive defusion, being at present or mindfulness, committed action, self as context, and values) and poor sleep outcomes including poor sleep quality (PSQ) and insomnia severity. PubMed and Scopus were searched to identify the academic articles published between 2000 and 2022 (PROSPERO- CRD42022381181).

Recent Findings

Pooled estimates of correlations were calculated using the random-effects method. The pooled effect sizes obtained from 28 studies showed significant correlations between four components of ACT and poor sleep outcomes. Meta-regression results showed that the negative correlation between acceptance and PSQ is significantly affected by the mean age of the samples across the studies (p = 0.042). Although the association between ACT components and PSQ was relatively stronger in studies with small sample sizes and those conducted only on women, none of these differences were statistically significant (p > 0.05).

Summary

It can be argued that four components of core processes of psychological flexibility are negatively correlated with poor sleep outcomes. Clinicians and therapists need to take into account these components when trying to treat insomnia and improve sleep quality.

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Title: Associations Between Six Core Processes of Psychological Flexibility with Poor Sleep Outcomes: A Systematic Review and Meta-Analysis
Authors: Ali Zakiei
Habibolah Khazaie
Masoumeh Rostampour
Mohammad-Taher Moradi
Leeba Rezaie
Saeid Komasi
Renatha El Rafihi-Ferreira
Publication date: 22-03-2024
Publisher: Springer International Publishing
Keyword: Insomnia
Published in: Current Sleep Medicine Reports / Issue 2/2024
Electronic ISSN: 2198-6401
DOI: https://doi.org/10.1007/s40675-024-00293-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Associations Between Six Core Processes of Psychological Flexibility with Poor Sleep Outcomes: A Systematic Review and Meta-Analysis

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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A Thalamocortical Perspective on Sleep Spindle Alterations in Neurodevelopmental Disorders

A Systematic Review on the Technical Feasibility of Home-Polysomnography for Diagnosis of Sleep Disorders in Adults

The Relationship Between Genetic Risk for Insomnia and Psychiatric Disorders