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Schlaf 2016; 05(03): 130-135
DOI: 10.1055/s-0038-1624642
Review
Schattauer GmbH

Achtsamkeitsbasierte Therapie für Patienten mit Insomnie

Elisabeth Hertenstein
,
Dieter Riemann
,
Anna F. Johann
,
Christoph Nissen
Further Information

Publication History

Publication Date:
12 February 2018 (online)

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Chronische Ein- und Durchschlafstörungen, die die Tagesbefindlichkeit beeinträchtigen, werden als Insomnie bezeichnet. Während die Insomnie nach ICD-10 nur dann diagnostiziert wird, wenn keine andere Erkrankung vorliegt, die die Schlafstörungen erklären könnte, kann eine Insomnie nach DSM 5 auch als komorbide Diagnose z.B. bei affektiven Störungen oder Angststörungen vergeben werden. Die Kognitive Verhaltenstherapie für Insomnie (KVT-I) ist eine wirksame Behandlung, mit der sowohl für Ein- als auch für Durchschlafstörungen gute Effekte erzielt werden können. Hier stellen wir achtsamkeitsbasierte Therapien vor, die in der letzten Zeit verstärkt als ergänzende oder alternative Behandlung diskutiert werden.

 

  • Literatur

  • 1 Baglioni C. et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. J Affective Disorders 2011; 135: 10-19.
    CrossrefPubMedGoogle Scholar
  • 2 Bastien CH, Vallieres A, Morin CM. Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Medicine 2001; 2: 297-307.
    CrossrefPubMedGoogle Scholar
  • 3 Black DS. et al. Mindfulness Meditation and Improvement in Sleep Quality and Daytime Impairment Among Older Adults With Sleep Disturbances: A Randomized Clinical Trial. JAMA 2015; 175: 494-501.
    Google Scholar
  • 4 Buysse DJ, Reynolds CF, Monk TH. et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193-213.
    CrossrefPubMedGoogle Scholar
  • 5 Dalrymple KL, Fiorentino L, Politi MC, Posner D. Incorporating Principles from Acceptance and Commitment Therapy into Cognitive-Behavioral Therapy for Insomnia: A Case Example. J Contemp Psychother 2010; 40: 209-217.
    CrossrefGoogle Scholar
  • 6 Espie CA. et al. The attention-intention-effort pathway in the development of psychophysiologic insomnia: a theoretical review. Sleep Medicine Reviews 2006; 10: 215-245.
    CrossrefPubMedGoogle Scholar
  • 7 Garland SN, Carlson LE, Stephens AJ. et al. Mindfulness-Based Stress Reduction Compared With Cognitive Behavioral Therapy for the Treatment of Insomnia Comorbid With Cancer: A Randomized, Partially Blinded, Noninferiority Trial. J Clin Oncol 2014; 32: 449-457.
    PubMedGoogle Scholar
  • 8 Gross CR. et al. Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: a randomized controlled clinical trial. Explore 2011; 7: 76-87.
    CrossrefPubMedGoogle Scholar
  • 9 Harvey A, Tang N. Cognitive behaviour therapy for primary insomnia: can we rest yet?. Sleep Med Rev 2003; 7: 237-262.
    CrossrefPubMedGoogle Scholar
  • 10 Hayes C, Strosahl K, Wilson KG. Acceptance and commitment therapy: An experiential approach to behavior change.. New York, NY, US: Guildford Press; 1999
  • 11 Hertenstein E. et al. Quality of life improvements after acceptance and commitment therapy in nonresponders to cognitive behavioral therapy for primary insomnia. Psychotherapy and Psychosomatics 2014; 83: 371-371.
    CrossrefPubMedGoogle Scholar
  • 12 Kabat-Zinn J. An out-patient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. Gen Hospital Psychiat 1982; 4: 33-47.
    Google Scholar
  • 13 Laugsand LE. et al. Insomnia and the risk of incident heart failure: a population study. Eur Heart J 2014; 35: 1382-93.
    CrossrefPubMedGoogle Scholar
  • 14 Trauer JM, Qian MY, Doyle JS. et al. Cognitive Behavioral Therapy for Chronic Insomnia: A Systematic Review and Meta-analysis. Ann Internal Med 2015; 163: 191-204.
    CrossrefPubMedGoogle Scholar
  • 15 Ong J, Sholtes D. A mindfulness-based approach to the treatment of insomnia. J Clin Psychol 2010; 66: 1175-1184.
    CrossrefPubMedGoogle Scholar
  • 16 Ong JC, Manber R, Segal Z. et al. A Randomized Controlled Trial of Mindfulness Meditation for Chronic Insomnia. Sleep 2014; 37: 553-1563.
    Google Scholar
  • 17 Ohayon MM, Reynolds CF. Epidemiological and clinical relevance of insomnia diagnosis algorithms according to the DSM-IV and the International Classification of Sleep Disorders (ICSD). Sleep Medicine 2009; 10: 952-960.
    CrossrefPubMedGoogle Scholar
  • 18 Wong MY, Ree MJ, Lee CW. Enhancing CBT for Chronic Insomnia: A Randomised Clinical Trial of Additive Components of Mindfulness or Cognitive Therapy. Clinical psychology & psychotherapy. 2015 epub ahead of print
    PubMedGoogle Scholar
  • 19 Zhang J, Liu X, Xie X. et al. Mindfulness-based stress reduction for chronic insomnia in adults older than 75 years: a randomized, controlled, single-blind clinical trial. Explore 2015; 11: 180-185.
    CrossrefPubMedGoogle Scholar