2024/06/01 by Renatha El Rafihi‐Ferreira, Renatha El Rafihi-Ferreira, Rosa Hasan +11 · 27 citations
Medicine · Psychology · #Acceptance and commitment therapy #Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes #Clinical psychology #Cognition #Cognitive behavioral therapy #Cognitive behavioral therapy for insomnia #Cognitive restructuring #Cognitive therapy #Insomnia #Internal medicine #Intervention (counseling) #Medicine #Mindfulness and Compassion Interventions #Psychiatry #Psychology #Psychotherapist #Randomized controlled trial #Sleep and related disorders
paper · doi:10.1037/ccp0000881
published in Journal of Consulting and Clinical Psychology 92(6), 330-343 (American Psychological Association)
openalex publication_date 2024/06/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04
OBJECTIVE: To compare the effectiveness of an acceptance and commitment therapy (ACT)-based protocol and cognitive behavior therapy (CBT) for insomnia in adults. METHOD: The participants comprised 227 adults with insomnia. They were randomized to six weekly group sessions consisting of acceptance and commitment therapy for insomnia (n = 76), cognitive behavioral therapy for insomnia (n = 76), or waitlist (WL; n = 75). RESULTS: Both treatment modalities significantly reduced insomnia severity with large effect sizes in the posttreatment phase. These results were maintained during the follow-up period with large effect sizes. CBT was superior to ACT in reducing the Insomnia Severity Index at posttreatment and follow-up, with a small effect size. ACT was superior to WL at posttreatment and at follow-up, with a moderate effect size. The treatment response and remission ratios were higher with CBT at posttreatment and similar at 6-month follow-up for both therapies, as ACT made further gains in response and remission. ACT had a significantly higher proportion of response and remission than WL in both periods (posttreatment and follow-up). Both therapies improved daytime functioning at both posttreatment and follow-up, with few differential changes across the groups. CONCLUSIONS: Both cognitive behavior therapy and acceptance and commitment therapy are effective, with CBT showing superiority and ACT showing delayed improvement. ACT has proven to be an effective therapy, especially in the long term, even in the absence of behavioral techniques such as stimulus control and sleep restriction, and it is a viable option for those who have difficulties adhering to behavioral techniques. (PsycInfo Database Record (c) 2024 APA, all rights reserved).