An Overview of the Methods Used to Measure the Impact of Mindfulness-Based Interventions in Sleep-Related Outcomes.

Autor: Vallim JRDS; Department of Psychobiology, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil., Lima GS; Department of Psychobiology, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil., Pires GN; Department of Psychobiology, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.; Sleep Institute, São Paulo, Brazil., Tufik S; Department of Psychobiology, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.; Sleep Institute, São Paulo, Brazil., Demarzo M; Department of Preventive Medicine, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil., D'Almeida V; Department of Psychobiology, Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.
Jazyk: angličtina
Zdroj: Sleep science (Sao Paulo, Brazil) [Sleep Sci] 2023 Nov 22; Vol. 16 (4), pp. e476-e485. Date of Electronic Publication: 2023 Nov 22 (Print Publication: 2023).
DOI: 10.1055/s-0043-1773789
Abstrakt: Introduction  Systematic reviews and metanalyses have shown that mindfulness-based interventions can have positive effects on health, such as reducing anxiety, depression, and chronic pain. However, their effect on sleep-related outcomes is not yet well established. Sleep can be assessed subjectively (questionnaires, sleep logs, self-reporting) and/or objectively (actigraphy, polysomnography, biological markers), and outcomes may differ depending on which type of assessment is used. Objective  In this study, we present a literature overview on mindfulness and sleep, innovatively presenting and discussing studies that address sleep subjectively and objectively. Methods  The search was undertaken using four databases (Pubmed Medline, Scopus, Web of Science, Psychinfo) in September 2019, and repeated in May 2021. Studies were analyzed through a two-step process: (1) reading titles and abstracts, and (2) full text analysis that met the review's eligibility criteria, with the final sample comprising 193 articles. We observed a growth in the number of studies published, particularly since 2005. However, this was mostly due to an increase in studies based on subjective research. There is a moderate to nonexistent agreement between objective and subjective sleep measures, with results of subjective measures having higher variability and uncertainty.We identified 151 articles (78%) using an exclusively subjective sleep evaluation, which can cause a misperception about mindfulness effects on sleep. Conclusion  Future studies should place greater emphasis on objective measurements to accurately investigate the effects of mindfulness practices on sleep, although subjective measures also have a role to play in respect of some aspects of this relationship.
Competing Interests: Conflict of Interests The author GNSP is a shareholder at SleepUp (a Brazilian online CBTi company) but attests that this position has no relationship with the aims, preparation, or execution of this study. The other authors declare no conflict of interests.
(Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze: MEDLINE