수면정신생리 (Sleep Medicine and Psychophysiology)

  • 제28권1호
  • /
  • Pages.13-17
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  • 2021
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  • 1225-7354(pISSN)
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  • 2713-8631(eISSN)
대한수면의학회 (KOREAN ACADEMY OF SLEEP MEDICINE)
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마음챙김명상과 불면증

Mindfulness-Based Therapy for Insomnia

  • 이화영 (순천향대학교 의과대학 천안병원 정신건강의학과)
  • Lee, Hwa-Young (Department of Psychiatry, College of Medicine, Soonchunhyang University, Cheonan Hospital)
  • 투고 : 2021.06.09
  • 심사 : 2021.06.15
  • 발행 : 2021.06.30
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⟨ 이전 논문 다음 논문 ⟩

초록

Sleep disturbance is a common health complaint affecting an estimated 10-25% of the general population. Pharmacotherapy is a traditional treatment and cognitive behavioral therapy is well demonstrated as an efficacious treatment for insomnia. There is a growing interest in the effectiveness of mindfulness meditation for sleep disturbed populations. Mindfulness involves focused, purposeful, nonjudgmental attention to a particular idea. In clinical application of mindfulness practice, mindfulness-based stress reduction and mindfulness-based cognitive therapy are used widely. Clinical trials support the effectiveness of meditation for the treatment of insomnia. The aim of this article is to review the effect of mindfulness meditation on insomnia.

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참고문헌

  1. Araujo T, Jarrin DC, Leanza Y, Vallieres A, Morin CM. Qualitative studies of insomnia: current state of knowledge in the field. Sleep Med Rev 2017;31:58-69. https://doi.org/10.1016/j.smrv.2016.01.003
  2. Baglioni C, Battagliese G, Feige B, Spiegelhalder K, Nissen C, Voderholzer U, et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. J Affect Disord 2011;135:10-19. https://doi.org/10.1016/j.jad.2011.01.011
  3. Benca RM, Obermeyer WH, Thisted RA, Gillin JC. Sleep and psychiatric disorders: a meta-analysis. Arch Gen Psychiatry 1992;49:651-668. https://doi.org/10.1001/archpsyc.1992.01820080059010
  4. Benson H, Greenwood MM, Klemchuk H. The relaxation response: psychophysiologic aspects and clinical applications. Int J Psychiatry Med 1975;6:87-98. https://doi.org/10.2190/376W-E4MT-QM6Q-H0UM
  5. Black DS, O'Reilly GA, Olmstead R, Breen EC, Irwin MR. Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Intern Med 2015;175:494-501. https://doi.org/10.1001/jamainternmed.2014.8081
  6. Bryant PA, Trinder J, Curtis N. Sick and tired: does sleep have a vital role in the immune system? Nat Rev Immunol 2004;4:457-467. https://doi.org/10.1038/nri1369
  7. Buscemi N, Vandermeer B, Friesen C, Bialy L, Tubman M, Ospina M, et al. The efficacy and safety of drug treatments for chronic insomnia in adults: a meta-analysis of RCTs. J Gen Intern Med 2007;22:1335-1350. https://doi.org/10.1007/s11606-007-0251-z
  8. Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Altern Complement Med 2009;15:593-600. https://doi.org/10.1089/acm.2008.0495
  9. Chu M, Cho S, Chung Y, Kim J. Insomnia in migraineurs is closely associated with anxiety and depression: a population-based study: OR3. Headache 2015;55.
  10. Creswell JD, Way BM, Eisenberger NI, Lieberman MD. Neural correlates of dispositional mindfulness during affect labeling. Psychosom Med 2007;69:560-565. https://doi.org/10.1097/PSY.0b013e3180f6171f
  11. Davis J, Thompson E. From the five aggregates to phenomenal consciousness: toward a cross-cultural cognitive science;2017.
  12. Desbordes G, Negi LT, Pace TW, Wallace BA, Raison CL, Schwartz EL. Effects of mindful-attention and compassion meditation training on amygdala response to emotional stimuli in an ordinary, non-meditative state. Front Hum Neurosci 2012a;6:292. https://doi.org/10.3389/fnhum.2012.00292
  13. Desbordes G, Negi LT, Pace TW, Wallace BA, Raison CL, Schwartz EL. Effects of mindful-attention and compassion meditation training on amygdala response to emotional stimuli in an ordinary, non-meditative state. Front Hum Neurosci 2012b;6:292. https://doi.org/10.3389/fnhum.2012.00292
  14. Dolgin E. Deprivation: a wake-up call. Nature 2013;497:S6-S7. https://doi.org/10.1038/497S6a
  15. Durmer JS, Dinges DF. Neurocognitive consequences of sleep deprivation Seminars in neurology. Vol. 25: 2005 by Thieme Medical Publishers. p.117-129.
  16. Fernandez E, Salem D, Swift JK, Ramtahal N. Meta-analysis of dropout from cognitive behavioral therapy: magnitude, timing, and moderators. J Consult Clin Psychol 2015;83:1108. https://doi.org/10.1037/ccp0000044
  17. Fox KC, Nijeboer S, Dixon ML, Floman JL, Ellamil M, Rumak SP, et al. Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners. Neurosci Biobehav Rev 2014;43:48-73. https://doi.org/10.1016/j.neubiorev.2014.03.016
  18. Hanlon EC, Van Cauter E. Quantification of sleep behavior and of its impact on the cross-talk between the brain and peripheral metabolism. Proc Natl Acad Sci U S A 2011;108:15609-15616. https://doi.org/10.1073/pnas.1101338108
  19. Hansen M, Danielsen A, Hageman I, Rosenberg J, Gogenur I. The therapeutic or prophylactic effect of exogenous melatonin against depression and depressive symptoms: a systematic review and meta-analysis. Eur Neuropsychopharmacol 2014;24:1719-1728. https://doi.org/10.1016/j.euroneuro.2014.08.008
  20. Hasenkamp W, Barsalou LW. Effects of meditation experience on functional connectivity of distributed brain networks. Front Hum Neurosci 2012;6:38. https://doi.org/10.3389/fnhum.2012.00038
  21. Hoge EA, Bui E, Marques L, Metcalf CA, Morris LK, Robinaugh DJ, et al. Randomized controlled trial of mindfulness meditation for generalized anxiety disorder: effects on anxiety and stress reactivity. J Clin Psychiatry 2013;74:786-792. https://doi.org/10.4088/JCP.12m08083
  22. Holbrook AM, Crowther R, Lotter A, Cheng C, King D. Meta-analysis of benzodiazepine use in the treatment of insomnia. CMAJ 2000;162:225-233.
  23. Holzel BK, Carmody J, Evans KC, Hoge EA, Dusek JA, Morgan L, et al. Stress reduction correlates with structural changes in the amygdala. Soc Cogn Affect Neurosci 2010;5:11-17. https://doi.org/10.1093/scan/nsp034
  24. Holzel BK, Carmody J, Vangel M, Congleton C, Yerramsetti SM, Gard T, et al. Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res 2011;191:36-43. https://doi.org/10.1016/j.pscychresns.2010.08.006
  25. Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry 1982;4:33-47. https://doi.org/10.1016/0163-8343(82)90026-3
  26. Khalsa DS, Amen D, Hanks C, Money N, Newberg A. Cerebral blood flow changes during chanting meditation. Nucl Med Commun 2009;30:956-961. https://doi.org/10.1097/MNM.0b013e32832fa26c
  27. Kim K, Uchiyama M, Okawa M, Liu X, Ogihara R. An epidemiological study of insomnia among the Japanese general population. Sleep 2000;23:41-47.
  28. Koffel E, Bramoweth AD, Ulmer CS. Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review. Journal of general internal medicine. J Gen Intern Med 2018;33:955-962. https://doi.org/10.1007/s11606-018-4390-1
  29. Koffel EA, Koffel JB, Gehrman PR. A meta-analysis of group cognitive behavioral therapy for insomnia. Sleep Med Rev 2015;19:6-16. https://doi.org/10.1016/j.smrv.2014.05.001
  30. Lazar SW, Kerr CE, Wasserman RH, Gray JR, Greve DN, Treadway MT, et al. Meditation experience is associated with increased cortical thickness. Neuroreport 2005;16:1893-1897. https://doi.org/10.1097/01.wnr.0000186598.66243.19
  31. Li Y, Vgontzas AN, Fernandez-Mendoza J, Bixler EO, Sun Y, Zhou J, et al. Insomnia with physiological hyperarousal is associated with hypertension. Hypertension 2015;65:644-650. https://doi.org/10.1161/HYPERTENSIONAHA.114.04604
  32. Nagendra RP, Maruthai N, Kutty BM. Meditation and its regulatory role on sleep. Front Neurol 2012;3:54. https://doi.org/10.3389/fneur.2012.00054
  33. Nakamura Y. Evaluating a Novel Sleep-Focused Mind-Body Rehabilitative Program for Veterans with mTBI and Other Polytrauma Symptoms: An RCT Study: University of Utah Salt Lake City United States;2018.
  34. Nakamura Y, Lipschitz DL, Landward R, Kuhn R, West G. Two sessions of sleep-focused mind-body bridging improve self-reported symptoms of sleep and PTSD in veterans: a pilot randomized controlled trial. J Psychosom Res 2011;70:335-345. https://doi.org/10.1016/j.jpsychores.2010.09.007
  35. Newberg AB, Wintering N, Waldman MR, Amen D, Khalsa DS, Alavi A. Cerebral blood flow differences between long-term meditators and non-meditators. Conscious Cogn 2010;19:899-905. https://doi.org/10.1016/j.concog.2010.05.003
  36. Ohayon MM, Bader G. Prevalence and correlates of insomnia in the Swedish population aged 19-75 years. Sleep Med 2010;11:980-986. https://doi.org/10.1016/j.sleep.2010.07.012
  37. Ohayon MM, Sagales T. Prevalence of insomnia and sleep characteristics in the general population of Spain. Sleep Med 2010;11:1010-1018. https://doi.org/10.1016/j.sleep.2010.02.018
  38. Okajima I, Nakamura M, Nishida S, Usui A, Hayashida K-i, Kanno M, et al. Cognitive behavioural therapy with behavioural analysis for pharmacological treatment-resistant chronic insomnia. Psychiatry Res 2013;210:515-521. https://doi.org/10.1016/j.psychres.2013.06.028
  39. Ong JC, Kuo TF, Manber R. Who is at risk for dropout from group cognitive-behavior therapy for insomnia? J Psychosom Res 2008;64:419-425. https://doi.org/10.1016/j.jpsychores.2007.10.009
  40. Ong JC, Manber R, Segal Z, Xia Y, Shapiro S, Wyatt JK. A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep 2014;37:1553-1563. https://doi.org/10.5665/sleep.4010
  41. Pagnoni G, Cekic M. Age effects on gray matter volume and attentional performance in Zen meditation. Neurobiol Aging 2007;28:1623-1627. https://doi.org/10.1016/j.neurobiolaging.2007.06.008
  42. Pagnoni G, Cekic M, Guo Y. "Thinking about not-thinking": neural correlates of conceptual processing during Zen meditation. PLoS One 2008;3:e3083. https://doi.org/10.1371/journal.pone.0003083
  43. Ritter PS, Marx C, Bauer M, Lepold K, Pfennig A. The role of disturbed sleep in the early recognition of bipolar disorder: a systematic review. Bipolar Disord 2011;13:227-237. https://doi.org/10.1111/j.1399-5618.2011.00917.x
  44. Rusch HL, Guardado P, Baxter T, Mysliwiec V, Gill JM. Improved sleep quality is associated with reductions in depression and PTSD arousal symptoms and increases in IGF-1 concentrations. J Clin Sleep Med 2015;11:615-623. https://doi.org/10.5664/jcsm.4770
  45. Savard J, Ivers H, Savard MH, Morin CM. Cancer treatments and their side effects are associated with aggravation of insomnia: results of a longitudinal study. Cancer 2015;121:1703-1711. https://doi.org/10.1002/cncr.29244
  46. Schutte NS, Malouff JM. A meta-analytic review of the effects of mindfulness meditation on telomerase activity. Psychoneuroendocrinology 2014;42:45-48. https://doi.org/10.1016/j.psyneuen.2013.12.017
  47. Siegel DJ. The mindful brain. New York: Norton;2007.
  48. Sofi F, Cesari F, Casini A, Macchi C, Abbate R, Gensini GF. Insomnia and risk of cardiovascular disease: a meta-analysis. Eur J Prev Cardiol 2014;21:57-64. https://doi.org/10.1177/2047487312460020
  49. Taheri S, Lin L, Austin D, Young T, Mignot E. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 2004;1:e62. https://doi.org/10.1371/journal.pmed.0010062
  50. Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol 2000;68:615-623. https://doi.org/10.1037/0022-006X.68.4.615
  51. Trauer JM, Qian MY, Doyle JS, Rajaratnam SM, Cunnington D. Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis. Ann Intern Med 2015;163:191-204. https://doi.org/10.7326/M14-2841
  52. Vincent N, Lewycky S, Finnegan H. Barriers to engagement in sleep restriction and stimulus control in chronic insomnia. J Consult Clin Psychol 2008;76:820. https://doi.org/10.1037/0022-006X.76.5.820
  53. Winbush NY, Gross CR, Kreitzer MJ. The effects of mindfulnessbased stress reduction on sleep disturbance: a systematic review. Explore 2007;3:585-591. https://doi.org/10.1016/j.explore.2007.08.003
  54. Xie L, Kang H, Xu Q, Chen MJ, Liao Y, Thiyagarajan M, et al. Sleep drives metabolite clearance from the adult brain. Science 2013;342:373-377. https://doi.org/10.1126/science.1241224