Comparing the effectiveness of desensitization through eye movement and reprocessing with cognitive therapy based on mindfulness on sleep quality in people with primary insomnia

Document Type : Research Paper

Authors

1 Department of Clinical and Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

2 Department of Clinical and Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.(Corresponding author)

3 Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

Abstract

The purpose of the present study was to compare the effectiveness of desensitization through eye movement and reprocessing with cognitive therapy based on mindfulness on sleep quality in individuals with Primary insomnia. The statistical population of this study included all individuals suffering from Primary insomnia who sought treatment at private psychiatric clinic and the comprehensive health service centre of the Prophet (PBUH) between December2022 and march 2023. The sample size was determined using Cohen's table, resulting in 48 participants (16 in each group), who were randomly selected and assigned to two experimental groups and one control group. The research data collection tools included the Petersburg Sleep Quality Questionnaire (1989). Mixed ANOVA analysis, post-experience tests, and version 26 of SPSS software were used for data analysis. The results indicated that desensitization treatment programs through eye movement and reprocessing, as well as cognitive therapy based on mindfulness, are effective in improving sleep quality in individuals with Primary insomnia. Furthermore, there was no significant difference between the two treatments in improving the research variables. Therefore, it is recommended that therapists in the field of sleep disorders consider utilizing both treatments to address this disorder.

Keywords

Main Subjects

References

  1. Van Someren, E. J. (2021). Brain mechanisms of insomnia: new perspectives on causes and consequences. Physiological reviews, 101(3), 995-1046.
  2. Berry, R., Brooks, R., & Gamaldo, C. Darien, IL: American Academy of Sleep Medicine. AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications.
  3. Ding C, Fan J, Yuan F, Feng G, Gong W, Song C, Ma Y, Chen Z, Liu A. Association between physical activity, sedentary behaviors, sleep, diet, and adiposity among children and adolescents in China. Obesity facts. 2022 Jan 17;15(1):26-35.
  4. Javaheri S, Redline S. Insomnia and risk of cardiovascular disease. Chest. 2017; 152(2): 435-444.
  5. Kazemizadeh V, Behpour N. The Effect of Sleep Deprivation on Objective and Subjective Physiological Responses of Student-Athletes. Journal of Health & Safety at Work. 2022 Mar 1;12(1).)in persian)
  6. Sadeghipur H R, Zar A. The Effect of Endurance Training on Sleep Quality in the Elderly: A Review Study. 2023; 2 (4):1-10. )in persian)
  7. Cosgrave J, Phillips J, Haines R, Foster RG, Steinsaltz D, Wulff K. Revisiting nocturnal heart rate and heart rate variability in insomnia: A polysomnography‐based comparison of young self‐reported good and poor sleepers. Journal of Sleep Research. 2021;30(4):e13278.
  8. Lang PJ, Bradley MM, Fitzsimmons JR, Cuthbert BN, Scott JD, Moulder B, Nangia V. Emotional arousal and activation of the visual cortex: an fMRI analysis. Psychophysiology. 1998;35(2):199-210.
  9. Dai XJ, Nie X, Liu X, Pei L, Jiang J, Peng DC, Gong HH, Zeng XJ, Wáng YX, Zhan Y. Gender differences in regional brain activity in patients with chronic primary insomnia: evidence from a resting-state fMRI study. Journal of Clinical Sleep Medicine. 2016; 15;12(3):363-74.
  10. Kadotani T, Kadotani H, Arai H, Takami M, Ito H, Matsuo M, Yamada N. Comparison of self-reported scales and structured interviews for the assessment of depression in an urban male working population in Japan: a cross-sectional survey. Sleep Science and Practice. 2017;1(1):1-7.
  11. Kim AW. Psychosocial stress, adult suicidal ideation, and the mediating effect of poor sleep quality during the COVID‐19 pandemic in South Africa. American Journal of Human Biology. 2024;4:e24038.
  12. Ackerley R, Carlsson I, Wester H, Olausson H, Backlund Wasling H. Touch perceptions across skin sites: differences between sensitivity, direction discrimination and pleasantness. Frontiers in behavioral neuroscience. 2014;19;8:54.
  13. Raboni MR, Alonso FF, Tufik S, Suchecki D. Improvement of mood and sleep alterations in posttraumatic stress disorder patients by eye movement desensitization and reprocessing. Frontiers in behavioral neuroscience. 2014;10;8:209.
  14. El-Abbassy AA, Berry KI, Abd El Mageed HH, Amer HM. The effect of eye movement desensitization and reprocessing technique on COVID-19 induced anxiety, depression, sleep quality among emergency nurses. Annals of the Romanian Society for Cell Biology. 2021;7:3185-205.
  15. El Nager MA, El-Amrosy SH. Effect of Eye movement desensitization and reprocessing (EMDR) technique on psychological status and sleep quality among depressed patients.
  16. Montazeri Khadim V, Jabari Z, Shahriari M, Haqat A, Hashemi H. The effectiveness of cognitive-behavioral stress management on psychological and physiological indicators of mothers applying for caesarean section. Behavioral science research. 2014; 14 (2): 229-235. )in persian(
  17. Mehrmansha A, Hafizi F, Ehtshamzadeh P, Bakhtiarpour S. Comparison of cognitive-behavioral therapy, desensitization with eye movements and biofeedback on migraine attacks, anxiety sensitivity, quality of sleep and life. Health management. 2021; 14(3): 19-35. )in persian(
  18. Abdi M, Watankhah H, Razavi M. Deactivation through eye movements and reprocessing on performance and physical performance in athletes. Behavioral science research. 2017; 17(1): 151-158. )in persian(
  19. Landin-Romero R, Moreno-Alcazar A, Pagani M, Amann BL. How does eye movement desensitization and reprocessing therapy work? A systematic review on suggested mechanisms of action. Frontiers in psychology. 2018 Aug 13;9:1395.
  20. Van den Hout MA, Engelhard IM, Beetsma D, Slofstra C, Hornsveld H, Houtveen J, Leer A. EMDR and mindfulness. Eye movements and attentional breathing tax working memory and reduce vividness and emotionality of aversive ideation. Journal of behavior therapy and experimental psychiatry. 2011 Dec 1;42(4):423-31.
  21. Ong JC, Moore C. What do we really know about mindfulness and sleep health?. Current opinion in psychology. 2020 Aug 1;34:18-22.
  22. Soleimianian L, Mohammadi Shirmohalleh F, Peymani J, Gholami Toran Pushti M, Hawasi Somar N. A comparative study of the effectiveness of cognitive behavioral therapy and compassion-based therapy on sleep quality and glycosylated hemoglobin in diabetic patients. Journal of Psychiatric Nursing. 2023; 10(6): 0-0. )in persian(
  23. Motaghi R, Mardpour A, Khoramin SH. Comparing the effectiveness of treatment based on acceptance and commitment and sleep health education on sleep quality and physiological indicators in the elderly. Salamand Magazine: Iranian Geriatrics Magazine. 2021;17(2):170-185. )in persian(
  24. Din Parast A, Rasouli N, Qutb, A. Comparing the effect of schema therapy and mindfulness technique on sleep disorders in people with multiple sclerosis. Islamic lifestyle with a focus on health. 2021;7: 257-267.)in persian(
  25. Karami B, Khodabakhshi Kolayi A, Heydari H, Davoudi H. Comparing the effectiveness of solution-oriented narrative therapy and mindfulness-based stress reduction on the sleep quality of mothers with a son with gross motor disabilities. Journal of pediatric and infant nursing. 2023; 9(4): 1-9.)in persian(
  26. Nikro B, Shahabizadeh F, Nasri M. The effectiveness of mindfulness-based cognitive therapy (MBCT) and acceptance and commitment-based therapy (ACT) on sleep quality of students with test anxiety. Journal of Principles of Mental Health. 2020; 24(6): 390-383. )in persian(
  27. Jena SP. Behaviour therapy: Techniques, research and applications. SAGE Publications India; 2008 Feb 5.
  28. Honda H, Ashizawa R, Kiriyama K, Take K, Hirase T, Arizono S, Yoshimoto Y. Chronic pain in the frail elderly mediates sleep disorders and influences falls. Archives of gerontology and geriatrics. 2022 Mar 1;99:104582.
  29. Janssen EP, Spauwen PJ, Rijnen SJ, Ponds RW. Exploration of eye movement desensitization and reprocessing in treating posttraumatic stress-disorder in patients with acquired brain injury: a retrospective case series. European journal of psychotraumatology. 2023 Nov 23;14(2):2264117.
  30. Seyffert M, Lagisetty P, Landgraf J, Chopra V, Pfeiffer PN, Conte ML, Rogers MA. Internet-delivered cognitive behavioral therapy to treat insomnia: a systematic review and meta-analysis. PloS one. 2016 Feb 11;11(2):e0149139.
  31. Watson NF, Bertisch SM, Morin CM, Pelayo R, Winkelman JW, Zee PC, Krystal AD. Do Insomnia Treatments Improve Daytime Function?. Journal of Clinical Medicine. 2023;24;12(9):3089.
  32. Rosenberg R, Citrome L, Drake CL. Advances in the treatment of chronic insomnia: a narrative review of new nonpharmacologic and pharmacologic therapies. Neuropsychiatric Disease and Treatment. 2021 Aug 6:2549-66.
  33. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989 May 1;28(2):193-213.
  34. Heidarai A, Ehtshamzadeh P, Marashi P. The relationship between insomnia severity, sleep quality, sleepiness and health disorders with academic performance in girls. Scientific Journal of Women and Culture. 2010; 2(4):65-76.)in persian(
  35. Kakavand A, Jafari Jozani R, Ardalani J. The effectiveness of eye movement desensitization and reprocessing (EMDR) on improving the symptoms of anxiety disorders in sexually abused students. School psychology. 2016; 6(4): 140-160. )in persian(
  36. Segal Z, Williams M, Teasdale J. Mindfulness-based cognitive therapy for depression. Guilford publications; 2018 Jun 4.
Medical Journal of Mashhad university of Medical Sciences
Volume 67, Issue 6
January and February 2025
Pages 1656-1667

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