Improve Sleep in Insomniacs with Meditation
By John M. de Castro, Ph.D.
“Given the absence of side effects and the positive potential benefits of mindfulness that extend beyond sleep, we encourage people with chronic insomnia, particularly those unable or unwilling to use sleep medications, to consider mindfulness training.” – Cynthia Gross
Modern society has become more around-the-clock and more complex producing considerable pressure and stress on the individual. The advent of the internet and smart phones has exacerbated the problem. The resultant stress can impair sleep. Indeed, it is estimated that over half of Americans sleep too little due to stress. As a result, people today sleep 20% less than they did 100 years ago. Not having a good night’s sleep has adverse effects upon the individual’s health, well-being, and happiness. It has been estimated that 30 to 35% of adults have brief symptoms of insomnia, 15 to 20% have a short-term insomnia disorder, and 10% have chronic insomnia
Insomnia is more than just an irritant. Sleep deprivation is associated with decreased alertness and a consequent reduction in performance of even simple tasks, decreased quality of life, increased difficulties with memory and problem solving, increased likelihood of accidental injury including automobile accidents, and increased risk of dementia and Alzheimer’s disease. It also can lead to anxiety about sleep itself. This is stressful and can produce even more anxiety about being able to sleep. About 4% of Americans revert to sleeping pills. But these do not always produce high quality sleep and can have problematic side effects. So, there is a need to find better methods to treat insomnia. Mindfulness-based practices have been reported to improve sleep amount and quality and help with insomnia. It makes sense to explore the effectiveness of different meditation techniques for insomnia.
In today’s Research News article “Heartfulness meditation improves sleep in chronic insomnia.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034439/), Thimmapuram and colleagues recruited adults who were diagnosed with chronic insomnia. They were instructed on sleep hygiene and received instruction in heartfulness meditation once per week for 8 weeks. Heartfulness meditation included relaxation and directing attention to the light in the heart and be open to any experience. They were instructed to practice the meditation in the morning for 20 minutes and in the evening for 5 minutes. They were measured before and after training for insomnia severity.
They found that in comparison to baseline after heartfulness meditation there was a large significant decrease in insomnia severity. Whereas all participants were taking some form of medication for insomnia before the training, afterwards 75% of the patients had ceased taking the drugs while a further 12.5% reduced dosage.
The study did not contain a control group and as such the results must be interpreted with caution. However, prior well-controlled studies have demonstrated that mindfulness training improves sleep and reduces insomnia. So, it is likely that the heartfulness meditation practice was responsible for the improvements in the present study. This study extends the types of mindfulness practices that are effective for insomnia with heartfulness meditation.
So, improve sleep in insomniacs with meditation.
“If insomnia is at the root of your sleepless nights, it may be worth trying meditation. The deep relaxation technique has been shown to increase sleep time, improve sleep quality, and make it easier to fall (and stay) asleep.” – SleepFoundation
CMCS – Center for Mindfulness and Contemplative Studies
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Study Summary
Thimmapuram, J., Yommer, D., Tudor, L., Bell, T., Dumitrescu, C., & Davis, R. (2020). Heartfulness meditation improves sleep in chronic insomnia. Journal of community hospital internal medicine perspectives, 10(1), 10–15. https://doi.org/10.1080/20009666.2019.1710948
ABSTRACT
Background: Chronic insomnia is characterized by disturbed sleep that occurs despite adequate opportunity and circumstances to sleep. Many patients with chronic insomnia have comorbid mental illnesses or medical illnesses that contribute and precipitate insomnia. Hallmark of chronic insomnia treatment includes non-pharmacological measures such as Cognitive Behavioral Therapy for Insomnia (CBT-I). Pharmacologic treatment (sedative or hypnotic agents) has been disappointing because of poor efficacy and numerous undesirable side effects. Other new therapies including meditation have been proven to be effective.
Objective: This study investigates the effectiveness of Heartfulness meditation coupled with sleep hygiene to treat chronic insomnia. Methods: In this prospective pre-post design cohort study, 32 adult patients with chronic primary insomnia engaged in Heartfulness meditation along with appropriate sleep hygiene for eight weeks. Insomnia Severity Index (ISI) scores, usage of sedative or hypnotic agents were measured at baseline and at the end of the eight-week period.
Results: There was a significant decrease in the mean ISI scores from 20.9 to 10.4 (p < 0.001) after eight weeks of Heartfulness meditation. Twenty four of 32 patients were initially on sedative or hypnotic medications. At week eight, 21 of 24 patients (87.5%) were off these medications or the dosage was reduced (p < 0.001).
Conclusion: This study demonstrated statistical improvements in the measures of ISI in patients undergoing a Heartfulness meditation program. Heartfulness meditation may facilitate the taper and eventual cessation of sedative hypnotics in patients suffering from chronic insomnia.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034439/