명상도서관
Improving sleep with mindfulness and acceptance: A metacognitive model of insomnia
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- 자료유형학술지논문
- 저자명Ong, J. C.,Ulmer, C. S.,Manber, R.
- 학회/출판사/기관명Elsevier Science B.V., Amsterdam.
- 출판년도2012
- 언어영어
- 학술지명/학위논문주기Behaviour research and therapy
- 발행사항Vol.50No.11[2012]_x000D_
- ISBN/ISSN0005-7967
- 소개/요약While there is an accumulating evidence to suggest that therapies using mindfulness and acceptance-based approaches have benefits for improving the symptoms of insomnia, it is unclear how these treatments work. The goal of this paper is to present a conceptual framework for the cognitive mechanisms of insomnia based upon mindfulness and acceptance approaches. The existing cognitive and behavioral models of insomnia are first reviewed and a two-level model of cognitive (primary) and metacognitive (secondary) arousal is presented in the context of insomnia. We then focus on the role of metacognition in mindfulness and acceptance-based therapies, followed by a review of these therapies in the treatment of insomnia. A conceptual framework is presented detailing the mechanisms of metacognition in the context of insomnia treatments. This model proposes that increasing awareness of the mental and physical states that are present when experiencing insomnia symptoms and then learning how to shift mental processes can promote an adaptive stance to one's response to these symptoms. These metacognitive processes are characterized by balanced appraisals, cognitive flexibility, equanimity, and commitment to values and are posited to reduce sleep-related arousal, leading to remission from insomnia. We hope that this model will further the understanding and impact of mindfulness and acceptance-based approaches to insomnia.
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