Abstract
BackgroundAcceptance and Commitment Therapy (ACT), as a type of behavioral therapy, attempts to respond to changes in people’s performance and their relationship to events. ACT can affect sleep quality by providing techniques to enhance the flexibility of patients’ thoughts, yet maintaining mindfullness. Therefore, for the first time, a systematic review on the effects of ACT on sleep quality has been conducted.MethodsThis systematic review was performed to determine the effect of ACT on insomnia and sleep quality. To collect articles, the PubMed, Web of Science (WOS), Cochrane library, Embase, Scopus, Science Direct, ProQuest, Mag Iran, Irandoc, and Google Scholar databases were searched, without a lower time-limit, and until April 2020.ResultsRelated articles were derived from 9 research repositories, with no lower time-limit and until April 2020. After assessing 1409 collected studies, 278 repetitive studies were excluded. Moreover, following the primary and secondary evaluations of the remaining articles, 1112 other studies were removed, and finally a total of 19 intervention studies were included in the systematic review process. Within the remaining articles, a sample of 1577 people had been assessed for insomnia and sleep quality.ConclusionThe results of this study indicate that ACT has a significant effect on primary and comorbid insomnia and sleep quality, and therefore, it can be used as an appropriate treatment method to control and improve insomnia.
Highlights
Acceptance and Commitment Therapy (ACT), as a type of behavioral therapy, attempts to respond to changes in people’s performance and their relationship to events
Search strategy and method This systematic review was performed to determine the effect of ACT on insomnia and sleep quality
The keywords that were used were Acceptance commitment therapy, Acceptance based, accept* commit*, insomnia, sleep wake disorder, sleep, “sleep quality”, sleep problem, sleep parameters, objective sleep, sleep maintenance, and the process followed the search approach required for each database; For instance, Table 1. presents the search strategy used for the PubMed database, and lists the inclusion and exclusion criteria
Summary
Acceptance and Commitment Therapy (ACT), as a type of behavioral therapy, attempts to respond to changes in people’s performance and their relationship to events. ACT can affect sleep quality by providing techniques to enhance the flexibility of patients’ thoughts, yet maintaining mindfullness. For the first time, a systematic review on the effects of ACT on sleep quality has been conducted. Sleep is known as a complex, active and repetitive physiological and behavioral phenomenon. Sleep can be measured in terms of quality and duration, and these two parameters have little overlap. Insomnia is a 24-h disorder that occurs throughout the day and night [3]. It is known as the most common type of sleep disorder and can be instigated by primary causes or can be comorbid (due to another illness) [4].
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