Treatment of Chronic Insomnia with Yoga: A Preliminary Study with Sleep–Wake Diaries
There is good evidence for cognitive and physiological arousal in chronic insomnia. Accordingly, clinical trial studies of insomnia treatments aimed at reducing arousal, including relaxation and meditation, have reported positive results. Yoga is a multicomponent practice that is also known to be effective in reducing arousal, although it has not been well evaluated as a treatment for insomnia. In this preliminary study, a simple daily yoga treatment was evaluated in a chronic insomnia population consisting of sleep-onset and/or sleep-maintenance insomnia and primary or secondary insomnia. Participants maintained sleep–wake diaries during a pretreatment 2-week baseline and a subsequent 8-week intervention, in which they practiced the treatment on their own following a single in-person training session with subsequent brief in-person and telephone follow-ups. Sleep efficiency (SE), total sleep time (TST), total wake time (TWT), sleep onset latency (SOL), wake time after sleep onset (WASO), number of awakenings, and sleep quality measures were derived from sleep–wake diary entries and were averaged in 2-week intervals. For 20 participants completing the protocol, statistically significant improvements were observed in SE, TST, TWT, SOL, and WASO at end-treatment as compared with pretreatment values.
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- Arpita (Harrigan, J.). (1990). Physiological and psychological effects of Hatha Yoga: A review of the literature. The Journal of the International Association of Yoga Therapists, 1, 1–28.Google Scholar
- Bootzin, R. R., & Rider, S. P. (1997). Behavioral techniques and biofeedback for insomnia. In M. R. Pressman (Ed.), Understanding sleep: The evaluation and treatment of sleep disorders. Application and practice in health psychology (pp. 315–338). Washington, DC: American Psychological Association.Google Scholar
- Estivill-Sancho, E., & Jaraba, G. (1991). The treatment of chronic insomnia: A program of creative relaxation and body consciousness as adjuvant of pharmacotherapy. Psiquis: Revista de Psiquiatria Psicologia y Psicosomatica, 12, 52–57.Google Scholar
- Funderburk, J. (1977). Science Studies Yoga: A review of physiological data. Glenview, IL: Himalayan International Inst.Google Scholar
- Jacobs, G. D., Benson, H., & Friedman, R. (1993). Home-based central nervous system assessment of a multifactor behavioral intervention for chronic sleep-onset insomnia. Behavior Therapy, 24, 159–174.Google Scholar
- Joshi, K. S. (1992). Yogic treatment of insomnia: An experimental study. Yoga Mimamsa, 30, 24–26.Google Scholar
- Koch, U., Volk, S., Heidenreich, T., & Pflug, B. (1998). Yoga treatment in psychophysiological insomnia. Journal of Sleep Research, 7(Suppl. 2), 137.Google Scholar
- Murphy, M., & Donovan, S. (1999). The physical and psychological effects of meditation: A review of contemporary research with a comprehensive bibliography 1931–1996 (2nd ed.). Sausalito, CA: The Institute of Noetic Sciences.Google Scholar
- Patel, C. (1993). Yoga-based therapy. In P. M. Lehrer & R. L. Woolfolk (Eds.), Principles and practice of stress management (2nd ed., pp. 89–137). New York: Guilford Press.Google Scholar
- Raub, J. A. (2002). Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: A literature review. Journal of Alternative and Complementary Medicine, 8, 797–812.Google Scholar
- Schoicket, S. L., Bertelson, A. D., & Lacks, P. (1988). Is sleep hygiene a sufficient treatment for sleep-maintenance insomnia? Behavior Therapy, 19, 183–190.Google Scholar
- Woolfolk, R. L., Carr-Kaffashan, L., & McNulty, T. F. (1976). Meditation training as a treatment for insomnia. Behavior Therapy, 7, 359–365.Google Scholar