A Secondary Analysis of Sleep Quality Changes in Older Adults From a Randomized Trial of an MBSR Program

J Appl Gerontol. 2018 Nov;37(11):1327-1343. doi: 10.1177/0733464816663553. Epub 2016 Aug 10.


This secondary analysis examined changes in sleep quality associated with participation in a Mindfulness-Based Stress Reduction (MBSR) program among healthy older adults. Data were collected at baseline, 8-weeks post-treatment, and a 6-month follow-up from adults aged ≥ 65 ( N = 200), randomly assigned to MBSR or a waitlist control. Group differences were examined using mixed analysis of covariance with repeated measures on the total Pittsburgh Sleep Quality Index (PSQI) score. A small-sized, significant effect was found on overall sleep among MBSR participants with baseline PSQI scores > 5, indicative of a sleep disturbance, F(2, 80) = 4.32, p = .02, ηp2 = .05. A medium-sized, significant effect was found for MBSR participants with baseline PSQI scores ≥ 10, F(2, 28) = 3.13, p = .04, ηp2 = .10. These findings indicate that improved sleep quality for older adults who have higher levels of sleep disturbance may be associated with participation in MBSR.

Trial registration: ClinicalTrials.gov NCT01027780.

Keywords: mindfulness; mind–body; older adults; sleep disturbance.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Actigraphy
  • Aged
  • Anxiety / complications
  • Anxiety / therapy
  • Depression / complications
  • Depression / therapy
  • Female
  • Humans
  • Male
  • Mindfulness*
  • Quality of Life
  • Severity of Illness Index
  • Sleep Initiation and Maintenance Disorders / etiology
  • Sleep Initiation and Maintenance Disorders / psychology
  • Sleep Initiation and Maintenance Disorders / therapy*
  • Sleep*
  • Stress, Psychological / complications
  • Stress, Psychological / therapy*

Associated data

  • ClinicalTrials.gov/NCT01027780