![]() These factors include dysregulation of sleep drive, sleep-interfering behaviours, and cognitions. CBT-I affects the factors influencing insomnia preservation. ĬBT-I is a multi-component approach, in which components such as psychology education in sleep health, behavioural interventions such as stimulus control and cognitive techniques are adopted. The cognitive-behavioral therapy was introduced by using traditional behavioral therapy principles and special emphasis on cognitive factors and processes. Behavioral therapy has three types: traditional, cognitive behavioral, and the third-wave thereapies. Ĭognitive Behavioral Therapy is the first-line treatment for chronic insomnia This behavioral therapy is designed based on the operationally defined learning theory and its adaptation to empirical models. Despite the high prevalence, there is still little known about this disorder. Insomnia is a serious mental disorder and affects the quality of life, increasing fatigue during the day and the occurrence of various cardiovascular diseases and diabetes. During insomnia, the cerebral cortex is more active, which increases hyper arousal in the individual. The exact type of insomnia can be detected by polysomnography. If a person encounters these conditions 3 or more times during a week and the condition persists for 3 months, s/he will be diagnosed with insomnia. According to the International Classification of Sleep Disorders-Third Edition (ICSD3), insomnia is a condition in which there are sleep initiation or maintenance problems, adequate opportunities and cicumstances to sleep, and daytime consequences. There are different reasons for insomnia it can also be developed occasionally, repeatedly and continuously. 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). Insomnia is a 24-h disorder that occurs throughout the day and night. Disruption to any of these parameters leads to insufficient sleep and increases drowsiness during the day. ![]() In general, sleep quality is a subjective index that measures how a person experiences sleep, while sleep duration is simply the measurement of the length of time a person sleeps. ![]() Sleep can be measured in terms of quality and duration, and these two parameters have little overlap. During sleep, a person’s perceptual detachment from the environment and a lack of response to it are observed. Sleep is known as a complex, active and repetitive physiological and behavioral phenomenon. The 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. Within the remaining articles, a sample of 1577 people had been assessed for insomnia and sleep quality. 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. After assessing 1409 collected studies, 278 repetitive studies were excluded. Related articles were derived from 9 research repositories, with no lower time-limit and until April 2020. 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. This systematic review was performed to determine the effect of ACT on insomnia and sleep quality. Therefore, for the first time, a systematic review on the effects of ACT on sleep quality has been conducted. ACT can affect sleep quality by providing techniques to enhance the flexibility of patients’ thoughts, yet maintaining mindfullness. 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.
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