Treating insomnia during pregnancy improves bedtime procrastination, rumination, anxiety, and positive affect: a randomized controlled trial of cognitive-behavioral and mindfulness-based therapies for prenatal insomnia

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This secondary analysis of a randomized controlled trial examines whether Cognitive-Behavioral Therapy for Insomnia (CBTI) and Perinatal Understanding of Mindful Awareness for Sleep (PUMAS) improve outcomes beyond sleep quality in pregnant women with clinical insomnia. The study reports that both interventions reduced bedtime procrastination and anxiety while enhancing positive affect, whereas PUMAS specifically decreased insomnia-focused rumination compared to sleep hygiene education. The resource is intended for researchers and clinicians interested in the broader psychological benefits of prenatal insomnia treatments.

ID
b5c85740e3f64eb5
Source org
PubMed Central
Author
David A. Kalmbach (Henry Ford Health System), Anthony N. Reffi (Henry Ford Health System), Philip Cheng (Henry Ford Health System), Parisa R. Kaliush (University of North Carolina at Chapel Hill), Matthew B. Jennings (Henry Ford Health System), Heba A Afaneh (Henry Ford Health System), Amanda Yu (Henry Ford Health System), Miriam Jaziri (Henry Ford Health System), Christopher L Drake (Henry Ford Health System)
Published
2026-01-01
OA status
gold
DOI
10.1093/sleepadvances/zpag050
PMID
Not recorded
PMCID
Not recorded
Citations
0

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BibTeX

@article{allodium:b5c85740e3f64eb5,
  title = {Treating insomnia during pregnancy improves bedtime procrastination, rumination, anxiety, and positive affect: a randomized controlled trial of cognitive-behavioral and mindfulness-based therapies for prenatal insomnia},
  author = {David A. Kalmbach and Anthony N. Reffi and Philip Cheng and Parisa R. Kaliush and Matthew B. Jennings and Heba A Afaneh and Amanda Yu and Miriam Jaziri and Christopher L Drake},
  year = {2026},
  journal = {PubMed Central},
  doi = {10.1093/sleepadvances/zpag050},
  url = {https://doi.org/10.1093/sleepadvances/zpag050}
}

RIS

TY  - JOUR
TI  - Treating insomnia during pregnancy improves bedtime procrastination, rumination, anxiety, and positive affect: a randomized controlled trial of cognitive-behavioral and mindfulness-based therapies for prenatal insomnia
AU  - Kalmbach, David A.
AU  - Reffi, Anthony N.
AU  - Cheng, Philip
AU  - Kaliush, Parisa R.
AU  - Jennings, Matthew B.
AU  - Afaneh, Heba A
AU  - Yu, Amanda
AU  - Jaziri, Miriam
AU  - Drake, Christopher L
PY  - 2026
PB  - PubMed Central
DO  - 10.1093/sleepadvances/zpag050
UR  - https://doi.org/10.1093/sleepadvances/zpag050
ER  - 

APA

Kalmbach, D. A., Reffi, A. N., Cheng, P., Kaliush, P. R., Jennings, M. B., Afaneh, H. A., Yu, A., Jaziri, M., & Drake, C. L. (2026). Treating insomnia during pregnancy improves bedtime procrastination, rumination, anxiety, and positive affect: a randomized controlled trial of cognitive-behavioral and mindfulness-based therapies for prenatal insomnia. PubMed Central. https://doi.org/10.1093/sleepadvances/zpag050

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