How to improve your sleep quality? Review of non-pharmacological methods
DOI:
https://doi.org/10.12775/QS.2025.41.59895Keywords
sleep quality, non-pharmacological, insomnia, aromatherapy, physical exercises, mindfulness meditation, relaxing music, cognitive-behavioral therapyAbstract
Sleep disorders are a common problem for a large part of society, affecting people of all ages. Sleep is an essential element of the circadian rhythm, and its deprivation has an impact on many aspects of health. Long-term deprivation translates into reduced efficiency, concentration, increased anxiety, lowers the quality of life, and worsens academic and professional outcomes. The objective of this article is to expand knowledge on non-pharmacological methods of improving sleep quality. Article was based on 24 selected articles, related to the topic of sleep and non-pharmacological methods of improving its quality, searched through the PubMed database. Selected methods such as: Aromatherapy, Physical exercises, Mindfulness Meditation, Music and Relaxing sounds, and Cognitive-Behavioral Therapy (CBT) are known for treating/relieving sleep problems. They show a varied effect on sleep parameters such as the number of awakenings, total sleep duration, subjective sleep quality, and ease of falling asleep. The research found that non-pharmacological methods of improving sleep quality present varying effectiveness depending on the parameter studied. They are an effective element of relieving these disorders, but in the case of more complex or severe cases they may not be sufficient. More studies conducted on different groups of people and their comparison with pharmacological methods are needed to determine their exact effectiveness.
References
1. Baron, P., Hermand, É., Bourlois, V., Pezé, T., Aron, C., Lombard, R., & Hurdiel, R. (2023). Effect of Aerobic Exercise Training on Sleep and Core Temperature in Middle-Aged Women with Chronic Insomnia: A Randomized Controlled Trial. International journal of environmental research and public health, 20(8), 5452. https://doi.org/10.3390/ijerph20085452
2. Barrett, B., Harden, C. M., Brown, R. L., Coe, C. L., & Irwin, M. R. (2020). Mindfulness meditation and exercise both improve sleep quality: Secondary analysis of a randomized controlled trial of community dwelling adults. Sleep health, 6(6), 804–813. https://doi.org/10.1016/j.sleh.2020.04.003
3. Brossoit, R. M., Hammer, L. B., Crain, T. L., Leslie, J. J., Bodner, T. E., & Brockwood, K. J. (2023). The effects of a Total Worker Health intervention on workplace safety: Mediating effects of sleep and supervisor support for sleep. Journal of occupational health psychology, 28(4), 263–276. https://doi.org/10.1037/ocp0000357
4. Carcelén-Fraile, M. D. C., Déniz-Ramírez, N. D. P., Sabina-Campos, J., Aibar-Almazán, A., Rivas-Campo, Y., González-Martín, A. M., & Castellote-Caballero, Y. (2024). Exercise and Nutrition in the Mental Health of the Older Adult Population: A Randomized Controlled Clinical Trial. Nutrients, 16(11), 1741. https://doi.org/10.3390/nu16111741
5. Cavalcante, V. N., Mesquita, E. T., Cavalcanti, A. C. D., Miranda, J. S. D. S., Jardim, P. P., Bandeira, G. M. D. S., Guimarães, L. M. R., Venâncio, I. C. D. L., Correa, N. M. C., Dantas, A. M. R., Tress, J. C., Romano, A. C., Muccillo, F. B., Siqueira, M. E. B., & Vieira, G. C. A. (2023). Impact of a Stress Reduction, Meditation, and Mindfulness Program in Patients with Chronic Heart Failure: A Randomized Controlled Trial. Impacto de um Programa de Redução do Estresse, Meditação e Mindfulness em Pacientes com Insuficiência Cardíaca Crônica: Um Ensaio Clínico Randomizado. Arquivos brasileiros de cardiologia, 120(10), e20220768. https://doi.org/10.36660/abc.20220768
6. Cordi, M.J., Ackermann, S. & Rasch, B. Effects of Relaxing Music on Healthy Sleep. Sci Rep 9, 9079 (2019). https://doi.org/10.1038/s41598-019-45608-y
7. Davari, H., Ebrahimian, A., Rezayei, S., & Tourdeh, M. (2021). Effect of Lavender Aromatherapy on Sleep Quality and Physiological Indicators in Patients after CABG Surgery: A Clinical Trial Study. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 25(4), 429–434. https://doi.org/10.5005/jp-journals-10071-23785
8. Dos Reis Lucena, L., Dos Santos-Junior, J. G., Tufik, S., & Hachul, H. (2021). Lavender essential oil on postmenopausal women with insomnia: Double-blind randomized trial. Complementary therapies in medicine, 59, 102726. https://doi.org/10.1016/j.ctim.2021.102726
9. Felder, J. N., Epel, E. S., Neuhaus, J., Krystal, A. D., & Prather, A. A. (2020). Efficacy of Digital Cognitive Behavioral Therapy for the Treatment of Insomnia Symptoms Among Pregnant Women: A Randomized Clinical Trial. JAMA psychiatry, 77(5), 484–492. https://doi.org/10.1001/jamapsychiatry.2019.4491
10. Hamzeh, S., Safari-Faramani, R., & Khatony, A. (2020). Effects of Aromatherapy with Lavender and Peppermint Essential Oils on the Sleep Quality of Cancer Patients: A Randomized Controlled Trial. Evidence-based complementary and alternative medicine : eCAM, 2020, 7480204. https://doi.org/10.1155/2020/7480204
11. Hosseini, N., Seylani, K., Matourypour, P., Fakhrodini, M., Haghani, H., & Zakerimoghadam, M. (2024). The Effect of Music Therapy on the Sleep Quality of Patients with Heart Failure: The Miracle of Nature Music. Iranian journal of nursing and midwifery research, 29(4), 424–430. https://doi.org/10.4103/ijnmr.ijnmr_385_22
12. Hu, S. P., Yang, Y. M., Chen, W. H., Lu, S. S., Niu, T., Xia, Y. Z., & Li, J. Y. (2023). Effect of sleep ambient music on sleep quality and mental health in college students: a self-controlled study. Frontiers in psychology, 14, 1171939. https://doi.org/10.3389/fpsyg.2023.1171939
13. Mei, Z., Cai, C., Luo, S., Zhang, Y., Lam, C., & Luo, S. (2024). The efficacy of cognitive behavioral therapy for insomnia in adolescents: a systematic review and meta-analysis of randomized controlled trials. Frontiers in public health, 12, 1413694. https://doi.org/10.3389/fpubh.2024.1413694
14. Mohammadi, F., Moradi, M., Niazi, A., & Jamali, J. (2022). The Impact of Aromatherapy with Citrus Aurantium Essential Oil on Sleep Quality in Pregnant Women with Sleep Disorders: A Randomized Controlled Clinical Trial. International journal of community based nursing and midwifery, 10(3), 160–171. https://doi.org/10.30476/IJCBNM.2022.92696.1900
15. Perotta, B., Arantes-Costa, F. M., Enns, S. C., Figueiro-Filho, E. A., Paro, H., Santos, I. S., Lorenzi-Filho, G., Martins, M. A., & Tempski, P. Z. (2021). Sleepiness, sleep deprivation, quality of life, mental symptoms and perception of academic environment in medical students. BMC medical education, 21(1), 111. https://doi.org/10.1186/s12909-021-02544-8
16. Scott, H., Cheung, J. M. Y., Muench, A., Ivers, H., Grandner, M. A., Lack, L., Morin, C. M., & Perlis, M. (2022). Does total sleep time substantially increase after cognitive behavioral therapy for insomnia?. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 18(7), 1823–1829. https://doi.org/10.5664/jcsm.10004
17. Scott, H., Cheung, J. M. Y., Muench, A., Ivers, H., Grandner, M. A., Morin, C. M., & Perlis, M. L. (2023). Baseline sleep characteristics are associated with gains in sleep duration after cognitive behavioral therapy for insomnia. Sleep medicine, 102, 199–204. https://doi.org/10.1016/j.sleep.2023.01.009
18. Siu, P. M., Yu, A. P., Tam, B. T., Chin, E. C., Yu, D. S., Chung, K. F., Hui, S. S., Woo, J., Fong, D. Y., Lee, P. H., Wei, G. X., & Irwin, M. R. (2021). Effects of Tai Chi or Exercise on Sleep in Older Adults With Insomnia: A Randomized Clinical Trial. JAMA network open, 4(2), e2037199. https://doi.org/10.1001/jamanetworkopen.2020.37199
19. Smith, J. L., Allen, J. W., Haack, C. I., Wehrmeyer, K. L., Alden, K. G., Lund, M. B., & Mascaro, J. S. (2021). Impact of App-Delivered Mindfulness Meditation on Functional Connectivity, Mental Health, and Sleep Disturbances Among Physician Assistant Students: Randomized, Wait-list Controlled Pilot Study. JMIR formative research, 5(10), e24208. https://doi.org/10.2196/24208
20. Taylor, R. W., Haszard, J. J., Jackson, R., Morrison, S., Beebe, D. W., Meredith-Jones, K. A., Elder, D. E., & Galland, B. C. (2023). Effect of Sleep Changes on Health-Related Quality of Life in Healthy Children: A Secondary Analysis of the DREAM Crossover Trial. JAMA network open, 6(3), e233005. https://doi.org/10.1001/jamanetworkopen.2023.3005
21. Tseng, T. H., Chen, H. C., Wang, L. Y., & Chien, M. Y. (2020). Effects of exercise training on sleep quality and heart rate variability in middle-aged and older adults with poor sleep quality: a randomized controlled trial. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 16(9), 1483–1492. https://doi.org/10.5664/jcsm.8560
22. Wakui, N., Togawa, C., Ichikawa, K., Matsuoka, R., Watanabe, M., Okami, A., Shirozu, S., Yamamura, M., & Machida, Y. (2023). Relieving psychological stress and improving sleep quality by bergamot essential oil use before bedtime and upon awakening: A randomized crossover trial. Complementary therapies in medicine, 77, 102976. https://doi.org/10.1016/j.ctim.2023.102976
23. Yamasato, A., Kondo, M., Hoshino, S., Kikuchi, J., Ikeuchi, M., Yamazaki, K., Okino, S., & Yamamoto, K. (2020). How Prescribed Music and Preferred Music Influence Sleep Quality in University Students. The Tokai journal of experimental and clinical medicine, 45(4), 207–213. https://pubmed.ncbi.nlm.nih.gov/33300592/
24. Zuraikat, F. M., Laferrère, B., Cheng, B., Scaccia, S. E., Cui, Z., Aggarwal, B., Jelic, S., & St-Onge, M. P. (2024). Chronic Insufficient Sleep in Women Impairs Insulin Sensitivity Independent of Adiposity Changes: Results of a Randomized Trial. Diabetes care, 47(1), 117–125. https://doi.org/10.2337/dc23-1156
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Copyright (c) 2025 Urszula Szymczak, Wojciech Wiesław Lachór, Monika Barbara Solarz, Julia Piekarska, Justyna Maria Solarz, Jakub Tomasz Wawrzyńców, Weronika Cyrkler, Jakub Robak, Stanisław Telega, Paweł Bollin

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