The efficacy of cognitive-behavioral therapy for insomnia in patients with chronic pain.

Sleep Medicine
Carla R JungquistMichael L Perlis

Abstract

To assess the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in patients with non-malignant chronic pain. Twenty-eight subjects with chronic neck and back pain were stratified according to gender, age, and ethnicity, then assigned to one of the two treatment groups: CBT-I or a contact control condition. Eight weeks of CBT-I including sleep restriction, stimulus control, sleep hygiene, and one session of cognitive therapy devoted to catastrophic thoughts about the consequences of insomnia. Outcomes included sleep diary assessments of sleep continuity, pre-post measures of insomnia severity (ISI), pain (Multidimensional Pain Inventory), and mood (BDI and POMS). Subjects receiving CBT-I (n=19), as compared to control subjects (n=9), exhibited significant decreases in sleep latency, wake after sleep onset, number of awakenings, and significant increase in sleep efficiency. The diary findings were paralleled by significant changes in the ISI (p=0.05). Significant improvement (p=0.03) was found on the Interference Scale of the Multidimensional Pain Inventory. The groups did not significantly differ on mood measures or measures of pain severity. CBT-I was successfully applied to patients experiencing chronic pain. Signi...Continue Reading

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Citations

Jun 12, 2013·Sleep Medicine Reviews·Michael H BonnetDonna L Arand
Jan 1, 2012·Sleep Disorders·Carla R JungquistMichael L Perlis
Jun 8, 2013·Journal of Behavioral Medicine·M Pilar MartínezGualberto Buela-Casal
Sep 27, 2014·Applied Psychophysiology and Biofeedback·Hsin-Yi TangBarbara Riegel
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