the durability of cognitive behavioral therapy for insomnia in patients with chronic pain

Clicks: 239
ID: 224801
2012
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Abstract
The purpose of this study was to assess the long-term (six months) effects of cognitive behavioral therapy for insomnia (CBT-I) in patients with chronic pain. The results of the pre-post treatment effects have been reported previously. The therapy was delivered by an advanced practice nurse in a research setting using a parallel-group, randomized, single blind trial of CBT-I with a contact/measurement control condition. Outcomes included sleep diary, the Insomnia Severity Index, the Multidimensional Pain Inventory, the Beck Depression Inventory, the Profile of Mood States-short form, and the Pain Disability Index. Measurement time points were end-of-treatment, three-month and six-month posttherapy. Subjects receiving CBT-I (n=19), as compared to control subjects (n=9), did not exhibit any significant group by visit effects on measures of sleep, pain, mood, or function after end of treatment. However, subjects in the treatment group exhibited statistically (P=0.03) and clinically significant improvement in total sleep time (23 minutes) over the six months following treatment. In this paper, cognitive behavioral therapy directed to improve insomnia was successfully delivered to patients with moderate-to-severe chronic pain and the positive effects of CBT-I continued to improve despite the presence of continued moderate-to-severe pain.
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jungquist2012sleepthe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Carla R. Jungquist;Yolande Tra;Michael T. Smith;Wilfred R. Pigeon;Sara Matteson-Rusby;Yinglin Xia;Michael L. Perlis
Journal Cyberpsychology, behavior and social networking
Year 2012
DOI
10.1155/2012/679648
URL
http://dx.doi.org/10.1155/2012/679648
Keywords
psychiatry

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