Cognitive-behavioral treatment of insomnia secondary to chronic pain.
Sixty participants with insomnia secondary to chronic pain were assigned randomly to either a cognitive-behavioral therapy (CBT) or a self-monitoring/waiting-list control condition. The therapy consisted of a multicomponent 7-week group intervention aimed at promoting good sleep habits, teaching relaxation skills, and changing negative thoughts about sleep. Treated participants were significantly more improved than control participants on self-report measures of sleep onset latency, wake time after sleep onset, sleep efficiency, and sleep quality, and they showed less motor activity in ambulatory recordings of nocturnal movement. At a 3-month follow-up assessment, treated participants showed good maintenance of most therapeutic gains. These results provide the 1st evidence from a randomized controlled trial that CBT is an effective treatment for insomnia that is secondary to chronically painful medical conditions.
Currie
S R
SR
School of Psychology, University of Ottawa, Ontario, Canada. scurrie@acs.ucalgary.ca
Wilson
K G
KG
Pontefract
A J
AJ
deLaplante
L
L
D000328:Adult; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000150:complications* / Q000209:etiology; D011614:Psychotherapy, Brief / Q000379:methods; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000145:classification / Q000209:etiology* / Q000628:therapy*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome