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 rel...
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| Veröffentlicht in: | Journal of consulting and clinical psychology 2000-06, Vol.68 (3), p.407-416 |
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| container_title | Journal of consulting and clinical psychology |
| container_volume | 68 |
| creator | Currie, Shawn R Wilson, Keith G Pontefract, Amanda J deLaplante, Lori |
| description | 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. |
| doi_str_mv | 10.1037/0022-006X.68.3.407 |
| format | Article |
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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.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.68.3.407</identifier><identifier>PMID: 10883557</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adult ; Behavior ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Chronic Disease ; Chronic Pain ; Cognition & reasoning ; Cognitive Behavioral Therapy - methods ; Cognitive behaviour therapy ; Cognitive Therapy ; Female ; Human ; Humans ; Insomnia ; Male ; Medical sciences ; Middle Aged ; Pain ; Pain - complications ; Pain - etiology ; Patients ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy, Brief - methods ; Sleep ; Sleep Initiation and Maintenance Disorders - classification ; Sleep Initiation and Maintenance Disorders - etiology ; Sleep Initiation and Maintenance Disorders - therapy ; Surveys and Questionnaires ; Therapy ; Treatment Outcome ; Treatments</subject><ispartof>Journal of consulting and clinical psychology, 2000-06, Vol.68 (3), p.407-416</ispartof><rights>2000 American Psychological Association</rights><rights>2000 INIST-CNRS</rights><rights>Copyright American Psychological Association Jun 2000</rights><rights>2000, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a385t-4b769a722037d486579faf34a2993d58c747fd15186b5180d48f11a17c5ad7623</citedby><cites>FETCH-LOGICAL-a385t-4b769a722037d486579faf34a2993d58c747fd15186b5180d48f11a17c5ad7623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27850,27905,27906,30980,30981</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1408445$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10883557$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Currie, Shawn R</creatorcontrib><creatorcontrib>Wilson, Keith G</creatorcontrib><creatorcontrib>Pontefract, Amanda J</creatorcontrib><creatorcontrib>deLaplante, Lori</creatorcontrib><title>Cognitive-Behavioral Treatment of Insomnia Secondary to Chronic Pain</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>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.</description><subject>Adult</subject><subject>Behavior</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Chronic Pain</subject><subject>Cognition & reasoning</subject><subject>Cognitive Behavioral Therapy - methods</subject><subject>Cognitive behaviour therapy</subject><subject>Cognitive Therapy</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Pain - complications</subject><subject>Pain - etiology</subject><subject>Patients</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy, Brief - methods</subject><subject>Sleep</subject><subject>Sleep Initiation and Maintenance Disorders - classification</subject><subject>Sleep Initiation and Maintenance Disorders - etiology</subject><subject>Sleep Initiation and Maintenance Disorders - therapy</subject><subject>Surveys and Questionnaires</subject><subject>Therapy</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0U2LFDEQBuAgiju7-gc8SKOLtx5T-e6jjl8LCwqu4C3UpNNulu5kNulZ2H9vhhkcEdRLcnmqkqqXkGdAl0C5fk0pYy2l6vtSmSVfCqofkAV0vGsZgH5IFr_ACTkt5YZSCorKx-QEqDFcSr0g71bpRwxzuPPtW3-NdyFlHJur7HGefJybNDQXsaQpBmy-epdij_m-mVOzus4pBtd8wRCfkEcDjsU_Pdxn5NuH91erT-3l548XqzeXLXIj51astepQM1Y_3wujpO4GHLhA1nW8l8ZpoYceJBi1rgetZgBA0E5irxXjZ-TVvu8mp9utL7OdQnF-HDH6tC1WAxMMOv1fKLXgrLoKX_wBb9I2xzqEVSAEABj9L8SAqjoOhYpe_g3tJhIUGFdVsb1yOZWS_WA3OUx1pRao3YVqd5nZXWZWGcttDbUWPT-03q4n3_9Wsk-xgvMDwOJwHDJGF8rRCWqEkEeGG7Sbcu8wz8GNvljnNsfnfgJRjrFa</recordid><startdate>200006</startdate><enddate>200006</enddate><creator>Currie, Shawn R</creator><creator>Wilson, Keith G</creator><creator>Pontefract, Amanda J</creator><creator>deLaplante, Lori</creator><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>EOLOZ</scope><scope>FKUCP</scope><scope>IOIBA</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>200006</creationdate><title>Cognitive-Behavioral Treatment of Insomnia Secondary to Chronic Pain</title><author>Currie, Shawn R ; Wilson, Keith G ; Pontefract, Amanda J ; deLaplante, Lori</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a385t-4b769a722037d486579faf34a2993d58c747fd15186b5180d48f11a17c5ad7623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Behavior</topic><topic>Behavior therapy. 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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.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>10883557</pmid><doi>10.1037/0022-006X.68.3.407</doi><tpages>10</tpages></addata></record> |
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| ispartof | Journal of consulting and clinical psychology, 2000-06, Vol.68 (3), p.407-416 |
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| subjects | Adult Behavior Behavior therapy. Cognitive therapy Biological and medical sciences Chronic Disease Chronic Pain Cognition & reasoning Cognitive Behavioral Therapy - methods Cognitive behaviour therapy Cognitive Therapy Female Human Humans Insomnia Male Medical sciences Middle Aged Pain Pain - complications Pain - etiology Patients Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy, Brief - methods Sleep Sleep Initiation and Maintenance Disorders - classification Sleep Initiation and Maintenance Disorders - etiology Sleep Initiation and Maintenance Disorders - therapy Surveys and Questionnaires Therapy Treatment Outcome Treatments |
| title | Cognitive-Behavioral Treatment of Insomnia Secondary to Chronic Pain |
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