Cognitive-behavioral treatment of insomnia secondary to chronic pain.
J Consult Clin Psychol
; 68(3): 407-16, 2000 Jun.
Article
em En
| MEDLINE
| ID: mdl-10883557
ABSTRACT
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.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor
/
Terapia Cognitivo-Comportamental
/
Distúrbios do Início e da Manutenção do Sono
Tipo de estudo:
Clinical_trials
/
Etiology_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2000
Tipo de documento:
Article