Cognitive-Behavioral Therapy for Comorbid Insomnia and Chronic Pain

被引：95

作者：

Finan, Patrick H. ^{[1
]}

Buenaver, Luis F. ^{[1
]}

Runko, Virginia T. ^{[1
]}

Smith, Michael T. ^{[1
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA

来源：

SLEEP MEDICINE CLINICS | 2014年 / 9卷 / 02期

关键词：

Insomnia; Chronic pain; Comorbid; Cognitive-behavioral therapy for insomnia;

D O I：

10.1016/j.jsmc.2014.02.007

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This article summarizes the literature on cognitive-behavioral therapy for insomnia (CBT-I) in patients with comorbid insomnia and chronic pain. An empiric rationale for the development of CBT-I in chronic pain is provided. The 6 randomized controlled trials in this area are described and contrasted. The data suggest that CBT-I for patients with comorbid insomnia and chronic pain produces clinically meaningful improvements in sleep symptoms. Effects on pain are inconsistent, but tend to favor functional measures over pain severity. Hybrid interventions for insomnia and pain have demonstrated feasibility, but additional trials must be conducted to determine the efficacy relative to CBT-I alone. Entitled to full text

引用

页码：261 / +

页数：16

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