Cognitive behavioral therapy for insomnia significantly improved sleep for patients with chronic neck or back pain and also reduced the extent to which pain interfered with their daily functioning, according to a study by University of Rochester Medical Center researchers.
The study, published online by the journal Sleep Medicine, demonstrates that a behavioral intervention can help patients who already are taking medications for pain and might be reluctant or unable to take additional drugs to treat sleep disturbance.
“This therapy made a major difference to these patients,” said Carla R. Jungquist, F.N.P., Ph.D., of the Medical Center’s Sleep and Neurophysiology Research Laboratory, who is the lead author of the Sleep Medicine article. “We saw very good treatment effects.”
For the study, a nurse therapist delivered the eight weeks of cognitive behavioral therapy, which included sleep restriction, stimulus control, sleep hygiene, and one session devoted to discussion of catastrophic thoughts about the consequences of insomnia.
“This study really shows that this therapy can be delivered successfully and very effectively by advance practice nurses,” Jungquist said. “Training nurses in the delivery of this type of therapy will result in better access for patients. Currently, access to this therapy is limited as there are few trained therapists and most are psychologists.”
Patients with chronic pain often use sleep as an escape. They seek sleep when not sleepy, sleep in places other than the bedroom, and engage in non-sleep behaviors, such as watching television and resting a painful back, in the bedroom, the researchers report.
Using behavioral therapy instead of adding to their list of medications is a healthier and safer method of treating sleep disturbance, Jungquist said.
“We establish a structure for the times or hours spent in bed,” Jungquist explained. “We focus on a patient’s negative thoughts about sleep and address unhealthy sleep behavior. We address habits, including use of caffeine or alcohol. We tell people to do nothing in bed except sleep or sex.”
Twenty-eight patients took part in the study. They were tracked through detailed sleep diaries. Their pain and mood were measured using several standard methods throughout the study period. The patients were followed for six months after treatment. Researchers expect to report soon on the duration of the effects of the treatment.
The researchers believe that cognitive behavioral therapy is as effective as other tested treatments for insomnia and chronic pain and, in some cases, is more effective than other therapies.
The researchers have developed a unique, user-friendly manual that described each step of every treatment session. It can be used to train more therapists.
The study, published online this month, was funded by the National Institute of Nursing Research.
In addition to Jungquist, the authors of the study include: Chris O’Brien, R.N., of the University of Rochester School of Nursing; Sara Matteson-Rusby, Psy.D., research assistant professor of Psychiatry; Michael T. Smith, Ph.D., associate professor of Psychiatry and Behavioral Medicine at Johns Hopkins University; Wilfred R. Pigeon, Ph.D., assistant professor of Psychiatry and director of the Medical Center’s Sleep and Neurophysiology Research Laboratory, Yinglin Xia, Ph.D., and Naiji Lu, Ph.D., of the Medical Center’s Department of Biostatistics, and Michael L. Perlis, Ph.D., of the University of Pennsylvania, Department of Psychiatry.
Michael Wentzel | EurekAlert!
Foods of the future
15.08.2018 | Georg-August-Universität Göttingen
New antibody analysis accelerates rational vaccine design
09.08.2018 | Scripps Research Institute
Scientists at the University of California, Los Angeles present new research on a curious cosmic phenomenon known as "whistlers" -- very low frequency packets...
Scientists develop first tool to use machine learning methods to compute flow around interactively designable 3D objects. Tool will be presented at this year’s prestigious SIGGRAPH conference.
When engineers or designers want to test the aerodynamic properties of the newly designed shape of a car, airplane, or other object, they would normally model...
Researchers from TU Graz and their industry partners have unveiled a world first: the prototype of a robot-controlled, high-speed combined charging system (CCS) for electric vehicles that enables series charging of cars in various parking positions.
Global demand for electric vehicles is forecast to rise sharply: by 2025, the number of new vehicle registrations is expected to reach 25 million per year....
Proteins must be folded correctly to fulfill their molecular functions in cells. Molecular assistants called chaperones help proteins exploit their inbuilt folding potential and reach the correct three-dimensional structure. Researchers at the Max Planck Institute of Biochemistry (MPIB) have demonstrated that actin, the most abundant protein in higher developed cells, does not have the inbuilt potential to fold and instead requires special assistance to fold into its active state. The chaperone TRiC uses a previously undescribed mechanism to perform actin folding. The study was recently published in the journal Cell.
Actin is the most abundant protein in highly developed cells and has diverse functions in processes like cell stabilization, cell division and muscle...
Scientists have discovered that the electrical resistance of a copper-oxide compound depends on the magnetic field in a very unusual way -- a finding that could help direct the search for materials that can perfectly conduct electricity at room temperatur
What happens when really powerful magnets--capable of producing magnetic fields nearly two million times stronger than Earth's--are applied to materials that...
08.08.2018 | Event News
27.07.2018 | Event News
25.07.2018 | Event News
15.08.2018 | Physics and Astronomy
15.08.2018 | Earth Sciences
15.08.2018 | Physics and Astronomy