Evidence map›Paper›PMID 22982083›Full record

Trial reportBehaviour research and therapy2012

Comparative effectiveness of CBT interventions for co-morbid chronic pain & insomnia: a pilot study.

Wilfred R Pigeon, Jan Moynihan, Sara Matteson-Rusby, Carla R Jungquist, Yinglin Xia, Xin Tu, Michael L Perlis

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Behaviour research and therapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 5 pooled it
7.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 5 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
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  11. The bidirectional relationship between sleep complaints and pain: Analysis of data from a randomized trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016
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  17. Cognitive behavioral therapy for insomnia access and engagement considerations: if we build it, will they access?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Wilfred R PigeonUniversity of Rochester Medical Center, Department of Psychiatry, Rochester, NY, USA. Wilfred_pigeon@urmc.rochester.edu
Jan Moynihan
Sara Matteson-Rusby
Carla R Jungquist
Yinglin Xia
Xin Tu
Michael L Perlis
University of Rochester Medical Center · USCanandaigua VA Medical Center · USUniversity at Buffalo, State University of New York · USUniversity of Pennsylvania · US

Funding

The Rochester Center for Mind-Body ResearchR24AG031089 · NIA · UNIVERSITY OF ROCHESTER · PI MOYNIHAN, JAN A · 2007 to 2009
$3.0M
The Rochester Center for Mind-Body ResearchR21AG023956 · NIA · UNIVERSITY OF ROCHESTER · PI MOYNIHAN, JAN A · 2004 to 2006
$1.4M
The Psychoneuroimmunology of Insomnia: Response to a Vaccine ChallengeK23NR010408 · NINR · UNIVERSITY OF ROCHESTER · PI PIGEON, WILFRED R · 2007 to 2009
$420k
Treatment of Insomnia Secondary to Chronic PainF32NS049789 · NINDS · UNIVERSITY OF ROCHESTER · PI PIGEON, WILFRED R · 2004 to 2006
$149k
NIA NIH HHS 1R21AG023956NIA NIH HHS 1R24AG031089NIA NIH HHS R21 AG023956NIA NIH HHS R24 AG031089NINDS NIH HHS F32 NS049789NINDS NIH HHS F32NS049789NINR NIH HHS K23 NR010408NINR NIH HHS K23NR01048
6 · The paper itself

Abstract

introductionChronic pain is difficult to treat and often precedes or exacerbates sleep disturbances such as insomnia. Insomnia, in turn, can amplify the pain experience. Both conditions are associated with inflammatory processes, which may be involved in the bi-directional relationship between pain and sleep. Cognitive behavioral therapy (CBT) for pain and CBT for insomnia are evidence based interventions for, respectively, chronic pain and insomnia. The study objectives were to determine the feasibility of combining CBT for pain and for insomnia and to assess the effects of the combined intervention and the stand alone interventions on pain, sleep, and mood outcomes compared to a control condition.

methodsTwenty-one adults with co-occurring chronic pain and chronic insomnia were randomized to either CBT for pain, CBT for insomnia, combined CBT for pain and insomnia, or a wait-list control condition.

resultsThe combined CBT intervention was feasible to deliver and produced significant improvements in sleep, disability from pain, depression and fatigue compared to the control condition. Overall, the combined intervention appeared to have a strong advantage over CBT for pain on most outcomes, modest advantage over both CBT for insomnia in reducing insomnia severity in chronic pain patients. DISCUSSION: CBT for pain and CBT for insomnia may be combined with good results for patients with co-occurring chronic pain and insomnia.

Indexed as

AdultAffectAgedChronic PainCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedPilot ProjectsSeverity of Illness IndexSleep Initiation and Maintenance DisordersWaiting Lists

Identifiers

PMID22982083
PMCPMC3466363
OpenAlexW2021789617

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.