ArticlePain medicine (Malden, Mass.)2020
Exploring the Meaning of Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Pain.
Article in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Group Differences Between Countries and Between Languages in Pain-Related Beliefs, Coping, and Catastrophizing in Chronic Pain: A Systematic Review.Pain medicine (Malden, Mass.) · 2020Pooled it
- Pain in your day? Get sleep treatment anyway! The role of pain in insomnia treatment efficacy in women veterans.Journal of sleep research · 2024Trial
- 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 · 2025Article
- Sleep should not be this difficult: An interpretive descriptive study of older adults' perspectives on behaviour change elements in Sleepwell and experiences with benzodiazepine discontinuation.Journal of sleep research · 2025Article
- Investigating a clinically informed sleep disturbance threshold for physical and mental health among Gulf War Illness veterans.Sleep advances : a journal of the Sleep Research Society · 2024Article
- Article
- Pain-related beliefs about sleep as a predictor of insomnia symptoms and treatment acceptability.Sleep medicine · 2022Article
- Challenges and visions for managing pain-related insomnia in primary care using the hybrid CBT approach: a small-scale qualitative interview study with GPs, nurses, and practice managers.BMC family practice · 2021Article
- The influence of sleep disturbances and sleep disorders on pain outcomes among veterans: A systematic scoping review.Sleep medicine reviews · 2021Article
- Treatment of Insomnia within an Interdisciplinary Pain Rehabilitation Program: A Randomized Trial.International journal of clinical and health psychology : IJCHPArticle
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveInsomnia is one of the most common, persistent, and distressing symptoms associated with chronic pain. Cognitive behavioral therapy for insomnia (CBT-I) is the firstline treatment for insomnia, but patient preferences and perspectives about CBT-I within the context of chronic pain are unknown. The current qualitative study sought to understand the experience of CBT-I among patients with chronic pain, including aspects of CBT-I that were found to be difficult (e.g., pain as a specific barrier to adherence/dropout), changes in sleep and pain functioning after CBT-I, and aspects of CBT-I that were appreciated.
designQualitative semistructured interviews.
methodsWe conducted individual semistructured interviews with 17 veterans with chronic pain and insomnia who had recently participated in CBT-I, as well as their CBT-I therapists, and used thematic analysis to identify conceptual themes.
resultsResults revealed that patients and CBT-I therapists found changing sleep habits during CBT-I challenging due to anxiety and temporary increases in fatigue, but did not identify major pain-related barriers to adhering to CBT-I recommendations; patients experienced better sleep, mood, energy, and socialization after CBT-I despite minimal changes in pain intensity; and patients highly valued CBT-I as a personalized treatment for sleep and strongly recommended it for other patients with chronic pain.
conclusionsFindings of improved sleep and functional outcomes support efforts to incorporate CBT-I into chronic pain treatment, including educating patients and providers about the strong feasibility of improving sleep and quality of life despite ongoing pain.
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