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The Impact of a Cognitive Behavioral Pain Management Program on Sleep in Patients with Chronic Pain: Results of a Pilot Study
Date Issued
2016-02
Date Available
2020-07-03T15:23:10Z
Abstract
OBJECTIVE: To determine the impact of a cognitive behavioral pain management program on sleep in patients with chronic pain. DESIGN: Prospective nonrandomized controlled pilot study with evaluations at baseline and 12 weeks.SETTING: Out-patient multidisciplinary cognitive behavioral pain management program in a university teaching hospital.SUBJECTS: Patients with chronic pain who fulfilled the criteria for participation in a cognitive behavioral pain management program.METHODS: Patients assigned to the intervention group (n = 24) completed a 4 week cognitive behavioral pain management program, and were compared with a waiting list control group (n = 22). Assessments for both groups occurred at baseline and two months post cognitive behavioral pain management program. Outcome measures included self-report (Pittsburgh Sleep Quality Index) and objective (actigraphy) sleep measures, pain and quality of life measures.RESULTS: Both groups were comparable at baseline, and all had sleep disturbance. The Pittsburgh Sleep Quality Index correlated with only two of the seven objective sleep measures (fragmentation index r = 0.34, P = 0.02, and sleep efficiency percentage r = -0.31, P = 0.04). There was a large treatment effect for cognitive behavioral pain management program group in mean number of wake bouts (d = 0.76), where a significant group*time interaction was also found (P = 0.016), showing that the CBT-PMP group improved significantly more than controls in this sleep variable. CONCLUSIONS: Patients attending a cognitive behavioral pain management program have high prevalence of sleep disturbance, and actigraphy technology was well tolerated by the patients. Preliminary analysis of the impact of a cognitive behavioral pain management program on sleep is promising, and warrants further investigation.
Other Sponsorship
Pfizer Healthcare Ireland
Type of Material
Journal Article
Publisher
Oxford University Press
Journal
Pain Medicine
Volume
17
Issue
2
Start Page
360
End Page
369
Copyright (Published Version)
2015 American Academy of Pain Medicine
Language
English
Status of Item
Peer reviewed
ISSN
1526-2375
This item is made available under a Creative Commons License
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