Blake, CatherineCatherineBlakeCunningham, Jennifer M.Jennifer M.CunninghamPower, Camillus K.Camillus K.PowerHoran, SheilaSheilaHoranSpencer, OrlaOrlaSpencerFullen, Brona M.Brona M.Fullen2020-07-032020-07-032015 Ameri2016-02Pain Medicine1526-2375http://hdl.handle.net/10197/11404OBJECTIVE: 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.PrintenThis is a pre-copyedited, author-produced PDF of an article accepted for publication in Pain Medicine following peer review. The definitive publisher-authenticated version Catherine Blake, Jennifer Cunningham, Camillus K. Power, Sheila Horan, Orla Spencer, Brona M. Fullen, The Impact of a Cognitive Behavioral Pain Management Program on Sleep in Patients with Chronic Pain: Results of a Pilot Study, Pain Medicine, Volume 17, Issue 2, February 2016, Pages 360–369 is available online at: https://doi.org/10.1111/pme.12903HumansFollow-up studiesProspective studiesPilot projectsSleepCognitive therapyAdultMiddle agedFemaleMaleActigraphyPain managementChronic painSleep wake disordersJournal Article17236036910.1111/pme.129032019-11-13https://creativecommons.org/licenses/by-nc-nd/3.0/ie/