Cited by 117Sleep and related disordersObstructive Sleep Apnea ResearchMusculoskeletal pain and rehabilitation

Cognitive-Behavioral Therapy for Comorbid Insomnia and Chronic Pain

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Finan, Patrick H., Buenaver, Luis F., Runko, Virginia T., Smith, Michael T.·2014·Sleep Medicine Clinics

Abstract

This article summarizes the literature on cognitive-behavioral therapy for insomnia (CBT-I) in patients with comorbid insomnia and chronic pain. An empirical rationale for the development of CBT-I in chronic pain is provided. The six randomized controlled trials in this area are described and contrasted. The data suggest that CBT-I for patients with comorbid insomnia and chronic pain produces clinically meaningful improvements in sleep symptoms. Effects on pain are inconsistent, but tend to favor functional measures over pain severity. Hybrid interventions for insomnia and pain have demonstrated feasibility, but larger trials must be conducted to determine efficacy relative to CBT-I alone. Future efforts should employ more comprehensive assessments of pain and psychosocial factors.

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Crossref · 10.1016/j.jsmc.2014.02.007

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  • Finan et al. (2014) concluded that the pain severity index may be a poor primary outcome because it fails to consider the complex variance between sleep and pain.

    “In the latest review of CBT-IP in chronic pain patients (Finan et al. 2014), the authors reached the conclusion that the pain severity index may be a poor primary outcome because it fails to consider the complex variance between sleep and pain.”

    From Efficacy of Combined Cognitive-Behavioral Therapy for Insomnia and Pain in Patients with Fibromyalgia: A Randomized Controlled Trial (2018) · cites this paper as Finan et al. 2014

    In “Integrated Analysis and Future Directions,” the review says pain severity may be a poor primary endpoint, at least when measured within six months. It offers insufficiently broad pain assessments as a possible explanation for why trials may miss the complexities of the sleep–pain relationship, rather than establishing that explanation as the reason. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • The most promising results for treating sleeping problems comorbid with chronic pain point to cognitive behavioural therapy specific for insomnia.

    “The most promising results for treating sleeping problems comorbid with chronic pain points to cognitive behavioural therapy specific for insomnia [38, 39].”

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Authors
Finan, P. H., Buenaver, L. F., Runko, V. T., & Smith, M. T.
Affiliations
Johns Hopkins University (US)
Corresponding author
Finan, Patrick H.
Venue
Sleep Medicine Clinics
Publisher
Elsevier BV
Published
2014-06
Volume
9
Issue
2
Pages
261-274
ISSN
1556-407X (ISSN-L)
OpenAlex
W2101725333
Cited by
117
References
71
Citations by year
2026: 7 · 2025: 4 · 2024: 4 · 2023: 12 · 2022: 13 · 2021: 21 · 2020: 8 · 2019: 16 · 2018: 12 · 2017: 7 · 2016: 6 · 2015: 5 · 2014: 2
FWCI
9.28
Type
journal article
Language
en
Open access
Locations
  • Sleep Medicine Clinics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5r01ar054871-05)
  • National Institute on Drug Abuse (K23DA035915)
  • National Institute of Nursing Research (P30NR014131)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01-AR-054871)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
cognitive behavioral therapy for insomnia, chronic pain, sleep interventions, pain outcomes, psychosocial factors, randomized controlled trials

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