The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.
Clinical Significance and Predictors of Treatment Response to Cognitive-Behavior Therapy for Insomnia Secondary to Chronic Pain
Abstract
We examined individual responses to cognitive-behavior therapy for insomnia in 51 persons with chronic pain to determine the rate of clinically significant change and to identify predictors of successful treatment response. Outcome measures consisted of the Pittsburgh Sleep Quality Index (PSQI) and diary measures of sleep latency and sleep continuity. Using reliable change indices, 57% of participants were statistically improved on the PSQI after 7 weeks of treatment, but only 18% were considered fully recovered from their sleep problems. No demographic variables predicted treatment response but persons who reliably improved on the PSQI had a lower sleep self-efficacy at baseline. Improvers showed a significant increase in sleep self-efficacy ratings and a decrease in self-reported levels of distress and pain-related disability. These results suggest that patients with insomnia secondary to chronic medical conditions can be helped with cognitive-behavior therapy, although most individuals continue to have mild or subthreshold sleep problems at posttreatment.
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“The effect size for the improvements in sleep duration and subjective sleep quality in this study were similar or even greater than that reported for cognitive behavioral intervention and other physical activity studies [18, 30, 36-38].”
From Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia (2010) · cites this paper as [36]
Citations
Cites
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A Study of the Natural History of Back Pain: Part I
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“In addition to assessing severity of pain, we measured disability due to pain using a modified version of the Roland and Morris (1983) Disability Questionnaire (RMDQ), a 24-item scale derived from the Sickness Impact Profile (Bergner et al., 1981).”
(1993) · Medical Entomology and Zoology · Cited by 2,324
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Psychometric evaluation of the pittsburgh sleep quality index
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“For SOL and WASO, the cutoff is 30 minutes.”
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Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia
Reid, K. J., Baron, K. G., Lu, B., Naylor, E., Wolfe, L., & Zee, P. C. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2010.04.014 · Cited by 665
“The effect size for the improvements in sleep duration and subjective sleep quality in this study were similar or even greater than that reported for cognitive behavioral intervention and other physical activity studies [18,30,36-38].”
ResultSex Differences in Insomnia: from Epidemiology and Etiology to Intervention
Suh, S. A., Cho, N., & Zhang, J. (2018) · Current Psychiatry Reports · doi:10.1007/s11920-018-0940-9 · Cited by 307
Gross, C. R., Kreitzer, M. J., Reilly-Spong, M., Wall, M., Winbush, N. Y., Patterson, R., Mahowald, M., & Cramer-Bornemann, M. (2011) · EXPLORE · doi:10.1016/j.explore.2010.12.003 · Cited by 249
Currie, S. R., Clark, S., Hodgins, D. C., & El‐Guebaly, N. (2004) · Addiction · doi:10.1111/j.1360-0443.2004.00835.x · Cited by 220
Self-citationLogging on for Better Sleep: RCT of the Effectiveness of Online Treatment for Insomnia
Vincent, N., & Lewycky, S. (2009) · Sleep · doi:10.1093/sleep/32.6.807 · Cited by 206
Metadata
- Authors
- Currie, S. R., Wilson, K. G., & Curran, D.
- Affiliations
- University of Ottawa (CA)
- University of Calgary (CA)
- Corresponding author
- Currie, Shawn R.
- Venue
- Journal of Behavioral Medicine
- Published
- 2002-04
- Volume
- 25
- Issue
- 2
- Pages
- 135-153
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W1521059902
- Cited by
- 100
- References
- 37
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 6 · 2022: 1 · 2021: 6 · 2020: 4 · 2019: 5 · 2018: 4 · 2017: 6 · 2016: 7 · 2015: 5 · 2014: 9 · 2013: 10 · 2012: 3
- FWCI
- 2.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy for insomnia, chronic pain, predictors of treatment response, Pittsburgh Sleep Quality Index, sleep latency, sleep continuity, pain-related disability, distress, reliable change index
- MeSH terms
- Adult, Analysis of Variance, Chronic Disease, Female, Follow-Up Studies, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Pain, Psychotherapy, Brief, Surveys and Questionnaires, Sampling Studies, Sleep, Time Factors, Cognitive Behavioral Therapy, Treatment Outcome
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