Cognitive-behavioral therapy for insomnia improves attentional function in fibromyalgia syndrome: A pilot, randomized controlled trial
Abstract
This pilot, randomized controlled trial analyzed the effects of a cognitive behavioral therapy (CBT, n = 20) for insomnia vs a sleep hygiene (SH, n = 20) program on the three attentional networks (alertness, orienting, and executive function) and other additional outcome measures (sleep, pain, depression, anxiety, and daily functioning) of fibromyalgia patients. The CBT group showed significant improvement in alertness ( F(1, 28) = 11.84, p = .0018), executive functioning ( F(1, 28) = 15.76, p = .00059), sleep quality ( F(1, 38) = 6.33, p = .016), and a trend to improvement in daily functioning ( p > .06), as compared with the SH group. The improvement in executive functioning was significantly related to the changes in sleep (r = 0.40, p = .026). A CBT for insomnia represents a useful intervention in fibromyalgia patients not only regarding sleep disturbance but also attentional dysfunction and probably daily functioning.
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- Authors
- Miró, E., Lupiáñez, J., Martínez, M. P., Sánchez, A. I., Díaz-Piedra, C., Guzmán, M. A., & Buela-Casal, G.
- Affiliations
- Universidad de Granada (ES)
- Hospital Universitario Virgen de las Nieves (ES)
- University of Granada, Spain
- Corresponding author
- Miró, E.
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2011-02-23
- Volume
- 16
- Issue
- 5
- Pages
- 770-782
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W2005472323
- Cited by
- 87
- References
- 36
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 3 · 2023: 3 · 2022: 10 · 2021: 9 · 2020: 6 · 2019: 2 · 2018: 4 · 2017: 9 · 2016: 2 · 2015: 4 · 2014: 10 · 2013: 7 · 2012: 5
- FWCI
- 10.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministerio de Ciencia e Innovación
- Universidad de Granada
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- cognitive behavioral therapy for insomnia, fibromyalgia, attentional networks, executive function, alertness, orienting, sleep hygiene, sleep quality, pain, depression, anxiety, daily functioning, attentional dysfunction
- MeSH terms
- Activities of Daily Living, Adult, Attention, Female, Fibromyalgia, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Neuropsychological Tests, Pilot Projects, Surveys and Questionnaires, Sleep, Cognitive Behavioral Therapy, Treatment Outcome, Executive Function
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