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Gepubliceerd in: Journal of Behavioral Medicine 3/2020

31-05-2019 | Brief Report

Do treatment effects of a web-based cognitive behavioral therapy for insomnia intervention differ for users with and without pain interference? A secondary data analysis

Auteurs: Kelly M. Shaffer, Fabian Camacho, Holly R. Lord, Philip I. Chow, Tonya Palermo, Emily Law, Frances P. Thorndike, Karen S. Ingersoll, Lee M. Ritterband

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2020

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Abstract

Cognitive-behavioral therapy for insomnia (CBT-I) shows treatment benefits among individuals with pain interference; however, effects of Internet-delivered CBT-I for this population are unknown. This secondary analysis used randomized clinical trial data from adults assigned to Internet-delivered CBT-I to compare changes in sleep by pre-intervention pain interference. Participants (N = 151) completed the Insomnia Severity Index (ISI) and sleep diaries [sleep onset latency (SOL); wake after sleep onset (WASO)] at baseline, post-assessment, 6- and 12-month follow-ups. Linear mixed-effects models showed no differences between pain interference groups (no, some, moderate/severe) for changes from baseline to any follow-up timepoint for ISI (p = .72) or WASO (p = .88). There was a small difference in SOL between those reporting some versus no or moderate/severe pain interference (p = .04). Predominantly comparable and sustained treatment benefits for both those with and without pain interference suggest that Internet-delivered CBT-I is promising for delivering accessible care to individuals with comorbid pain and insomnia.
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Metagegevens
Titel
Do treatment effects of a web-based cognitive behavioral therapy for insomnia intervention differ for users with and without pain interference? A secondary data analysis
Auteurs
Kelly M. Shaffer
Fabian Camacho
Holly R. Lord
Philip I. Chow
Tonya Palermo
Emily Law
Frances P. Thorndike
Karen S. Ingersoll
Lee M. Ritterband
Publicatiedatum
31-05-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2020
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00065-w

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