Navigation Links
Behavioral therapy improves sleep and lives of patients with pain
Date:2/11/2010

Cognitive behavioral therapy for insomnia significantly improved sleep for patients with chronic neck or back pain and also reduced the extent to which pain interfered with their daily functioning, according to a study by University of Rochester Medical Center researchers.

The study, published online by the journal Sleep Medicine, demonstrates that a behavioral intervention can help patients who already are taking medications for pain and might be reluctant or unable to take additional drugs to treat sleep disturbance.

"This therapy made a major difference to these patients," said Carla R. Jungquist, F.N.P., Ph.D., of the Medical Center's Sleep and Neurophysiology Research Laboratory, who is the lead author of the Sleep Medicine article. "We saw very good treatment effects."

For the study, a nurse therapist delivered the eight weeks of cognitive behavioral therapy, which included sleep restriction, stimulus control, sleep hygiene, and one session devoted to discussion of catastrophic thoughts about the consequences of insomnia.

"This study really shows that this therapy can be delivered successfully and very effectively by advance practice nurses," Jungquist said. "Training nurses in the delivery of this type of therapy will result in better access for patients. Currently, access to this therapy is limited as there are few trained therapists and most are psychologists."

Patients with chronic pain often use sleep as an escape. They seek sleep when not sleepy, sleep in places other than the bedroom, and engage in non-sleep behaviors, such as watching television and resting a painful back, in the bedroom, the researchers report.

Using behavioral therapy instead of adding to their list of medications is a healthier and safer method of treating sleep disturbance, Jungquist said.

"We establish a structure for the times or hours spent in bed," Jungquist explained. "We focus on a patient's negative thoughts about sleep and address unhealthy sleep behavior. We address habits, including use of caffeine or alcohol. We tell people to do nothing in bed except sleep or [Bleep]."

Twenty-eight patients took part in the study. They were tracked through detailed sleep diaries. Their pain and mood were measured using several standard methods throughout the study period. The patients were followed for six months after treatment. Researchers expect to report soon on the duration of the effects of the treatment.

The researchers believe that cognitive behavioral therapy is as effective as other tested treatments for insomnia and chronic pain and, in some cases, is more effective than other therapies.

The researchers have developed a unique, user-friendly manual that described each step of every treatment session. It can be used to train more therapists.


'/>"/>

Contact: Michael Wentzel
Michael_Wentzel@urmc.rochester.edu
585-275-1309
University of Rochester Medical Center
Source:Eurekalert

Related medicine news :

1. Community Care Hosts Conference on Behavioral Health Services for Children
2. Christian Nonprofit and Behavioral Health Practice Team Up to Help Children
3. School Support Lacking for Emotional, Behavioral Issues, say Parents
4. Netsmart Technologies Implements Electronic Medical Record Solution for Monterey County Behavioral Health Services on Fast Track and Under Budget
5. Adoodle Announces New Advisory Board and Readies the Launch of the New NOXO Behavioral Modification Products
6. Behavioral Testing for Children Now Offered at Marianjoy
7. comScore Announces Availability of comScore/ImpactRx Physician Behavioral Measurement(TM) Solution
8. Key Influencers Convene in Chicago to Advance Behavioral Economics in Healthcare and Improve Health Outcomes and Lower Costs
9. Streamwood Behavioral Hospital Launches Patient/Facility Improvement Plan
10. BayCare Behavioral Health and Homeless Emergency Project Receive Federal Grant to Help Break the Cycle of Homelessness
11. Health Integrated Enters into Agreement with Blue Cross of Idaho to Carve-in Behavioral Health Management
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... ... (SOP) alumni Hannah Randall, PharmD ‘17, and Jennifer Huggins, PharmD ’17, along ... updates for the primary prevention of cardiovascular diseases during the 15th Annual ...
(Date:10/13/2017)... ... October 13, 2017 , ... Apple Rehab Shelton Lakes , which ... evacuation of the facility as part of a disaster drill on October 3rd. , ... and Shelton City Emergency Manager, as well as the Connecticut Long Term Care ...
(Date:10/13/2017)... ... ... The Visiting Nurse Association (VNA) of Somerset Hills is proud to host ... items from across the nation, this holiday-themed event will raise funds and awareness for ... The boutique will be open Saturday, November 4 (10:00 a.m. – 5:00 p.m.) ...
(Date:10/13/2017)... ... ... Global Healthcare Management’s 4th Annual Kids Fun Run brought out many kids ... sponsored by Global Healthcare Management’s CEO, Jon Letko, is aimed at getting kids excited ... all ages; it is a non-competitive, non-timed event, which is all about having fun ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented ... the lowdown on sciatica in a new episode of "Success Files," which is ... events and innovation and investigates each subject in-depth with passion and integrity. , ...
Breaking Medicine News(10 mins):
(Date:9/12/2017)... NEW YORK , Sept. 12, 2017   EcoVadis , the ... chains, has published the first annual edition of its Global CSR Risk ... 20,400 companies evaluated by EcoVadis, based on Scorecard Ratings that analyzed nearly ... ... Performance Index ...
(Date:9/12/2017)... , Sept. 12, 2017  ValGenesis Inc., the ... (VLMS), is pleased to announce the appointment of ... of its Board of Directors and Chairman of ... enables life science companies to manage their entire ... of paper in this process. Furthermore, ValGenesis VLMS ...
(Date:9/9/2017)... 2017 Dealmed Medical Supplies, New ... equipment, supplies, drugs, vaccines, and specialty medical products and ... agreement to acquire Vantage Medical Supplies, a major distributor ... Holtsville, New York . ... emerging medical practices, will operate under the Dealmed name ...
Breaking Medicine Technology: