Pain in your day? Get sleep treatment anyway! The role of pain in insomnia treatment efficacy in women veterans.

Autor: Erickson AJ; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA., Ravyts SG; Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA., Dzierzewski JM; National Sleep Foundation, Washington, District of Columbia, USA., Carlson GC; Department of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.; Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles (UCLA) Geffen School of Medicine, Los Angeles, California, USA.; Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA., Kelly MR; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.; Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, California, USA., Song Y; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.; Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, California, USA.; School of Nursing, University of California Los Angeles (UCLA), Los Angeles, California, USA., McGowan SK; Department of Mental Health, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.; Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles (UCLA) Geffen School of Medicine, Los Angeles, California, USA., Mitchell MN; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA., Washington DL; Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.; Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, California, USA., Yano EM; Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.; Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, California, USA.; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA., Alessi CA; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.; Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, California, USA., Martin JL; Geriatric Research, Education, and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.; Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, California, USA.
Jazyk: angličtina
Zdroj: Journal of sleep research [J Sleep Res] 2024 Oct; Vol. 33 (5), pp. e14147. Date of Electronic Publication: 2024 Jan 21.
DOI: 10.1111/jsr.14147
Abstrakt: Insomnia and pain disorders are among the most common conditions affecting United States adults and veterans, and their comorbidity can cause detrimental effects to quality of life among other factors. Cognitive behavioural therapy for insomnia and related behavioural therapies are recommended treatments for insomnia, but chronic pain may hinder treatment benefit. Prior research has not addressed how pain impacts the effects of behavioural insomnia treatment in United States women veterans. Using data from a comparative effectiveness clinical trial of two insomnia behavioural treatments (both including sleep restriction, stimulus control, and sleep hygiene education), we examined the impact of pain severity and pain interference on sleep improvements from baseline to post-treatment and 3-month follow-up. We found no significant moderation effects of pain severity or interference in the relationship between treatment phase and sleep outcomes. Findings highlight opportunities for using behavioural sleep interventions in patients, particularly women veterans, with comorbid pain and insomnia, and highlight areas for future research.
(© 2024 European Sleep Research Society.)
Databáze: MEDLINE
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