Treatment of Insomnia Secondary to Chronic Pain
Insomnia, Pain
About this trial
This is an interventional treatment trial for Insomnia focused on measuring Insomnia, Sleep, Pain, Pain, Chronic, Behavior Therapy, CBT, CBT-I, cognitive-behavioral
Eligibility Criteria
Inclusion Criteria: Ages 35-75 Chronic non-malignant painful condition of the spine of > 6 months duration Insomnia (> 30 minutes sleep latency and/or wake after sleep onset time for > 3 days/week for > 6 months) Insomnia developed after the onset of the painful condition Preferred sleep phase between 10:00 p.m. and 8:00 am On stable medical regimen for medical and pain conditions (no surgery planned) Willingness to discontinue hypnotic medications Exclusion Criteria: Unstable medical or psychiatric illness History of seizures Evidence of active illicit substance use or fitting criteria for ethanol (ETOH) abuse or dependence Symptoms suggestive of sleep disorders other than insomnia Polysomnographic data indicating sleep disorders other than insomnia Inadequate language comprehension Fibromyalgia Pregnancy
Sites / Locations
- University of Rochester Sleep Research Laboratory
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Active Comparator
Experimental
No Intervention
CBT for Insomnia (CBT-I)
CBT for Pain (CBT-P)
CBT for Insomnia & Pain (CBT-I/P)
Wait-List Control (WL)
Cognitive-Behavioral Therapy for Insomnia (CBT-I)consisting of 10 individual sessions and including sleep education, sleep restriction therapy, stimulus control therapy, sleep hygiene, cognitive therapy, relaxation training and relapse prevention.
Cognitive-Behavioral Therapy for Pain (CBT-P)consisting of 10 individual sessions and including pain education, pacing strategies, problem solving, goal setting, cognitive therapy, relaxation training and relapse prevention.
Combined Cognitive-Behavioral Therapy for Insomnia & Cognitive-Behavioral Therapy for Pain (CBT-I/P)over 10 individual sessions.
Waitlist Control condition (WL) with no contact during the intervention period.