Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Insomnia and cognitive behavioral therapy for chronic back pain

https://doi.org/10.14412/2074-2711-2020-4-119-124

Full Text:

Abstract

To manage patients with chronic back pain (CBP) is one of the urgent problems of modern medicine, as CBP is associated with high disability, considerable socioeconomic costs, and low quality of life. Concurrent disorders, such as insomnia, depression, and anxiety, which make a significant contribution to the severity of CBP and related disability, are frequently disregarded when managing patients with CBP. Insomnia is observed in the majority of patients with CBP, but it is relatively rarely diagnosed, therefore the bulk of patients do not receive appropriate treatment. Cognitive behavioral therapy (CBT) combined with therapeutic exercises is one of the most effective treatments in patients with CBP; moreover, of great importance is the identification of concomitant insomnia, whose treatment with CBT is able not only to improve sleep, but also to reduce pain and to increase the physical and social activities of patients. A positive combination treatment effect is achieved due to a change in the patients’ ideas about the prognosis and causes of the disease, as well as to the increased intensity of physical activity and to the prevention of strenuous exercise and static stresses.

About the Author

E. V. Parfenova
Z.P. Solovyev Research and Practical Psychoneurology Center, Moscow Healthcare Department
Russian Federation

Elena Vladimirovna Parfenova

43, Donskaya St., Moscow 115419



References

1. Becker N, Thomsen AB, Olsen AK. Pain epidemiology and health related quality of life in chronic non-malignant pain patients referred to a Danish multidisciplinary pain center. Pain. 1997;73(3):393-400. doi: 10.1016/s03043959(97)00126-7

2. Smith MT, Haythornthwaite JA. How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitivebehavioral clinical trials literature. Sleep Med Rev. 2004;8(2):119-32. doi: 10.1016/s10870792(03)00044-3

3. Bahouq H, Allali F, Rkain H, et al. Prevalence and severity of insomnia in chronic low back pain patients. Rheumatol Int. 2013;33(5):1277-81. doi: 10.1007/s00296-0122550-x

4. Marty M, Rozenberg S, Duplan B, et al. Quality of sleep in patients with chronic low back pain: a case-control study. Eur Spine J. 2008;17(6):839-44. doi: 10.1007/s00586-0080660-7

5. Pigeon WR, Moynihan J, MattesonRusby S, et al. Comparative effectiveness of CBT interventions for co-morbid chronic pain & insomnia: a pilot study. Behav Res Ther. 2012;50(11):685-9. doi: 10.1016/j.brat.2012.07.005

6. Jungquist CR, O’Brien C, MattesonRusby S, et al. The efficacy of cognitive-behavioral therapy for insomnia inpatients with chronic pain. Sleep Med. 2010;11(3):302-9. doi: 10.1016/j.sleep.2009.05.018

7. Tang NKY, Sanborn AN. Better quality sleep promotes daytime physical activity in patients with chronic pain? A multilevel analysis of the within-person relation-ship. PLoS One. 2014;9(3):e92158. doi: 10.1371/journal.pone.0092158

8. Zarrabian MM, Johnson M, Kriellaars D. Relationship between sleep, pain, and disability in patients with spinal pathology. Arch Phys Med Rehabil. 2014;95(8):1504-9. doi: 10.1016/j.apmr.2014.03.014

9. Schuh-Hofer S, Wodarski R, Pfau DB, et al. One night of total sleep deprivation promotes a state of generalized hyperalgesia: A surrogate pain model to study the relationship of insomnia and pain. Pain. 2013;154(9):1613-21. doi: 10.1016/j.pain.2013.04.046

10. Onen SH, Alloui A, Gross A, et al. The effects of total sleep deprivation, selective sleep interruption and sleep recovery on pain tolerance thresholds in healthy subjects. J Sleep Res. 2001;10(1):35-42. doi: 10.1046/j.13652869.2001.00240

11. Staffe AT, Bech MW, Clemmensen SLK, et al. Total sleep deprivation increases pain sensitivity, impairs conditioned pain modulation and facilitates temporal summation of pain in healthy participants. PLoS ONE. 2019. doi: 10.1371/journal.pone.0225849. Pub. Dec 4, 2019.

12. Edwards RR, Almeida DM, Klick B, et al. Duration of sleep contributes to next-day pain report in the general population. Pain. 2008;137(1):202-7. doi: 10.1016/j.pain.2008.01.025

13. Farrell M, Gibson S. Age interacts with stimulus frequency in the temporal summation of pain. Pain Med. 2007;8:514-20. doi: 10.1111/j.1526-4637.2007.00282.x

14. Frondini C, Lanfranchi G, Minardi M, Cucinotta D. Affective, behavior and cognitive disorders in the elderly with chronic musculoskelatal pain: the impact on an aging population. Arch Gerontol Geriatr. 2007;44:167-71. doi: 10.1016/j.archger.2007.01.024

15. Lee YC, Lu B, Edwards RR, et al. The role of sleep problems in central pain processing in rheumatoid arthritis. Arthritis Rheum. 2013;65(1):59-68. doi: 10.1002/art.37733

16. Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. J Psychosom Res. 2002;52:69-77. doi: 10.1016/s00223999(01)00296-3

17. Fishbain DA, Hall J, Meyers AL, et al. Does pain mediate the pain interference with sleep problem in chronic pain? Findings from studies for management of diabetic peripheral neuropathic pain with duloxetine. J Pain Symptom Manage. 2008;36:639-47. doi: 10.1016/j.jpainsymman.2007.12.012

18. Asih S, Neblett R, Mayer TG, et al. Insomnia in a chronic musculoskeletal pain with disability population is independent of pain and depression. Spine J. 2014;14:2000-7. doi: 10.1016/j.spinee.2013.11.052

19. Tang NK, Goodchild CE, Hester J, Salkovskis PM. Pain-related insomnia versus primary insomnia: a comparison study of sleep pattern, psychological characteristics, and cognitive-behavioral processes. Clin J Pain. 2012;28:428-36. doi: 10.1097/AJP.0b013e31823711bc

20. Tang NK. Insomnia co-occurring with chronic pain: clinical features, interaction, assessments and possible interventions. Rev Pain. 2008;2:2-7. doi: 10.1177/204946370800200102

21. Vitiello MV, McCurry SM, Shortreed SM, et al. Short-term improvement in insomnia symptoms predicts long-term improvements in sleep, pain, and fatigue in older adults with comorbid osteoarthritis and insomnia. Pain. 2014;155:1547-54. doi: 10.1016/j.pain.2014.04.032

22. Nalin AS, Karen MC, Maria AF. Sleep, sleep deprivation, and daytime activities: a randomized controlled trial of the effect of exercise on sleep. Sleep. 1997;20(2):95-101. doi: 10.1111/j.1365-2869.2008.00671.x

23. Siengsukon C, Emmanuel NM, Sharma NK. Relationship between low back pain and sleep quality. J Nov Physiother. 2013;3(4):168. doi: 10.4172/2165-7025.1000168

24. Wang HY, Tsai-Sheng Fu TS, Hsu SC, Hung CI. Association of depression with sleep quality might be greater than that of pain intensity among outpatients with chronic low back pain. Neuropsych Dis Treat. 2016;12:1993-8. doi: 10.2147/ndt.s110162

25. Corrigan PW, Mittal D, Reaves CM, et al. Mental health stigma and primary health care decisions. Psychiatry Res. 2014;218(1):35-8. doi: 10.1016/j.psychres.2014.04.028

26. Kelly GA, Blake C, Power CK, et al. The association between chronic low back pain and sleep: a systematic review. Clin J Pain. 2011;27(2):169-81. doi: 10.1097/ajp.0b013e3181f3bdd5

27. Ford D, Kamerow D. Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention? JAMA. 1989;262(11):1479-84. doi: 10.1001/jama.262.11.1479

28. Stewart R, Besset A, Bebbington P, et al. Insomnia comorbidity and impact and hypnotic use by age group in a national survey population aged 16 to 74 years. Sleep. 2006;29:1391-7. doi: 10.1093/sleep/29.11.1391

29. Chung KF, Tso KC. Relationship between insomnia and pain in major depressive disorder: A sleep diary and actigraphy study. Sleep Med. 2010;11:752-8. doi: 10.1016/j.sleep.2009.09.005

30. Linton SJ. A review of psychological risk factors in back and neck pain. Spine. 2000;25(9):1148-56. doi: 10.1097/00007632200005010-00017

31. Young AK, Young BK, Riley LH III, Skolasky RL. Assessment of presurgical psychological screening in patients undergoing spine surgery: use and clinical impact. J Spinal Disord Tech. 2014;27(2):76-9. doi: 10.1097/01.bsd.0000456030.33799.b6

32. Chou R, Fanciullo GJ, Fine PG,et al. The American Pain Society – American Academy of Pain Medicine Opioids, Guidelines Panel. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. J Pain. 2019;10:113-30. doi: 10.1016/j.jpain.2008.10.008

33. Ehde DM, Dillworth TM, Turner JA. Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research. Am Psychol. 2014;69(2):153-66. doi: 10.1037/a0035747

34. Edwards RR, Cahalan C, Mensing G, et al. Pain, catastrophizing, and depression in the rheumatic diseases. Nat Rev Rheumatol. 2011;7(4):216-24. doi: 10.1038/nrrheum.2011.2

35. Manber R, Edinger JD, Gress JL, et al. Cognitive behavioral therapy for insomnia enhances depression outcome in patients with comorbid major depressive disorder and insomnia. Sleep. 2008;31(4):489-95. doi: 10.1093/sleep/31.4.489

36. Vallury KD, Jones M, Oosterbroek C. Computerized cognitive behavior therapy for anxiety and depression in rural areas: a systematic review. J Med Internet Res. 2015;17(6):e139. doi: 10.2196/jmir.4145

37. Sturgeon JA. Psychological therapies for the management of chronic pain. Psychol Res BehavManag. 2014;7:115-24. doi: 10.2147/prbm.s44762

38. Kalimeeva EYu. Comorbidnost I cognitivnaia terapia u pazientov s hronicheskoi nespezificheskoi lombalgieu [Comorbidity and cognitive therapy in patients with chronic nonspecific lumbalgia]. Abstract… Ph.D. dissertation. Moscow; 2016 (In Russ.).

39. Parfenov VA, Isaykin AI. Boli v poiasnichnoi oblasti [Pain in the lumbar region]. Moscow; 2018. 200 p. (In Russ.).

40. Kerns RD, Sellinger J, Goodin BR. Psychological treatment of chronic pain. Ann Rev Clin Psychol. 2011;7:411-34. doi: 10.1146/annurev-clinpsy-090310-120430

41. McCurry SM, Logsdon RG, Teri L, Vitiello MV. Evidence-based psychological treatments for insomnia in older adults. Psychol Aging. 2007;22:18-27. doi: 10.1037/08827974.22.1.18

42. Shin NY, Kang D-H, Jang JH, et al. Impaired recognition of social emotion in patients with complex regional pain syndrome. Pain. 2013;14:1304-9. doi: 10.1016/j.jpain.2013.05.008

43. Lamb SE, Mistry D, Lall R, et al; Back Skills Training Trial Group. Group cognitive behavioral interventions for low back pain in primary care: extended follow-up of the Back Skills Training Trial. Pain. 2012;153(2):494-501. doi: 10.1016/j.pain.2011.11.016

44. Williams DA, Kuper D, Segar M, et al. Internet-enhanced management of fibromyalgia: A randomized controlled trial. Pain. 2010;151:694-702. doi: 10.1016/j.pain.2010.08.034

45. Buhrman M, Fredriksson A, Edstrom G, et al. Guided internet-delivered cognitive behavioural therapy for chronic pain patients who have residual symptoms after rehabilitation treatment: Randomized controlled trial. Eur J Pain. 2013;17:753-65. doi: 10.1002/j.15322149.2012.00244.x

46. Higgin DM, LaChappelle KM, Serowik KL, et al. Predictors of participation in a nonpharmacological intervention for chronic back pain. Pain Med. 2018;19:76-83. doi: 10.1093/pm/pny077

47. McNicol ED, Midbari A, Eisenberg E. Opioids for neuropathic pain. Cochrane Database Syst Rev. 2013;8:CD006146. doi: 10.1002/14651858.CD006146.pub2

48. Mangels M, Schwarz S, Worringen U, et al. Evaluation of a behavioral-medical inpatient rehabilitation treatment including booster sessions: A randomized controlled study. Clin J Pain. 2009;25:356-64. doi: 10.1097/ajp.0b013e3181925791

49. Tang NK, Lereya ST, Boulton H, et al. Nonpharmacological treatments of insomnia for long-term painful conditions: a systematic review and meta-analysis of patient-reported outcomes in randomized controlled trials. Sleep. 2015;38(11):1751-64. doi: 10.5665/sleep.5158

50. Martinez MP, Miro E, Sanchez AI, et al. Cognitive-behavioral therapy for insomnia and sleep hygiene in fibromyalgia: a randomized controlled trial. J Behav Med. 2014;37(4):683-97. doi: 10.1007/s10865-013-9520-y

51. Lami MJ, Martinez MP, Miro E, et al. Efficacy of combined cognitive-behavioral therapy for insomnia and pain in patients with fibromyalgia: a randomized controlled trial. Cogn Ther Res. 2018;42(1):63-79. doi:10.1007/s10608-017-9875-4

52. Racine M, Sanchez-Rodriguez E, Galan S, et al. Factors associated with suicidal ideation in patients with chronic non-cancer pain. Pain Med. 2017;18(2):283-93. doi: 10.1093/pm/pnw115

53. Miro J, Castarlenas E, de la Vega R, et al. Pain catastrophizing, activity engagement and pain willingness as predictors of the benefits of multidisciplinary cognitive behaviorally-based chronic pain treatment. J Behav Med. 2018;41:827-35. doi: 10.1007/s10865-0189927-6

54. Richmond H, Hall AM, Copsey B, et al. The effectiveness of cognitive behavioural treatment for non-specific low back pain: a systematic review and metaanalysis. PLoS One. 2015;10(8):e0134192. doi: 10.1371/journal.pone.0134192

55. Knoerl R, Smith EML, Weisberg J. Chronic pain and cognitive behavioral therapy: An integrative review. West J Nurs Res. 2016;38(5):596-628. doi: 10.1177/0193945915615869

56. Vibe Fersum K, O’Sullivan P, Skouen JS, et al. Efficacy of classification-based cognitive functional therapy in patients with nonspecific chronic low back pain: A randomized controlled trial. Eur J Pain. 2013;17:916-28. doi: 10.1002/j.1532-2149.2012.00252.x

57. Van Koulil S, van Lankveld W, Kraaimaat FW, et al. Tailored cognitive-behavioral therapy and exercise training for high-risk patients with fibromyalgia. Arthritis Care Res. 2010;62:1377-85. doi: 10.1002/acr.20268

58. Lee H, Jang S, Lee S, et al. The relationship between social participation and self-rated health by sex and age: A cross-sectional survey. Int J Nurs Stud. 2008;45:1042-54. doi: 10.1016/j.ijnurstu.2007.05.007

59. Hand C, McColl M, Birtwhistle R, et al. Social isolation in older adults who are frequent users of primary care services. Can Fam Physician. 2014;60(6):e322-9. Available at: https://www.cfp.ca/content/60/6/e322

60. Ekström H, Ivanoff S, Elmstahl S. Restriction in social participation and lower life satisfaction among fractured in pain: Results from the population study «Good Aging in Skane». Arch Gerontol Geriatr. 2008;46(3):40924. doi: 10.1016/j.archger.2007.06.001

61. Derntl B, Finkelmeyer A, Eickhoff S, et al. Multidimensional assessment of empathic abilities: neural correlates and gender differences. Psychoneuroendocrinology. 2010;35:67-82. doi: 10.1016/j.psyneuen.2009.10.006

62. Davis MH. Measuring individual differences in empathy: evidence for a multidimensional approach. J Pers Soc Psychol. 1983;44:113-26. doi: 10.1037/00223514.44.1.113

63. Song MK, Choi SH, Lee DH, et al. Effects of cognitive-behavioral therapy on empathy in patients with chronic pain. Psychiatry Investig. 2018;15(3):285-91. doi: 10.30773/pi.2017.07.03

64. Keefe FJ, Lumley M, Anderson T, et al. Pain and emotion: new research directions. J Clin Psychol. 2001;57:587-607. doi: 10.1002/jclp.1030

65. Hunot V, Moore TH, Caldwell DM, et al. “Third wave” cognitive and behavioural therapies versus other psychological therapies for depression. Cochrane Database Syst Rev. 2013;10. doi: 10.1002/14651858.cd008698

66. Cherkin DC, Sherman KJ, Balderson BH, Cook AJ. Effects of mindfulness-based stress reduction vs cognitive-behavioral therapy and usual care on back pain and functional limitations among adults with chronic low back pain: A randomized clinical trial. JAMA. 2016;315(12):124-9. doi: 10.1001/jama.2016.2323

67. Smeets RJEM, Vlaeyen JWS, Hidding A, et al. Active rehabilitation for chronic low back pain: cognitive-behavioral, physical, or both? First direct posttreatment results from a randomized controlled trial. BMC Musculoskelet Disord. 2006;7:5. doi: 10.1186/1471-2474-7-5

68. Cheng JOS, Cheng ST. Effectiveness of physical and cognitive-behavioural intervention programmes for chronic musculoskeletal pain in adults: A systematic review and metaanalysis of randomised controlled trials. PLoS ONE. 2019;14(10):e0223367. doi: 10.1371/journal.pone.0223367


For citation:


Parfenova E.V. Insomnia and cognitive behavioral therapy for chronic back pain. Neurology, Neuropsychiatry, Psychosomatics. 2020;12(4):119-124. (In Russ.) https://doi.org/10.14412/2074-2711-2020-4-119-124

Views: 74


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)