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Insomnia and cognitive behavioral therapy for chronic back pain

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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


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For citations:

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

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