OBJECTIVE:Insomnia is a debilitating comorbidity of chronic pain. This pilot trial tested the utility of a hybrid treatment that simultaneously targets insomnia and pain-related interference. METHODS:Chronic pain patients with clinical insomnia were randomly allocated to receive 4 weekly 2-h sessions of hybrid treatment (Hybrid Group; n = 10) or to keep a pain and sleep diary for 4 weeks, before receiving the hybrid treatment (Monitoring Group; n = 10). Participants were assessed at the beginning and end of this 4-week period. Primary outcomes were insomnia severity and pain interference. Secondary outcomes were fatigue, anxiety, depression and pain intensity. Ancillary information about the hybrid treatment's effect on psychological processes and sleep (as measured with sleep diary and actigraphy) are also presented, alongside data demonstrating the treatment's clinical significance, acceptability and durability after one and six months. Data from all participants (n = 20) were combined for this purpose. RESULTS:Compared to symptom monitoring, the hybrid intervention was associated with greater improvement in sleep (as measured with the Insomnia Severity Index and sleep diary) at post-treatment. Although pain intensity did not change, the Hybrid Group reported greater reductions in pain interference, fatigue and depression than the Monitoring Group. Overall, changes associated with the hybrid intervention were clinically significant and durable at 1- and 6-month follow-ups. Participants also rated highly on treatment acceptability. CONCLUSION:The hybrid intervention appeared to be an effective treatment for chronic pain patients with insomnia. It may be a treatment approach more suited to tackle challenges presented in clinical practice, where problems seldom occur in isolation.

译文

目的:失眠症是一种使慢性疼痛衰弱的合并症。这项试验性试验测试了同时针对失眠和疼痛相关干扰的混合疗法的实用性。
方法:将临床失眠的慢性疼痛患者随机分配至接受混合治疗前的每周2 h混合疗法疗程(Hybrid组; n = 10)或保持疼痛和睡眠日记4周(监测组) ; n = 10)。在这4周的开始和结束时对参与者进行评估。主要结果是失眠严重程度和疼痛干扰。次要结果是疲劳,焦虑,抑郁和疼痛强度。还提供了有关混合疗法对心理过程和睡眠的影响的辅助信息(通过睡眠日记和书法记录),并显示了该疗法在一个月和六个月后的临床意义,可接受性和持久性的数据。为此,将所有参与者(n = 20)的数据合并在一起。
结果:与症状监测相比,混合干预与治疗后的睡眠改善(通过失眠严重度指数和睡眠日记测量)有关。尽管疼痛强度没有改变,但混合动力组报告的疼痛干扰,疲劳和抑郁感减轻程度比监测组更大。总体而言,与混合干预相关的变化在1个月和6个月的随访中具有临床意义和持久性。参与者在治疗可接受性方面也给予很高的评价。
结论:混合干预似乎是治疗慢性疼痛失眠患者的有效方法。这可能是一种更适合解决临床实践中出现的挑战的治疗方法,在临床实践中,很少会孤立地出现问题。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录