Cognitive-Behavioral Therapy for Comorbid Insomnia and Chronic Pain

This article summarizes the literature on cognitive-behavioral therapy for insomnia (CBT-I) in patients with comorbid insomnia and chronic pain. An empiric rationale for the development of CBT-I in chronic pain is provided. The 6 randomized controlled trials in this area are described and contrasted. The data suggest that CBT-I for patients with comorbid insomnia and chronic pain produces clinically meaningful improvements in sleep symptoms. Effects on pain are inconsistent, but tend to favor functional measures over pain severity. Hybrid interventions for insomnia and pain have demonstrated feasibility, but additional trials must be conducted to determine the efficacy relative to CBT-I alone. Entitled to full text