Behavioral Insomnia Therapy for Fibromyalgia Patients

Abstract

Cognitive-behavioral therapy represents a promising intervention for sleep disturbance in FM patients. Larger clinical trials of this intervention with FM patients seem warranted.

Evaluation of the PHQ-9 Item 3 as a Screen for Sleep Disturbance in Primary Care

“…Sleep interventions are effective in both improving sleep in primary insomnia patients, 3,13,45 as well as in patients who are experiencing insomnia and other sleep disturbances comorbid with other disorders. [46][47][48][49][50] Furthermore, preliminary studies suggest that improving sleep quality may also improve symptoms of other physical and mental health disorders associated with insomnia, [51][52][53] further emphasizing the importance of identifying and treating this, and potentially other common sleep disturbances.…”

Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta‐analysis of randomized controlled trials

“…These studies added 546 new participants. We included 22 studies from the first version of the review (Burckhardt et al, 1994;Vlaeyen et al, 1996;Wigers et al, 1996;Nicassio et al, 1997;Oliver et al, 2001;King et al, 2002;Soares and Grossi, 2002;Williams et al, 2002;Thieme et al, 2003;Redondo et al, 2004;Edinger et al, 2005;Kashikar-Zuck et al, 2005;Thieme et al, 2006;Rooks et al, 2007;Castel et al, 2009Castel et al, , 2012Ang et al, 2010;Alda et al, 2011;Luciano et al, 2011;Kashikar-Zuck et al, 2012;Woolfolk et al, 2012;Bernardy et al, 2013). In sum, 29 studies with 31 study arms were included into the qualitative and quantitative analysis (see Fig.…”

“…Ten studies were conducted in North America (USA) (Nicassio et al, 1997;Oliver et al, 2001;King et al, 2002;Williams et al, 2002;Edinger et al, 2005;Kashikar-Zuck et al, 2005Rooks et al, 2007;Ang et al, 2010;Woolfolk et al, 2012) and one in South America (Brazil) (Falcao et al, 2008). All studies but one (Thieme et al, 2003) were outpatient-based.…”

“…Twenty-three studies provided traditional CBT (Burckhardt et al, 1994;Vlaeyen et al, 1996;Wigers et al, 1996;Nicassio et al, 1997;King et al, 2002;Soares and Grossi, 2002;Williams et al, 2002;Redondo et al, 2004;Edinger et al, 2005;Kashikar-Zuck et al, 2005;Thieme et al, 2006;Falcao et al, 2008;Castel et al, 2009Castel et al, , 2012Ang et al, 2010;Alda et al, 2011;Luciano et al, 2011;Miro et al, 2011;Kashikar-Zuck et al, 2012;Woolfolk et al, 2012;Martınez et al, 2014;Garcia-Palacios et al, 2015;Karlsson et al, 2015), three studies offered acceptance/mindfulness-based therapy (Parra-Delgado and Latorre-Postigo, 2013; Wicksell et al, 2013;Luciano et al, 2014) and two studies each provided self management education (Oliver et al, 2001;Rooks et al, 2007) and operant therapy (Thieme et al, 2003(Thieme et al, , 2006. All studies were conducted by live face-toface contact except one study which was delivered by telephone (voice-to-voice) (Ang et al, 2010).…”

“…The median number of participants in CBTs groups was 32 (14-207), in controls 30 . Participants were referred and recruited from primary care physicians (Burckhardt et al, 1994;Nicassio et al, 1997;Soares and Grossi, 2002;Redondo et al, 2004;Rooks et al, 2007;Alda et al, 2011;Luciano et al, 2011Luciano et al, , 2014Wicksell et al, 2013), from medical/rheumatology departments (Vlaeyen et al, 1996;Nicassio et al, 1997;King et al, 2002;Williams et al, 2002;Thieme et al, 2003;Kashikar-Zuck et al, 2005;Falcao et al, 2008;Miro et al, 2011;Kashikar-Zuck et al, 2012;Martınez et al, 2014), from self-help organizations (Wigers et al, 1996;Parra-Delgado and LatorrePostigo, 2013), by media advertisement (Edinger et al, 2005;Rooks et al, 2007;Karlsson et al, 2015) and by health maintenance organisations (Oliver et al, 2001). The median percentage of women in CBTs groups was 100% (89-100%).…”