{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T09:43:19Z","timestamp":1787996599624,"version":"build-2784847793"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,7,4]],"date-time":"2019-07-04T00:00:00Z","timestamp":1562198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Department of Veterans Affairs Health Services Research"},{"name":"Development Service Career Development Award","award":["CDA 15\u2013063"],"award-info":[{"award-number":["CDA 15\u2013063"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Insomnia is one of the most common, persistent, and distressing symptoms associated with chronic pain. Cognitive behavioral therapy for insomnia (CBT-I) is the firstline treatment for insomnia, but patient preferences and perspectives about CBT-I within the context of chronic pain are unknown. The current qualitative study sought to understand the experience of CBT-I among patients with chronic pain, including aspects of CBT-I that were found to be difficult (e.g., pain as a specific barrier to adherence\/dropout), changes in sleep and pain functioning after CBT-I, and aspects of CBT-I that were appreciated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative semistructured interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted individual semistructured interviews with 17 veterans with chronic pain and insomnia who had recently participated in CBT-I, as well as their CBT-I therapists, and used thematic analysis to identify conceptual themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results revealed that patients and CBT-I therapists found changing sleep habits during CBT-I challenging due to anxiety and temporary increases in fatigue, but did not identify major pain-related barriers to adhering to CBT-I recommendations; patients experienced better sleep, mood, energy, and socialization after CBT-I despite minimal changes in pain intensity; and patients highly valued CBT-I as a personalized treatment for sleep and strongly recommended it for other patients with chronic pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings of improved sleep and functional outcomes support efforts to incorporate CBT-I into chronic pain treatment, including educating patients and providers about the strong feasibility of improving sleep and quality of life despite ongoing pain.<\/jats:p><\/jats:sec>","DOI":"10.1093\/pm\/pnz144","type":"journal-article","created":{"date-parts":[[2019,5,31]],"date-time":"2019-05-31T03:18:21Z","timestamp":1559272701000},"page":"67-75","source":"Crossref","is-referenced-by-count":21,"title":["Exploring the Meaning of Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Pain"],"prefix":"10.1093","volume":"21","author":[{"given":"Erin","family":"Koffel","sequence":"first","affiliation":[{"name":"Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota"},{"name":"Departments of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Amundson","sequence":"additional","affiliation":[{"name":"Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota"},{"name":"Departments of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer P","family":"Wisdom","sequence":"additional","affiliation":[{"name":"Wisdom Consulting, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,7,4]]},"reference":[{"issue":"2","key":"2020011009064451800_pnz144-B1","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1155\/2002\/579425","article-title":"Disrupted sleep patterns and daily functioning in patients with chronic pain","volume":"7","author":"McCracken","year":"2002","journal-title":"Pain Res Manag"},{"issue":"1","key":"2020011009064451800_pnz144-B2","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1111\/j.1365-2869.2007.00571.x","article-title":"Prevalence and correlates of clinical insomnia co-occurring with chronic back pain","volume":"16","author":"Tang","year":"2007","journal-title":"J Sleep Res"},{"issue":"9","key":"2020011009064451800_pnz144-B3","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1097\/AJP.0000000000000329","article-title":"Sleep problems are associated with chronic pain over and above mutual associations with depression and catastrophizing","volume":"32","author":"Roberts","year":"2016","journal-title":"Clin J Pain"},{"issue":"2","key":"2020011009064451800_pnz144-B4","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/S1087-0792(03)00044-3","article-title":"How do sleep disturbance and chronic pain inter-relate? 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