{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:15:31Z","timestamp":1787318131263,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,5,27]],"date-time":"2013-05-27T00:00:00Z","timestamp":1369612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Public Health Service","award":["R01-AG031126"],"award-info":[{"award-number":["R01-AG031126"]}]},{"name":"Cognitive Behavioral Therapy for Arthritis Pain and Insomnia"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2013,6]]},"abstract":"\n Objectives<\/jats:title>\n \n To assess whether older persons with osteoarthritis (\n OA<\/jats:styled-content>\n ) pain and insomnia receiving cognitive\u2013behavioral therapy for pain and insomnia (\n CBT<\/jats:styled-content>\n \u2010\n PI<\/jats:styled-content>\n ), a cognitive\u2013behavioral pain coping skills intervention (\n CBT<\/jats:styled-content>\n \u2010P), and an education\u2010only control (\n EOC<\/jats:styled-content>\n ) differed in sleep and pain outcomes.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Double\u2010blind, cluster\u2010randomized controlled trial with 9\u2010month follow\u2010up.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n G<\/jats:styled-content>\n roup\n H<\/jats:styled-content>\n ealth and\n U<\/jats:styled-content>\n niversity of\n W<\/jats:styled-content>\n ashington, 2009 to 2011.\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Three hundred sixty\u2010seven older adults with\n OA<\/jats:styled-content>\n pain and insomnia.\n <\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n \n Six weekly group sessions of\n CBT<\/jats:styled-content>\n \u2010\n PI<\/jats:styled-content>\n ,\n CBT<\/jats:styled-content>\n \u2010P, or\n EOC<\/jats:styled-content>\n delivered in participants' primary care clinics.\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n Primary outcomes were insomnia severity and pain severity. Secondary outcomes were actigraphically measured sleep efficiency and arthritis symptoms.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n CBT<\/jats:styled-content>\n \u2010\n PI<\/jats:styled-content>\n reduced insomnia severity (score range 0\u201328) more than\n EOC<\/jats:styled-content>\n (adjusted mean difference\u00a0=\u00a0\u22121.89, 95% confidence interval\u00a0=\u00a0\u22122.83 to \u22120.96;\n P<\/jats:italic>\n \u00a0<\u00a0.001) and\n CBT<\/jats:styled-content>\n \u2010P (adjusted mean difference\u00a0=\u00a0\u22122.03, 95%\n CI<\/jats:styled-content>\n \u00a0= \u22123.01 to \u22121.04;\n P<\/jats:italic>\n \u00a0<\u00a0.001) and improved sleep efficiency (score range 0\u2013100) more than\n EOC<\/jats:styled-content>\n (adjusted mean difference\u00a0=\u00a02.64, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a00.44\u20134.84;\n P<\/jats:italic>\n \u00a0=\u00a0.02).\n CBT<\/jats:styled-content>\n \u2010P did not improve insomnia severity more than\n EOC<\/jats:styled-content>\n , but improved sleep efficiency (adjusted mean difference\u00a0=\u00a02.91, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a00.85\u20134.97;\n P<\/jats:italic>\n \u00a0=\u00a0.006). Pain severity and arthritis symptoms did not differ between the three arms. A planned analysis in participants with severe baseline pain revealed similar results.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Over 9\u00a0months,\n CBT<\/jats:styled-content>\n of insomnia was effective for older adults with\n OA<\/jats:styled-content>\n pain and insomnia. The addition of\n CBT<\/jats:styled-content>\n for insomnia to\n CBT<\/jats:styled-content>\n for pain alone improved outcomes.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.12275","type":"journal-article","created":{"date-parts":[[2013,5,27]],"date-time":"2013-05-27T09:47:57Z","timestamp":1369648077000},"page":"947-956","source":"Crossref","is-referenced-by-count":137,"title":["Cognitive\u2010Behavioral Treatment for Comorbid Insomnia and Osteoarthritis Pain in Primary Care: The Lifestyles Randomized Controlled Trial"],"prefix":"10.1111","volume":"61","author":[{"given":"Michael V.","family":"Vitiello","sequence":"first","affiliation":[{"name":"Department ofPsychiatry and Behavioral Sciences School of Medicine University of Washington Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"McCurry","sequence":"additional","affiliation":[{"name":"Department ofPsychosocial and Community Health School of Medicine University of Washington 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