{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:59:25Z","timestamp":1773035965412,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100017016","name":"Geriatric Research Education and Clinical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG057929"],"award-info":[{"award-number":["R01AG057929"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009507","name":"Sam and Rose Stein Institute for Research on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009507","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["HSRIIR17\u2010234"],"award-info":[{"award-number":["HSRIIR17\u2010234"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["RCS20\u2010191"],"award-info":[{"award-number":["RCS20\u2010191"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K24HL143055"],"award-info":[{"award-number":["K24HL143055"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016206","name":"Clinical and Translational Science Institute, University of California, Los Angeles","doi-asserted-by":"publisher","award":["NCATSUL1TR001881"],"award-info":[{"award-number":["NCATSUL1TR001881"]}],"id":[{"id":"10.13039\/100016206","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults with chronic insomnia often use benzodiazepine receptor agonists (BZRAs) despite known associated risks and non\u2010pharmacological alternatives such as cognitive behavioral therapy for insomnia (CBTI). CBTI reduces insomnia severity and could potentially improve other outcomes such as the impact of pain on daily activities, even when BZRAs are deprescribed. Yet concerns that deprescribing may worsen pain (which is often comorbid with insomnia) can be a barrier to engagement in BZRA deprescribing. This study examined changes in pain outcomes associated with deprescribing BZRAs in the context of concurrent CBTI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Secondary data analysis was conducted using data from a randomized clinical trial that successfully decreased BZRA use in older adults. Participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009188), who were largely older (68%\u2009\u2265\u200965\u2009years, 55\u2009\u2264\u2009range\u2009\u2264\u200991) and male (65%), completed CBTI concurrently with a deprescribing intervention (blinded encapsulated BZRA taper or open pill cutter taper). Participants completed the Brief Pain Inventory (BPI) at baseline, one week posttreatment (1\u2009WK), and at a six\u2010month (6\u2009M) follow\u2010up. Analyses included mixed effects models among all participants and a subset aged 65+ as well as comparison of model results to minimal clinically important difference (MCID) thresholds.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mixed effects models demonstrated that pain severity did not change significantly over time, broadly or in participants aged \u2265\u200965\u2009years. Significant reductions in pain interference in day\u2010to\u2010day living at 1\u2009WK were observed broadly, although these reductions did not meet the MCID threshold and were no longer significant at 6\u2009M follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Combined BZRA deprescribing and CBTI did not meaningfully worsen pain in older adults. These results highlight the opportunity for using a combination of CBTI and deprescribing methods in patients with insomnia and comorbid pain, as well as a need for additional interventions to specifically address pain in older adults with chronic insomnia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70273","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T16:33:57Z","timestamp":1768062837000},"page":"669-675","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Pain Following Hypnotic Deprescribing in Older Adults"],"prefix":"10.1111","volume":"74","author":[{"given":"Jennifer G.","family":"Hurtado","sequence":"first","affiliation":[{"name":"Kirk Kerkorian School of Medicine at UNLV  Las Vegas Nevada USA"},{"name":"VA Greater Los Angeles Geriatric Research, Education and Clinical Center  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1025-427X","authenticated-orcid":false,"given":"Alexander J.","family":"Erickson","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Geriatric Research, Education and Clinical Center  Los Angeles California USA"},{"name":"Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael N.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Geriatric Research, Education and Clinical Center  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Martin","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Geriatric Research, Education and Clinical Center  Los Angeles California USA"},{"name":"Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System  Los Angeles California USA"},{"name":"Department of Medicine David Geffen School of Medicine at the University of California, Los Angeles (UCLA)  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathy A.","family":"Alessi","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Geriatric Research, Education and Clinical Center  Los Angeles California USA"},{"name":"Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System  Los Angeles California USA"},{"name":"Department of Medicine David Geffen School of Medicine at the University of California, Los Angeles (UCLA)  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph M.","family":"Dzierzewski","sequence":"additional","affiliation":[{"name":"National Sleep Foundation  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Ghadimi","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Geriatric Research, Education and Clinical Center  Los Angeles California USA"},{"name":"Department of Medicine David Geffen School of Medicine at the University of California, Los Angeles (UCLA)  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Der\u2010Mcleod","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Geriatric Research, Education and Clinical Center  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Perdomo","sequence":"additional","affiliation":[{"name":"Department of Medicine David Geffen School of Medicine at the University of California, Los Angeles (UCLA)  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saadia","family":"Naeem","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Geriatric Research, Education and Clinical Center  Los Angeles California USA"},{"name":"Department of Medicine David Geffen School of Medicine at the University of California, Los Angeles (UCLA)  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison A.","family":"Moore","sequence":"additional","affiliation":[{"name":"University of California San Diego (UCSD)  La Jolla California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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