Combining cognitive behavioral therapy for insomnia and chronic spinal pain within physical therapy : a practical guide for the implementation of an integrated approach
- Author
- Eveline Van Looveren (UGent) , Mira Meeus (UGent) , Barbara Cagnie (UGent) , Kelly Ickmans, Thomas Bilterys, Anneleen Malfliet, Dorien Goubert (UGent) , Jo Nijs, Lieven Danneels (UGent) , Maarten Moens and Oliver Mairesse
- Organization
- Project
- Abstract
- Most people who have nonspecific chronic spinal pain (nCSP) report comorbid insomnia. However, in current treatment strategies for nCSP, insomnia is usually not addressed. Considering the bidirectional interaction between pain and sleep and its underlying psychophysiological mechanisms, insomnia may increase the risk of developing adverse physical and psychological health outcomes and should thus no longer be left untreated. As suggested by previous pilot studies, adding cognitive behavioral therapy for insomnia to the contemporary evidence-based biopsychosocial physical therapy approach may also improve pain outcomes in nCSP. This manuscript aims to provide practical guidelines on hybrid physical therapy, including the combination of the following components: (1) pain neuroscience education (eg, to reconceptualize pain) and cognition-targeted exercise therapy (eg, graded exposure to functional daily life movements), and (2) cognitive behavioral therapy for insomnia (sleep psychoeducation, behavioral and cognitive therapy, correction of sleep hygiene, and relaxation therapy) can be deployed for the management of patients who have chronic spinal pain. Impact. Due to the major impact sleep disturbances have on pain and disability, insomnia as a comorbidity should no longer be ignored when treating patients with chronic spinal pain.
- Keywords
- Physical Therapy, Sports Therapy and Rehabilitation, Insomnia, Cognitive Behavioral Therapy, Chronic Spinal Pain
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-01GRTWCBAZ6NC2BVCDVKK8EG3V
- MLA
- Van Looveren, Eveline, et al. “Combining Cognitive Behavioral Therapy for Insomnia and Chronic Spinal Pain within Physical Therapy : A Practical Guide for the Implementation of an Integrated Approach.” PHYSICAL THERAPY, vol. 102, no. 8, Oxford University Press (OUP), 2022, doi:10.1093/ptj/pzac075.
- APA
- Van Looveren, E., Meeus, M., Cagnie, B., Ickmans, K., Bilterys, T., Malfliet, A., … Mairesse, O. (2022). Combining cognitive behavioral therapy for insomnia and chronic spinal pain within physical therapy : a practical guide for the implementation of an integrated approach. PHYSICAL THERAPY, 102(8). https://doi.org/10.1093/ptj/pzac075
- Chicago author-date
- Van Looveren, Eveline, Mira Meeus, Barbara Cagnie, Kelly Ickmans, Thomas Bilterys, Anneleen Malfliet, Dorien Goubert, et al. 2022. “Combining Cognitive Behavioral Therapy for Insomnia and Chronic Spinal Pain within Physical Therapy : A Practical Guide for the Implementation of an Integrated Approach.” PHYSICAL THERAPY 102 (8). https://doi.org/10.1093/ptj/pzac075.
- Chicago author-date (all authors)
- Van Looveren, Eveline, Mira Meeus, Barbara Cagnie, Kelly Ickmans, Thomas Bilterys, Anneleen Malfliet, Dorien Goubert, Jo Nijs, Lieven Danneels, Maarten Moens, and Oliver Mairesse. 2022. “Combining Cognitive Behavioral Therapy for Insomnia and Chronic Spinal Pain within Physical Therapy : A Practical Guide for the Implementation of an Integrated Approach.” PHYSICAL THERAPY 102 (8). doi:10.1093/ptj/pzac075.
- Vancouver
- 1.Van Looveren E, Meeus M, Cagnie B, Ickmans K, Bilterys T, Malfliet A, et al. Combining cognitive behavioral therapy for insomnia and chronic spinal pain within physical therapy : a practical guide for the implementation of an integrated approach. PHYSICAL THERAPY. 2022;102(8).
- IEEE
- [1]E. Van Looveren et al., “Combining cognitive behavioral therapy for insomnia and chronic spinal pain within physical therapy : a practical guide for the implementation of an integrated approach,” PHYSICAL THERAPY, vol. 102, no. 8, 2022.
@article{01GRTWCBAZ6NC2BVCDVKK8EG3V,
abstract = {{Most people who have nonspecific chronic spinal pain (nCSP) report comorbid insomnia. However, in current treatment strategies for nCSP, insomnia is usually not addressed. Considering the bidirectional interaction between pain and sleep and its underlying psychophysiological mechanisms, insomnia may increase the risk of developing adverse physical and psychological health outcomes and should thus no longer be left untreated. As suggested by previous pilot studies, adding cognitive behavioral therapy for insomnia to the contemporary evidence-based biopsychosocial physical therapy approach may also improve pain outcomes in nCSP. This manuscript aims to provide practical guidelines on hybrid physical therapy, including the combination of the following components: (1) pain neuroscience education (eg, to reconceptualize pain) and cognition-targeted exercise therapy (eg, graded exposure to functional daily life movements), and (2) cognitive behavioral therapy for insomnia (sleep psychoeducation, behavioral and cognitive therapy, correction of sleep hygiene, and relaxation therapy) can be deployed for the management of patients who have chronic spinal pain. Impact. Due to the major impact sleep disturbances have on pain and disability, insomnia as a comorbidity should no longer be ignored when treating patients with chronic spinal pain.}},
articleno = {{pzac075}},
author = {{Van Looveren, Eveline and Meeus, Mira and Cagnie, Barbara and Ickmans, Kelly and Bilterys, Thomas and Malfliet, Anneleen and Goubert, Dorien and Nijs, Jo and Danneels, Lieven and Moens, Maarten and Mairesse, Oliver}},
issn = {{0031-9023}},
journal = {{PHYSICAL THERAPY}},
keywords = {{Physical Therapy, Sports Therapy and Rehabilitation,Insomnia,Cognitive Behavioral Therapy,Chronic Spinal Pain}},
language = {{eng}},
number = {{8}},
publisher = {{Oxford University Press (OUP)}},
title = {{Combining cognitive behavioral therapy for insomnia and chronic spinal pain within physical therapy : a practical guide for the implementation of an integrated approach}},
url = {{http://doi.org/10.1093/ptj/pzac075}},
volume = {{102}},
year = {{2022}},
}
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