Sleep therapy may help ease knee pain troubles for some
Patients with knee osteoarthritis and insomnia may be less troubled by joint pain after they get treatment to help them sleep better, a recent study suggests.
Patients with knee osteoarthritis and insomnia may be less troubled by joint pain after they get treatment to help them sleep better, a recent study suggests.Reuters Health Information
This study compared predictors of nighttime sleep complaints and daytime sleep-related consequences as measured by the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) in older adults with comorbid OA pain and insomnia.
Condition: Insomnia Related to Osteoarthritis Pain Interventions: Behavioral: Cognitive Behavior Therapy for Insomnia; Behavioral: Education Only Control Sponsors: University of Washington; Group Health Cooperative Recruiting - verified October 2016
Insomnia is common among chronic pain (CP) patients, and is linked with greater clinical pain and impaired functioning. Poor sleep habits contribute to chronic insomnia, and behavioral theory postulates that CP patients may develop maladaptive sleep habits to cope with pain, thus perpetuating insomnia, independently from pain. However, little is known about how pain-related sleep behaviors uniquely impact insomnia and pain outcomes among patients with CP. We developed the Sleep and Pain Behaviors Survey (SPBS), comprised of 3 items measuring pain-specific sleep behaviors (i.e., lying down/resting during the day due to pain...
ConclusionThese findings highlight the importance of assessing sleep efficiency, CS, and catastrophizing in chronic pain patients and have important clinical implications for treatment planning.
Authors: Abstract Insomnia and a tendency to catastrophise amplifies the experience of pain in people with knee osteoarthritis (OA), suggests a study in the United States. PMID: 26080962 [PubMed - in process]
(Reuters Health) - People suffering from osteoarthritis, the most common type of joint inflammation, are more likely to have knee pain when they also have difficulty getting enough sleep, a study suggests.
We examined the influence of symptomatic knee osteoarthritis and insomnia disorder on resting C-reactive protein (CRP), interleukin (IL)-6, and IL-10 levels, and pain-evoked IL-6 and IL-10 responses. Participants were N =117 older adults (mean age=59.7years; 61.8% women) rigorously evaluated for knee osteoarthritis and insomnia disorder using established diagnostic guidelines. Results revealed no association of osteoarthritis or insomnia disorder with CRP. Resting IL-6 was greater in osteoarthritis participants versus those without osteoarthritis, although this association was largely attributable to BMI. IL-10 was highest...
Conclusions: These findings highlight the importance of assessing sleep efficiency, CS and catastrophizing in chronic pain patients and have important clinical implications for treatment planning. This article is protected by copyright. All rights reserved.
ConclusionCompared with active placebo, CBT‐I was efficacious in reducing sleep maintenance insomnia. CBT‐I decreased clinical pain, but not pain modulation, suggesting that it has the potential to augment pain management in knee OA. Future work is needed to identify the mechanisms by which improved sleep reduces clinical pain.