Psychological Flexibility May Reduce Insomnia in Persons with Chronic Pain: A Preliminary Retrospective Study

Reference:

McCracken, L. M., Williams, J. L. and Tang, N. K. Y., 2011. Psychological Flexibility May Reduce Insomnia in Persons with Chronic Pain: A Preliminary Retrospective Study. Pain Medicine, 12 (6), pp. 904-912.

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Official URL:

http://dx.doi.org/10.1111/j.1526-4637.2011.01115.x

Abstract

Objective. Sleep disturbance is a common complaint in people with chronic pain, and is associated with a range of adverse outcomes including reports of greater pain and disability. Research into insomnia with chronic pain sufferers has not yet examined the role of psychological flexibility, a process from acceptance and commitment therapy. We examined this role. Design. Participants in this study were 159 adult patients attending an assessment at a specialist pain center. They were mostly women, 63%, and the mean age was 43.8 years. Results. In preliminary analyses 79% of participants met the criteria for significant insomnia based on their self-reported symptoms. As predicted, significant positive correlations were found between components of psychological flexibility, particularly acceptance of pain and values-based action, and all measures of sleep quality. In regression analyses, the components of psychological flexibility considered together accounted for between 11% and 19% of variance across a range of measures of sleep quality. Conclusion. These results suggest the need to further develop treatment services for people with chronic pain and insomnia.

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