Cognitive behavioral therapy for insomnia (CBT-i) in patients with fibromyalgia: a systematic review and meta-analysis.
Carolina Climent-SanzFran Valenzuela-PascualOriol Martínez-NavarroJoan Blanco-BlancoFrancesc Rubi-CarnaceaEster García-MartínezJorge Soler-GonzálezEva Barallat-GimenoMontserrat Gea-SanchezPublished in: Disability and rehabilitation (2021)
CBT-i was associated with a significant improvement in sleep quality, pain, anxiety, and depression, although these results are retrieved from very few studies with only very low to low quality evidence. Trial registration: The review protocol was registered with PROSPERO (Record ID = CRD42016030161).IMPLICATIONS FOR REHABILITATIONCBT-i has been proven to improve sleep quality, pain, anxiety and depression, although with small effect sizes.Implementing hybrid CBT for pain and sleep or combining CBT and mindfulness may improve symptoms in people diagnosed with FM.This meta-analysis results highlight the need to enhance sleep management skills among people suffering from this health condition.
Keyphrases
- sleep quality
- chronic pain
- depressive symptoms
- pain management
- neuropathic pain
- physical activity
- systematic review
- healthcare
- randomized controlled trial
- public health
- clinical trial
- spinal cord
- quality improvement
- study protocol
- case control
- phase ii
- postoperative pain
- risk assessment
- meta analyses
- health information
- social media
- deep brain stimulation
- medical students