-
Tytuł:
-
Cognitive behavioral therapy for insomnia (CBT-i) in patients with fibromyalgia: a systematic review and meta-analysis.
-
Autorzy:
-
Climent-Sanz C; Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.; Grup d'Estudis Societat, Salut, Educació i Cultura, University of Lleida, Lleida, Spain.; Grup de Recerca de Cures en Salut, IRBLleida (Lleida Institute for Biomedical Research Dr. Pifarré Foundation), Lleida, Spain.
Valenzuela-Pascual F; Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.; Grup d'Estudis Societat, Salut, Educació i Cultura, University of Lleida, Lleida, Spain.; Grup de Recerca de Cures en Salut, IRBLleida (Lleida Institute for Biomedical Research Dr. Pifarré Foundation), Lleida, Spain.
Martínez-Navarro O; Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.
Blanco-Blanco J; Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.; Grup d'Estudis Societat, Salut, Educació i Cultura, University of Lleida, Lleida, Spain.; Grup de Recerca de Cures en Salut, IRBLleida (Lleida Institute for Biomedical Research Dr. Pifarré Foundation), Lleida, Spain.
Rubí-Carnacea F; Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.; Grup d'Estudis Societat, Salut, Educació i Cultura, University of Lleida, Lleida, Spain.; Grup de Recerca de Cures en Salut, IRBLleida (Lleida Institute for Biomedical Research Dr. Pifarré Foundation), Lleida, Spain.
García-Martínez E; Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.; Grup de Recerca de Cures en Salut, IRBLleida (Lleida Institute for Biomedical Research Dr. Pifarré Foundation), Lleida, Spain.
Soler-González J; Grup d'Estudis Societat, Salut, Educació i Cultura, University of Lleida, Lleida, Spain.; Faculty of Medicine, University of Lleida, Lleida, Spain.; Catalan Health Institute, Lleida, Spain.
Barallat-Gimeno E; Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.; Grup d'Estudis Societat, Salut, Educació i Cultura, University of Lleida, Lleida, Spain.; Grup de Recerca de Cures en Salut, IRBLleida (Lleida Institute for Biomedical Research Dr. Pifarré Foundation), Lleida, Spain.
Gea-Sánchez M; Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.; Grup d'Estudis Societat, Salut, Educació i Cultura, University of Lleida, Lleida, Spain.; Grup de Recerca de Cures en Salut, IRBLleida (Lleida Institute for Biomedical Research Dr. Pifarré Foundation), Lleida, Spain.
-
Źródło:
-
Disability and rehabilitation [Disabil Rehabil] 2022 Oct; Vol. 44 (20), pp. 5770-5783. Date of Electronic Publication: 2021 Jul 23.
-
Typ publikacji:
-
Journal Article; Meta-Analysis; Systematic Review
-
Język:
-
English
-
Imprint Name(s):
-
Publication: 2015- : Abingdon, Oxford : Taylor & Francis
Original Publication: London ; Washington, DC : Taylor & Francis, c1992-
-
MeSH Terms:
-
Cognitive Behavioral Therapy*/methods
Fibromyalgia*/therapy
Sleep Initiation and Maintenance Disorders*/therapy
Adult ; Anxiety Disorders ; Humans ; Pain
-
Contributed Indexing:
-
Keywords: Fibromyalgia; cognitive behavioral therapy for insomnia; insomnia; poor sleep quality; sleep; systematic review
-
Entry Date(s):
-
Date Created: 20210723 Date Completed: 20221012 Latest Revision: 20221220
-
Update Code:
-
20240105
-
DOI:
-
10.1080/09638288.2021.1954706
-
PMID:
-
34297651
-
Purpose: We aimed to evaluate the effectiveness of CBT-i in patients with fibromyalgia in comparison with other non-pharmacological treatments.
Methods: Randomized controlled trials assessing the effects of CBT-i in adults with fibromyalgia, published in English or Spanish, were eligible. Electronic searches were performed using PubMed, Scopus, The Cochrane Library, WebOfKnowledge and Psicodoc databases in March 2021. The main outcome measures were sleep efficiency and sleep quality. Secondary outcomes included pain, depression, and anxiety.
Results: Of 226 studies reviewed, five were included in the meta-analysis. CBT-i compared with non-pharmacological treatments showed no significant improvements in sleep efficiency ( p = 0.05; standardized mean difference (SMD) [95% CI] 0.31 [-0.00 to 0.61]). CBT-i showed significant improvements in sleep quality ( p = 0.009; SMD [95% CI] - 0.53 [-0.93 to -0.13]), pain ( p = 0.002; SMD [95% CI] - 0.41 [-0.67 to -0.16]), anxiety ( p = 0.001; SMD [95% CI] - 0.46 [-0.74 to 0.18]) and depression ( p = 0.02; SMD [95% CI] - 0.33 [-0.61 to -0.05]), compared to non-pharmacological treatments. Effect sizes ranged from small to moderate.
Conclusions: 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.
