Abstract
Sleep and pain are strongly connected. Sleep disturbance is reported by 67%–88% of patients with chronic pain, and 50% of patients with insomnia suffer from chronic pain. Patients with chronic pain may have difficulty implementing strategies of traditional CBT-I, such as stimulus control or sleep restriction, due to physical limitations (e.g., unable to get in-and-out of bed easily) or behavioral strategies of pain management (e.g., “sleeping off” headaches). This chapter is a guide to modifications to CBT-I that may help patients with chronic pain adhere to and benefit more from treatment.
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