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the team developed a scale -pain-related beliefs and attitudes about sleep (PBAS) -- to
measure beliefs about sleep
and pain.
The scale, when tested on
four groups of patients suffering from long-term pain and
bad sleeping patterns, showed
that people who believe they
wont be able to sleep as a
result of their pain are more
likely to suffer from insomnia,
thus causing worse pain.
Further, the scale was vital
in predicting patients level of
insomnia and pain difficulties.
Current psychological treatments for chronic pain have
mostly focused on pain management and a lesser emphasis on
sleep.
However, the PBAS scale
provides a useful clinical tool to
assess and monitor treatment
progress during these therapies, noted Esther Afolalu
from the University of
Warwick.
The study has provided
therapists the means with
which to identify and monitor
rigid thoughts about sleep
and pain that are sleep-interfering, allowing the application of the proven effective
CBT for insomnia in people
with chronic pain.
With better sleep, pain
problems are significantly
reduced, especially after
receiving a short course of
CBT for both pain and insomnia, the researchers concluded in the paper published in
the Journal of Clinical Sleep
Medicine.
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