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Measuring Treatment Outcomes in Comorbid Insomnia and Fibromyalgia: Concordance of Subjective and Objective Assessments
Author(s) -
Jennifer M. Mundt,
Earl Charles Crew,
Kendra N. Krietsch,
Alicia J. Roth,
Karlyn Vatthauer,
Michael E. Robinson,
Roland Staud,
Richard B. Berry,
Christina S. McCrae
Publication year - 2016
Publication title -
journal of clinical sleep medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.529
H-Index - 92
eISSN - 1550-9397
pISSN - 1550-9389
DOI - 10.5664/jcsm.5488
Subject(s) - fibromyalgia , concordance , medicine , insomnia , chronic insomnia , comorbidity , physical therapy , psychiatry , clinical psychology , sleep disorder
In insomnia, actigraphy tends to underestimate wake time compared to diaries and PSG. When chronic pain co-occurs with insomnia, sleep may be more fragmented, including more movement and arousals. However, individuals may not be consciously aware of these arousals. We examined the baseline concordance of diaries, actigraphy, and PSG as well as the ability of each assessment method to detect changes in sleep following cognitive behavioral therapy for insomnia (CBT-I).

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