Virginia Commonwealth University, Department of Psychology, United States.
Virginia Commonwealth University, Department of Psychology, United States.
Sleep Med. 2022 Aug;96:122-127. doi: 10.1016/j.sleep.2022.05.008. Epub 2022 May 20.
Dysfunctional beliefs about sleep and pain are common among individuals experiencing recurrent pain and may inadvertently maintain insomnia symptoms. Thus, the present study sought to determine the level at which pain-related beliefs about sleep may predict insomnia and assess whether pain-related beliefs about sleep predict attitudes towards insomnia treatment above other known factors.
PATIENTS/METHODS: Data consisted of 999 individuals (M age = 44.18, 45.75% male) who participated in an online study about sleep and health across the lifespan. Beliefs about sleep and pain were measured via the pain-related beliefs and attitudes scale (PBAS) while insomnia and pain were assessed using the insomnia severity index (ISI) and a visual analogy scale, respectively. Attitudes towards insomnia treatment was measured using the insomnia treatment acceptability scale (ITAS).
A score of 6.10 out of 10 on PBAS optimized sensitivity (66.40%) and specificity (66.90%) for insomnia classification. Pain-related beliefs about sleep predicted treatment acceptability of both behavioral (β = .46, p <. 001) and pharmacological treatments (β = 0.50, p < .001) over and above insomnia symptoms, pain severity, or sleep-self efficacy. Results underscore the importance of cognitive-behavioral factors as it relates to insomnia among individuals with comorbid pain and are relevant to the developments of models which seek to understand attitudes towards insomnia treatment.
睡眠和疼痛相关信念障碍在经历反复发作疼痛的个体中较为常见，并且可能无意中维持失眠症状。因此，本研究旨在确定与疼痛相关的睡眠信念预测失眠的程度，并评估与疼痛相关的睡眠信念是否可以预测对失眠治疗的态度，优于其他已知因素。
患者/方法：数据来自 999 名（M 年龄=44.18 岁，45.75%为男性）参与睡眠与全生命周期健康的在线研究的个体。通过疼痛相关信念和态度量表（PBAS）测量睡眠和疼痛相关信念，而失眠和疼痛分别使用失眠严重程度指数（ISI）和视觉类比量表进行评估。通过失眠治疗接受度量表（ITAS）测量对失眠治疗的态度。
PBAS 得分为 10 分中的 6.10 分，可优化失眠分类的敏感性（66.40%）和特异性（66.90%）。与疼痛相关的睡眠信念预测行为（β=0.46，p<.001）和药物治疗（β=0.50，p<.001）的接受度，超过了失眠症状、疼痛严重程度或睡眠自我效能。结果强调了认知行为因素在伴有疼痛的个体中与失眠的关系的重要性，并且与寻求理解对失眠治疗的态度的模型的发展相关。
