![]() Physical exercise has been investigated as treatment for sleeping problems in populations such as older adults and non-clinical samples. Hypnotics are commonly used as treatment for sleep disturbances, but for many reasons they are recommended only for short-term use. Although chronic pain conditions are the third most common reason for sick leave in Sweden, there are few effective treatments for chronic pain. Moderate to severe insomnia (score ≥ 15) according to the Insomnia Severity Index (ISI) is frequently (53–65%) reported among patients with chronic pain. Chronic moderate/severe pain among adults has a prevalence of nearly 20%. Most people suffering chronic pain are also plagued by sleeping difficulties. The study was registered in Clinical Trials (Trial registration: Id: NCT02399644, 21 January 2015, retrospectively registered). No group differences were found for the two psychological variables. For pain intensity a general decrease was found in the Exercise condition and in the control condition, while no change occurred in ACT-bsm. However, these changes were probably not clinically important. Conclusionsīeneficial significant effects on insomnia was confirmed in the exercise condition. The treatment effects for ISI and pain intensity did not reach clinical significance per definitions presented in other relevant studies. For the two psychological variables (i.e., symptoms of anxiety and depression) were found significant improvements over time but no group differences. Pain intensity decreased significantly both in the exercise group and in the control group. No clear effect (i.e., both for completers and for completers together with treatment non-completers) upon ISI was found for the ACT-bsm. The mixed model analyses revealed that Exercise had a positive effect on insomnia compared with the control group and the effect remained after 12 months. These participants were evaluated using mixed model analyses for changes in sleep (Insomnia Severity Index, ISI), pain intensity, depression, and anxiety immediately after treatment, six months and twelve months after treatment. Two hundred thirty-two participants (78%) received their allocated intervention at least to some extent. ![]() ![]() Two hundred ninety-nine chronic pain subjects were randomized to Exercise, ACT-based stress management (ACT-bsm), or an active control group. If proven effective, these treatments could constitute the first steps in a stepped care model for chronic pain and insomnia. Over the last ten years, interventions aiming to increase cognitive flexibility and physical activity have been assumed to be effective treatments for a variety of conditions, including insomnia and chronic pain. Cognitive behaviour therapy has produced promising results for insomnia comorbid with chronic pain, but the access to such treatment is often limited. Most people suffering chronic pain are plagued by sleeping difficulties. ![]()
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