CBT-I for patients with chronic pain

Leisha J. Cuddihy, Sara Nowakowski, Michael A. Grandner, Jessica M. Meers, Michael T. Smith

Research output: Chapter in Book/Report/Conference proceedingChapter


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.

Original languageEnglish (US)
Title of host publicationAdapting Cognitive Behavioral Therapy for Insomnia
Number of pages16
ISBN (Electronic)9780128228722
ISBN (Print)9780128228739
StatePublished - Jan 1 2022


  • Chronic pain
  • Hybrid therapy
  • Insomnia
  • Pain catastrophizing
  • Pain management
  • Sleep disturbance

ASJC Scopus subject areas

  • General Psychology


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