For patients with knee osteoarthritis, treatment with cognitive behavioral therapy may help relieve insomnia and pain, as reported by Medscape.
According to diary, PSG, and actigraphy readings, patients in the CBT intervention group experienced a decrease in sleep maintenance insomnia, measured as wake after sleep onset time. Approximately 80% of patients in the CBT group “achieved normative clinical values for diary [wake after sleep onset time] (<30 mins.) compared to [behavioral desensitization] (50%) at posttreatment and 3 months.” These rates were similar (60%) between the groups at 6 months, and the authors posit whether periodic booster sessions or reinforcement of coping skills may be used to address this attenuation of the effects of CBT.
