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Journal of Public Health Policy and Planning | Volume: 2
August 27-28, 2018 | London, UK
International Conference on
Healthcare and Health Management
Cardiology and Cardiac Surgery
Joint Event
&
Introduction:
Traditionally, treatment for secondary
insomnia has focussed on the condition assumed to initiate
sleep disturbance rather than the insomnia (Ashworth,
Davidson & Espie, 2010), such as providing one session
in a pain management programme focussing on sleep.
Research suggests those experiencing insomnia as a
result of chronic pain have higher levels of dysfunctional
beliefs about their sleep than those without chronic pain
(Ashworth, Davidson & Espie, 2010; Afolalu et al, 2016). Initial
research suggests that Cognitive Behaviour Therapy(CBT)
interventions are effective in improving quality and quantity
of sleep, however they remain underused (Currie et al, 2000).
Method:
An intervention combining CBT and mindfulness was
developed for chronic painpatients reporting sleepdisturbance.
The programme aimed to improve understanding of the bio-
psychosocial model of pain; to provide patients with a way of
assessing their sleep problem; to improve their understanding
about normal sleep, sleep disorders and their effect and how
to use this information to make a difference to how they think
and feel; to develop healthy sleep patterns and relaxation
skills; to reshape sleep so it meets their own needs and
develops a strong pattern; to teach ways of overcoming mental
alertness, repetitive thoughts and anxieties that interfere with
sleep; to use all this information to develop their own action
plan. Quantitative and qualitative feedback was obtained.
Results:
Quantitative results show all 40 patients improved
aspects of their sleep. Qualitative themes emerged
were group support, information, change in thoughts/
behavior, challenge of implementing new sleep patterns.
Conclusions:
Provided evidence that this programme is
beneficial. Should the programme become more widely
available, it could act as an effective and empowering treatment
that relieves some dependence on pharmaceuticals as well as
the debilitating effects of chronic pain. Tomake this programme
more accessible, a book Sleeping with Pain has been written,
course materials are available for health professionals
and an online programme for patients is in development.
Speaker Biography
Sue Peacock as a Consultant Health Psychologist, registered with the Health and
Care Professions Council and she is an Associate Fellow of The British Psychological
Society. She has a PhD in psychology. In addition, She is an Advanced Hypnotherapy
Practitioner registered on the General Hypnotherapy Register, is an EMDR practitioner.
In addition to her NHS post she also runs a private practice, providing specialist
psychological therapy. The focus is on improving people’s ability to manage their
health conditions and adjust to the different circumstances and challenges faced, so
that stress reduces and the quality of their general life can improve. The ultimate aim
is to enable clients to live fulfilling lives despite their health conditions.She will assess
the difficulties with patients by making a working partnership: patients bring all their
expertise about them and she will bring her experience and training in a variety of
psychological approaches. Then, if it’s appropriate, she will develop a psychotherapy
intervention specific to the patient as an individual, couple, family, group or
organisation. In addition to her clinical practice, she regularly lectures and contributes
to national and international study days and conferences. She is also a published
author, both in terms of research papers and her latest book ‘Sleeping with Pain’.
e:
well-ahead@outlook.comSue Peacock
Well aHead, UK
Sleeping with Pain: Evaluation & development of a programme for people with
insomnia secondary to chronic pain