Study Objectives: In @entity22 , actigraphy tends to underestimate wake time compared to diaries and @entity15203 . When @entity1118 co-occurs with @entity22 , sleep may be more fragmented, including more movement and arousals. However, individuals may not be consciously aware of these arousals. We examined the baseline concordance of diaries, actigraphy, and @entity15203 as well as the ability of each assessment method to detect changes in sleep following cognitive behavioral therapy for @entity22 (CBT-I). Methods: Adults with @entity22 and @entity239 (n = 113) were randomized to CBT-I, CBT for @entity158 , or waitlist control. At baseline and posttreatment, @entity1 completed one night of @entity15203 and two weeks of diaries/actigraphy. Results: At baseline, objective measures estimated lower SOL, higher TST, and higher SE than diaries (ps < 0.05). Compared to @entity15203 , actigraphic estimates were higher for SOL and lower for WASO (ps < 0.05). Repeated measures ANOVAs were conducted for the CBT-I group (n = 15), and significant method by time interactions indicated that the assessment methods differed in their sensitivity to detect treatment-related changes. @entity15203 values did not change significantly for any sleep parameters. However, diaries showed improvements in SOL, WASO, and SE, and actigraphy also detected the WASO and SE improvements (ps < 0.05). Conclusions: Actigraphy was generally more concordant with @entity15203 than with diaries, which are the recommended assessment for diagnosing @entity22 . However, actigraphy showed greater sensitivity to treatment-related changes than @entity15203 ; @entity15203 failed to detect any improvements, but actigraphy demonstrated changes in WASO and SE, which were also found with diaries. In comorbid @entity22 / @entity239 , actigraphy may therefore have utility in measuring treatment outcomes.

Measuring Treatment Outcomes in Comorbid @entity22 and XXXX : Concordance of Subjective and Objective Assessments.

@entity1 :: ('9606', 'Species') :: ['participants'] @entity15203 :: ('5673', 'Gene') :: ['PSG'] @entity239 :: ('MESH:D005356', 'Disease') :: ['fibromyalgia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1118 :: ('MESH:D059350', 'Disease') :: ['chronic pain'] @entity22 :: ('MESH:D007319', 'Disease') :: ['insomnia']
@entity239 :: (MESH:D005356,Disease) :: ['Fibromyalgia']
