MCQ Chapter 1

How much more likely are patients with chronic pain to suffer from depression or anxiety?

a) Twice as likely

b) No more likely

c) Ten times as likely

d) Three times more likely

What is the difference between the hybrid-CBT and current treatments that are available for chronic pain?

a) It’s a talking therapy

b) It focuses on treating both chronic pain and insomnia

c) It’s more intensive than current treatments

d) It combines pharmaceutical and psychological treatment

Which of the following are part of the sleep component of the hybrid-CBT?

a) Sleep psychoeducation

b) Stimulus control therapy

c) Sleep restriction therapy

d) Cognitive therapy

4. Which of these statements most accurately describes the relationship between chronic pain and insomnia?

a) Insomnia is a symptom of chronic pain

b) Pain severity will directly affect insomnia severity but not vice versa

c) Insomnia triggers pain symptoms in chronic pain patients

d) Pain and Insomnia have a reciprocal relationship; A poor night’s sleep can worsen pain symptoms and vice versa

What effect did the latest Cochrane review find current pain management programmes had on chronic pain and other symptoms?

a) Moderate effect

b) Small effect

c) Small to Moderate effect

d) Moderate to large effect

Which of the following did patients rate most highly in what they wanted most help with?

a) Employment

b) Relationships with friends

c) Participating in activities

d) Staying asleep at night

Which of the following is the current feasibility study interested in?

a) How effective Hybrid-CBT is compared to the control treatment

b) Evaluating procedural measures

c) Estimating attrition rates and patient willingness to be randomised

d) Economic viability of the therapy

‘Individual formulation’ is a component of hybrid-CBT. What does this involve?

a) Helping participants to make sense of their pain experience and coping strategies

b) Educating participants on how sleep works and how they might be exacerbating their sleep problems

c) Coming up with goals and activities which suit the patient

d) Educating participants on the subtle differences between acute and chronic pain

Which of the following are exclusion criteria for the study?

a) Taking sleep medication

b) Having a sleep disorder such as narcolepsy or sleep apnoea

c) Having concurrent depression or anxiety

d) Have previously been involved in pain management programmes

Which of the following statements about insomnia treatment are true?

a) Hypnotics are often used as a first-line treatment

b) CBT has been shown to be an effective treatment for insomnia

c) Current psychological interventions aren’t as effective as pharmacological interventions

d) Insomnia is not usually a treatment focus for chronic pain patients

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The Warwick Sleep and Pain Laboratory

MCQ Chapter 1

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