Evaluation and management of insomnia in women with breast cancer

Kwak, Agnes H.; Jacobs, Jamie M.; Haggett, Dana; Jimenez, Rachel; Peppercorn, Jeffrey

doi:10.1007/s10549-020-05635-0

Cited by 70 publications

(73 citation statements)

References 66 publications

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“…Each item is rated on a 5-point Likert scale ranging from 0 to 4, and is summed with the others to result in total scores ranging from 0 to 28. The scores can be divided into categories as follows: no significant insomnia (0-7), subthreshold insomnia (8)(9)(10)(11)(12)(13)(14), moderate insomnia (15)(16)(17)(18)(19)(20)(21), and severe insomnia (22)(23)(24)(25)(26)(27)(28) [14,26]. In this study, we used the German translation of the ISI [27].…”

Section: Instrumentsmentioning

confidence: 99%

“…Sleep problems often do not disappear after cancer treatment [3], and they are associated with reduced quality of life [4,5], depression [6], impaired concentration [7,8], and even reduced survival rates [9,10]. In clinical practice, sleep problems often remain undetected and untreated despite the high prevalence [11,12]. Several questionnaires have been developed for effectively measuring sleep quality [13].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of sleep problems with the Insomnia Severity Index (ISI) and the sleep item of the Patient Health Questionnaire (PHQ-9) in cancer patients

Staudinger

Hofmeister

Mehnert‐Theuerkauf

et al. 2021

Support Care Cancer

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Objective The objectives of this study were to examine sleep problems in cancer patients, to test the psychometric properties of the Insomnia Sleep Index (ISI) in comparison with the sleep item of the Patient Health Questionnaire-9 (PHQ-9), and to analyze disrupting factors which might cause the sleep problems. Methods A sample of 1026 mixed-site cancer patients in treatment at a German oncological rehabilitation clinic was examined. Results The reliability of the ISI was very good (Cronbach’s alpha = 0.92), and the results of the confirmatory factor analysis were acceptable. Females reported worse sleep quality (ISI mean: 13.7 ± 6.6) than males (10.7 ± 6.4). Sleep problems as measured with the PHQ-9 sleep item were markedly higher than those in the general population (effect size d = 1.15). Patients reported that, of the factors that disrupted their sleep, psychological factors (brooding, worries) were more relevant than symptom factors (pain, nocturnal urination, or restless legs). Conclusions The ISI is effective in detecting sleep problems in cancer patients. Normative studies with the ISI would be helpful for assessing ISI mean scores. Sex differences should be taken into account when groups of patients are compared. The sleep item of the PHQ-9 can be used in epidemiological studies.

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Section: Instrumentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of sleep problems with the Insomnia Severity Index (ISI) and the sleep item of the Patient Health Questionnaire (PHQ-9) in cancer patients

Staudinger

Hofmeister

Mehnert‐Theuerkauf

et al. 2021

Support Care Cancer

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show abstract

“…In this line, Bernard et al [ 260 ] showed that management of insomnia could increase PA practice in BC patients, although a reciprocal relationship cannot be discarded. Different strategies could be followed in the management of insomnia, including psychosocial interventions, behavioral therapy such as CBT-I (Cognitive behavioral therapy for insomnia), or yoga and mindfulness programs [ 261 ]. Melatonin could also be of aid as it brings subjective improvements in the quality of sleep, with no adverse effects [ 262 ].…”

Section: Physical Activity In the Qol Of Bc Patientsmentioning

confidence: 99%

“…Melatonin could also be of aid as it brings subjective improvements in the quality of sleep, with no adverse effects [ 262 ]. Therapies received such as ET, discomfort from local therapy, and pain and fear of recurrence could promote BC-related insomnia [ 261 ]. On the other hand, PA may have important impacts in BC survivors.…”

Section: Physical Activity In the Qol Of Bc Patientsmentioning

confidence: 99%

Physical Activity as an Imperative Support in Breast Cancer Management

Ortega

Fraile-Martínez

García-Montero

et al. 2020

Cancers

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Breast cancer (BC) is the most common malignancy and the second cause of cancer-related death among women. It is estimated that 9 in 10 cases of BC are due to non-genetic factors, and approximately 25% to 30% of total breast cancer cases should be preventable only by lifestyle interventions. In this context, physical activity represents an excellent and accessible approach not only for the prevention, but also for being a potential support in the management of breast cancer. The present review will collect the current knowledge of physical activity in the background of breast cancer, exploring its systemic and molecular effects, considering important variables in the training of these women and the evidence regarding the benefits of exercise on breast cancer survival and prognosis. We will also summarize the various effects of physical activity as a co-adjuvant therapy in women receiving different treatments to deal with its adverse effects. Finally, we will reveal the impact of physical activity in the enhancement of quality of life of these patients, to conclude the central role that exercise must occupy in breast cancer management, in an adequate context of a healthy lifestyle.

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“…Finally, oncology clinicians should assess patients' preferences for other evidence-based, nonpharmacological insomnia treatments (eg, acupuncture, yoga, physical activity) and offer referrals to trained providers in their cancer center or surrounding community. 10,11 The impact of insomnia can be subtle, and the condition is also common in the general population; thus, oncologists may not address this problem with the same diligence applied to other aspects of cancer care. We look forward to clinical oncology recognizing the needs and preferences of cancer survivors with regard to insomnia treatment.…”

mentioning

confidence: 99%