Insomnia in cancer patients

Silberfarb, Peter M.; Hauri, Peter; Oxman, Thomas E.; Lash, Stephanie

doi:10.1016/0277-9536(85)90340-5

Cited by 37 publications

(19 citation statements)

References 5 publications

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“…The reported types of sleep disorders [15,22,24,31,36,48] were characterised by multiple awakenings during the night (from 76% to 90%), sleeping fewer hours than normal (from 84% to 85%), trouble getting back to sleep (from 35% to 75%), trouble falling asleep (sleep latency) (44%) and day-time dysfunction (37%). Davidson et al [15] found that 59% of their patients had a combination of these problems.…”

Section: Insomnia In Cancer Patientsmentioning

confidence: 98%

Sleep management training for cancer patients with insomnia

Simeit¹,

Deck

Conta-Marx³

2004

Supportive Care in Cancer

120

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Insomnia is a common phenomenon in cancer patients; nevertheless, there are only a few intervention results published covering this topic. We examined the effects of a multi-modal psychological sleep management programme combining relaxation techniques, sleep hygiene, cognitive techniques and advice in stimulus control technique on various sleep and quality-of-life variables. We compared two intervention groups up to 6 months after treatment, one with progressive muscle relaxation (n=80), the other with autogenic training (n=71). A control group (n=78) received only a standard rehabilitation programme. It was a heterogeneous sample of adult patients (mean age 58 years) predominantly with breast, kidney or prostate cancer staying for 3 or 4 weeks in an oncological rehabilitation clinic. In comparison to the control group, the analysis of variance for repeated measures (R-MANOVA) showed significant improvements over time, indicating that intervention group participants benefited with moderate- or large-scale effects on sleep latency (p<0.001), sleep duration (p<0.001), sleep efficiency (p<0.001), sleep quality (p<0.001), sleep medication (p<0.05) and daytime dysfunction (p<0.05). In quality-of-life subscales, there was mainly improvement over time. This may indicate a benefit of the rehabilitation treatment in general. No evidence was found for any differences between the two intervention groups. The results suggest that the use of a multi-modal psychological sleep intervention could enhance various sleep parameters and well being of patients. The efficacy on quality of life is still under review.

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Section: Insomnia In Cancer Patientsmentioning

confidence: 98%

Sleep management training for cancer patients with insomnia

Simeit¹,

Deck

Conta-Marx³

2004

Supportive Care in Cancer

120

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“…Although sleep disruption is common in these patients, it has been a neglected problem. This is partly because it has been seen as a normal and transient reaction to cancer and cancer treatment, and partly because of the underreporting of sleep disturbances by patients [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Cancer-Related Fatigue and Sleep Disorders

et al. 2007

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Sleep disorders, such as difficulty falling asleep, problems maintaining sleep, poor sleep efficiency, early awakening, and excessive daytime sleepiness, are prevalent in patients with cancer. Such problems can become chronic in some patients, persisting for many months or years after completion of cancer therapy. For patients with cancer, sleep is potentially affected by a variety of factors, including the biochemical changes associated with the process of neoplastic growth and anticancer treatments, and symptoms that frequently accompany cancer, such as pain, fatigue, and depression.Fatigue is highly prevalent and persistent in patients with cancer and cancer survivors. Although cancerrelated fatigue and cancer-related sleep disorders are distinct, a strong interrelationship exists between these symptoms, and a strong possibility exists that they may be reciprocally related. The majority of studies that have assessed both sleep and fatigue in patients with cancer provide evidence supporting a strong correlation between cancer-related fatigue and various sleep parameters, including poor sleep quality, disrupted initiation and maintenance of sleep, nighttime awakening, restless sleep, and excessive daytime sleepiness. This paper reviews the data from these studies with a view toward suggesting further research that could advance our scientific understanding both of potential interrelationships between sleep disturbance and cancer-related fatigue and of clinical interventions to help with both fatigue and sleep disturbance. The Oncologist 2007;12(suppl 1): [35][36][37][38][39][40][41][42]

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“…Tiredness can also result from insomnia, which is a common problem of cancer patients (McCorkle & Quint, 1983;Cannici et al, 1983;Kaye et al, 1983;Silberfarb et al, 1985). Among other things, difficulty getting to sleep and difficulty staying asleep might result from pain.…”

mentioning

confidence: 99%

Fatigue in cancer patients

Smets

Garssen²,

Schuster-Uitterhoeve³

et al. 1993

Br J Cancer

270

139

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(Cristensen, 1989).To date there are few studies which systematically register how many cancer patients experience fatigue, in which stage of the disease process and to what extent. To give an indication, a literature-search using MEDLINE with CD-ROM over the period 1980 to 1991 yielded nine references in which 'fatigue' was included in the title and 'cancer' was included in title, keyword or abstract. Eight of these references pertained to nursing research.An appraisal of the research literature concerning fatigue in cancer is presented in this paper to give an overview of what is currently known. Literature, other than obtained using the MEDLINE-procedure, was gathered either by searching for studies in which fatigue was assessed as part of patient functioning or through references of the papers obtained. This procedure does evidently not lead to an exhaustive list of all the studies which included fatigue as an outcome-variable. However, we think to have obtained a representative sample. Topics that will be discussed are: the conceptualisation of fatigue and its measurement, prevalence rates of fatigue during and after treatment and somatic and psychological correlates of fatigue. Finally, considerations with regard to research and interventions will be discussed.

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Insomnia in cancer patients

Cited by 37 publications

References 5 publications

Sleep management training for cancer patients with insomnia

Sleep management training for cancer patients with insomnia

Cancer-Related Fatigue and Sleep Disorders

Fatigue in cancer patients

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