Natural Course of Insomnia Comorbid With Cancer: An 18-Month Longitudinal Study

Abstract

Insomnia is a frequent and enduring problem in patients with cancer, particularly at the syndrome level. Early intervention strategies, such as cognitive-behavioral therapy, could prevent the problem from becoming more severe and chronic.

Short Sleep Duration and Its Correlates among Cancer Survivors in Korea: the Korea National Health and Nutrition Examination Surveys

“…Though the prevalence ranges vary depending on the study characteristics, cancer survivors have consistently reported higher rates of sleep problems compared than the general population (Savard and Morin, 2001;Schultz et al, 2005;Bardwell et al, 2008;Mulrooney et al, 2008;Savard et al, 2011;Zhou and Recklitis, 2014), which parallel with our findings. Notwithstanding the limits of knowledge on the exact mechanism across the cancer trajectory, cancer-related sleep problems covering difficulties initiating or maintaining sleep, dissatisfaction with sleep quality, and/or short sleep duration appear to begin with cancer diagnosis, inducing emotional challenges (i.e., anxiety and distress), and are easily exacerbated during cancer treatments such as chemotherapy, which continue through cancer survivorship (Palesh et al, 2012;Garland et al, 2014).…”

“…Evidence has indicated that sleep complaints primarily characterized by sleep disturbance and insomnia frequently occur among cancer survivors (Savard et al, 2011;Irwin, 2013;Irwin et al, 2013;Garland et al, 2014); yet is these problems are often overlooked in posttreatment care for cancer survivors (Ancoli-Israel, 2009). Though the prevalence ranges vary depending on the study characteristics, cancer survivors have consistently reported higher rates of sleep problems compared than the general population (Savard and Morin, 2001;Schultz et al, 2005;Bardwell et al, 2008;Mulrooney et al, 2008;Savard et al, 2011;Zhou and Recklitis, 2014), which parallel with our findings.…”

“…Other cancer-related somatic symptoms (i.e., fatigue, nausea, and diarrhea), psychological distress, and depression can also interrupt the sleeping patterns in cancer patients (Garland et al, 2014). Furthermore, emerging evidence has indicated that these negative consequences accompanied with cancer diagnosis may persist during long-term survivorship: many of cancer survivors have reported symptoms of insomnia and undergone sleep disturbance more likely than the general population (Savard and Morin, 2001;Schultz et al, 2005;Bardwell et al, 2008;Mulrooney et al, 2008;Savard et al, 2011;Zhou and Recklitis, 2014), which can progress to an increased risk for morbidity and mortality.…”

Are we sleeping on the job? Insomnia among men with prostate cancer

“…A search on PubMed was conducted using the terms ("sleep initiation and maintenance disorders" OR "sle- Findings from multi-cancer site studies, which included men with prostate cancer, were used if they presented prostate cancer-specific information [21,22,[24][25][26] . However, studies that gave only the overall findings were excluded [23,27,28] .…”

“…Insomnia or sleep disturbances among men with prostate cancer has been investigated in both cross-sectional and longitudinal studies (Table 1) [8,14,15,17,18,21,24,25,[42][43][44][45][46][47][48] . Within cross-sectional studies, between 8% and 53% of men with prostate cancer were reported to experience insomnia [15,17,18,21,[42][43][44] .…”