One-Year Outcomes of a Behavioral Therapy Intervention Trial on Sleep Quality and Cancer-Related Fatigue

Abstract

The BT group, on average, experienced significant improvement on global sleep quality compared with the HEC group, but not on objective sleep or fatigue outcomes.

Characteristics and correlates of sleep disturbances in cancer patients

“…Only 4% of participants received radiation, so the last result should be interpreted with caution. Contrary to prior findings with cancer patients, poorer overall sleep was associated with less education not more [6], and there were no significant relationships between overall sleep and cancer type [1,2,9] or age [1,2,8]. The lack of relationships may reflect the overriding effect of psychological distress in anticipation of the start of chemotherapy [39].…”

“…Sleep disturbances is a general term used for symptoms or perceptions of poor sleep [5]. Although numerous studies have been conducted of sleep disturbances among cancer patients [1][2][3][4][6][7][8][9], few have focused on the period before chemotherapy [10][11][12].…”

Evaluation of the PHQ-9 Item 3 as a Screen for Sleep Disturbance in Primary Care

“…Sleep interventions are effective in both improving sleep in primary insomnia patients, 3,13,45 as well as in patients who are experiencing insomnia and other sleep disturbances comorbid with other disorders. [46][47][48][49][50] Furthermore, preliminary studies suggest that improving sleep quality may also improve symptoms of other physical and mental health disorders associated with insomnia, [51][52][53] further emphasizing the importance of identifying and treating this, and potentially other common sleep disturbances.…”

‘CBT-I in Cancer: We Know It Works, so Why Are We Waiting?’

“…This study established that video-based self-help materials can have significant benefits in resolving symptoms of insomnia associated with cancer [45•], albeit that outcomes for remission rates and relapse rates (for insomnia) were poorer in the videobased treatment group than a comparison face-to-face group. Ritterberg et al (2012) also found evidence of efficacy in the use of their internet-based therapy, to an extent that matched those found in studies of face-to-face delivered therapy with cancer survivors [32]. Although it is acknowledged that aspects of direct treatment (in particular, the therapeutic relationship) may be difficult to recreate in distance methods, the accessibility and cost benefits of such models should not be discounted.…”

“…The composition of these interventions typically involves a series of treatment sessions, with material that covers the same areas as would be provided in face-to-face treatment. The difference in these cases is that treatment is delivered at distance, either through video-recorded sessions [47] or through online sessions [32]. In Savard et al's (2014) study, the opportunity for telephone contact with a therapist was available but somewhat surprisingly only a limited number (8 %) of participants chose to do this.…”