Prevalence and risk factors of sleep disturbances in breast cancersurvivors: systematic review and meta-analyses

Leysen, Laurence; Lahousse, Astrid; Nijs, Jo; Adriaenssens, Nele; Maîresse, Olivier; Ivakhnov, Sergei; Bilterys, Thomas; Looveren, Eveline Van; Pas, Roselien; Beckwée, David

doi:10.1007/s00520-019-04936-5

Cited by 72 publications

(46 citation statements)

References 67 publications

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“…However, the 61.2% of the individuals included in our sample who had sleep problems represented a greater proportion than the average of 40% of breast cancer survivors found to experience such problems by Leysen et al . [ 7 ] In addition, general sleep quality, sleep latency, and sleep disturbance were the main problems reported by the survivors among the seven components in the PSQI. A longitudinal study of sleep quality before, during, and after chemotherapy found much the same.…”

Section: Discussionmentioning

confidence: 99%

“…Pain has been found to be an important risk factor for sleep disturbance in breast cancer survivors. [ 7 ] An earlier study also reported that neuropathic pain could diminish sleep quality. [ 27 ] Similarly, the survivors in our study who suffered from neuropathic pain were more likely than those who did not to develop poor sleep quality.…”

Section: Discussionmentioning

confidence: 99%

“…Breast cancer is the most commonly diagnosed cancer among women worldwide,[ 6 ] and survivors of the disease often experience poor sleep,[ 3 ] with estimates ranging from 14% to 93% of them. [ 7 ] Sleep problems have been reported during various phases of survivorship, including during cancer treatment, after the completion of treatment,[ 8 ] and during long-term follow-up. [ 9 ] In one meta-analyses, breast cancer survivors who were non-Caucasian were found to be more likely to develop sleep problems than those who were Caucasian; additional risk factors for poor sleep included postmenopausal status, pain, emotional distress, fatigue, and hot flashes.…”

Section: Introductionmentioning

confidence: 99%

“…[ 9 ] In one meta-analyses, breast cancer survivors who were non-Caucasian were found to be more likely to develop sleep problems than those who were Caucasian; additional risk factors for poor sleep included postmenopausal status, pain, emotional distress, fatigue, and hot flashes. [ 7 ] A prior systematic review found that breast cancer survivors who received chemotherapy tended to have a poor sleep quality and that sleep problems were more common among breast cancer survivors who did not receive taxane-based chemotherapy than among those who did. [ 10 ]…”

Section: Introductionmentioning

confidence: 99%

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Chemotherapy-Induced Peripheral Neurotoxicity as A Risk Factor for Poor Sleep Quality in Breast Cancer Survivors Treated with Docetaxel

Chan

Jheng

Wang

2021

Asia-Pacific Journal of Oncology Nursing

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Chemotherapy-Induced Peripheral Neurotoxicity as A Risk Factor for Poor Sleep Quality in Breast Cancer Survivors Treated with Docetaxel

Chan

Jheng

Wang

2021

Asia-Pacific Journal of Oncology Nursing

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“…Sleep disturbance is one of the most frequently reported symptoms experienced by individuals affected by cancer, with a prevalence ranging from 14% to 93% [1][2][3]. Cancer-related sleep disturbance is manifested as early morning awakening, trouble falling asleep, and difficulty staying asleep [4].…”

Section: Introductionmentioning

confidence: 99%

Somatic Acupoint Stimulation for Cancer-Related Sleep Disturbance: A Systematic Review of Randomized Controlled Trials

Liu

Cheng

Moss

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Aim. The aim of this systematic review was to analyze and synthesize available evidence for the effects of somatic acupoint stimulation (SAS) on cancer-related sleep disturbance in adults with cancer. Methods. Nine databases and four clinical trial registries were searched from their inception to July 2019 to identify potential articles and registered trials. Two authors independently extracted data and appraised the methodological quality of the included studies. The included studies could not be subjected to meta-analysis due to the significant variations in SAS intervention protocols and outcome measurement instruments. This systematic review therefore reported the results of the included trials narratively. Results. Seven studies were identified, which involved 906 cancer patients. SAS protocols varied across trials without an optimal evidence-based standard intervention protocol to manage cancer-related sleep disturbance. Sanyinjiao (SP6) was the most commonly selected acupoint. Manual acupuncture was typically 15–30 min in duration and was conducted once a day or once a week for a period of 1–5 weeks, whereas self-administered acupressure was typically 1–3 min in duration per point and was conducted once a day, such as during night time before going to bed, for a period of 1–5 months. The results indicated that SAS could potentially relieve cancer-related sleep disturbance and improve quality of life. Mild adverse effects were reported in three of the included studies, but none of them performed a causality analysis to clarify the association between the reported adverse events and the intervention. Conclusions. This systematic review showed that SAS is a useful approach to relieving cancer-related sleep disturbance. However, research evidence on SAS for managing cancer-related sleep disturbance has not been fully conclusive due to the limited number of existing clinical studies with relatively small sample size and suboptimal methodological quality. Clinical trials with large sample size and robust methodology are warranted in future research.

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Influence of sitting behaviors on sleep disturbance and memory impairment in breast cancer survivors

et al. 2020

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BackgroundThe purpose was to prospectively examine the effects of sedentary behaviors on subjective memory impairment in breast cancer survivors (BCS) and the extent to which sleep disturbances mediated this pathway.MethodsBCS (N = 380; Mage = 57.38 ± 9.25 years) completed questionnaires assessing demographics, health history, sitting behaviors, sleep disturbance, subjective memory impairment, and moderate‐to‐vigorous physical activity (MVPA) at baseline and 6‐month follow‐up. A subsample (N = 300) wore an accelerometer to objectively estimate sedentary time and MVPA. Structural equation modeling was used to test direct and indirect effects of self‐reported and objectively estimated sedentary behaviors on memory impairment (through sleep disturbance) across time. Models were adjusted for demographic, clinical, and MVPA covariates.ResultsAt baseline, more total daily sitting (γ = 0.23), occupational sitting (γ = 0.11), television viewing (γ = 0.15), and computer use (γ = 0.22) were associated with greater sleep disturbance, which was associated with greater memory impairment (γ = −0.22). Indirect effects of self‐reported sitting on memory were significant. At follow‐up, increased total daily sitting (γ = 0.08) and computer use (γ = 0.14) predicted increased sleep disturbance, which predicted increased memory impairment (γ = −0.09). The indirect path from increased computer use to memory impairment was significant (β = −0.01). In the accelerometer subsample, greater daily sedentary time at baseline was associated with less sleep disturbance (γ = −0.14) and memory impairment (indirect effect: β = 0.03).ConclusionsFindings provide early evidence that sedentary contexts may differentially influence sleep disturbance and memory impairment in BCS. Computer use and television viewing may pose the strongest risks to cognitive health. Disparate findings between objective and subjective sedentary measures warrant further research.

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Prevalence and risk factors of sleep disturbances in breast cancersurvivors: systematic review and meta-analyses

Cited by 72 publications

References 67 publications

Chemotherapy-Induced Peripheral Neurotoxicity as A Risk Factor for Poor Sleep Quality in Breast Cancer Survivors Treated with Docetaxel

Chemotherapy-Induced Peripheral Neurotoxicity as A Risk Factor for Poor Sleep Quality in Breast Cancer Survivors Treated with Docetaxel

Somatic Acupoint Stimulation for Cancer-Related Sleep Disturbance: A Systematic Review of Randomized Controlled Trials

Influence of sitting behaviors on sleep disturbance and memory impairment in breast cancer survivors

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