Self-Reported Sleep Problems in Adolescent Survivors of Childhood Cancer

Desaulniers, Genevieve A; Riley, Linda; Vangle, Kristen; Gilleland, Jordan; Higgins, Melinda; Wasilewski‐Masker, Karen

doi:10.1188/15.cjon.81-88

Cited by 9 publications

(9 citation statements)

References 64 publications

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“…Among general population adolescents poor sleep quality is attributed to delayed sleep onset, irregular sleep patterns, and poor sleep hygiene behaviours such as use of electronic devices whilst in bed. 9,28 Poor sleep quality observed among TYA cancer patients and survivors within this study reflect existing data from paediatric cancer patients and adult aged CCS [4][5][6]18,29,30 . The difference in global sleep quality was larger between TYA cancer patients and TYAGP (medium effect size=1.34) compared to TYA cancer patients and TYA cancer survivors (medium effect size=0.99).…”

Section: Sample and Health Characteristicssupporting

confidence: 69%

Sleep Quality Among Teenagers and Young Adults With Cancer

et al. 2019

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Background: Teenagers and young adults (TYAs) with cancer are known to suffer poor sleep quality and sleep disturbances; understanding the level of burden is essential to improving patient outcomes via supportive care interventions. Study Objectives: to compare sleep quality and the prevalence of sleep disturbances among TYA cancer patients, TYA survivors and general population TYAs with no history of cancer. Methods: TYA patients receiving active cancer treatment (n=70), TYA cancer survivors (n=151) and general population TYAs (n=324) aged between 13 and 24 years completed the Pittsburgh Sleep Quality Index (PSQI). ANCOVAs were used to investigate potential group differences. Age at survey and diagnosis, gender, ethnicity and health status were included as covariates. Results: 84.29% of TYA patients, 62.91% of TYA cancer survivors, and 65.12% of general population TYAs reported PSQI scores above 5, suggesting clinically significant sleep disorders. TYA patients reported significantly poorer global sleep quality compared to TYA survivors (mean difference=0.99, 95% CI=0.03-1.96, p=0.044) and general population TYAs (mean difference=1.34, 95% CI=0.26-2.41, p=0.009). TYA patients and survivors reported significantly poorer sleep latency (p=0.003 for TYA patients, p=0.035 for TYA survivors off treatment) and habitual sleep efficiency (p0.001 for TYA patients, p=0.014 for TYA survivors) than general population controls. Conclusions: The significant differences observed suggest young people with cancer, particularly those on treatment, may benefit from specialised sleep interventions.Implications for Practice: Efforts to ensure health professionals have the knowledge and skills to provide advice about sleep to young people with cancer are needed.

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Section: Sample and Health Characteristicssupporting

confidence: 69%

Sleep Quality Among Teenagers and Young Adults With Cancer

et al. 2019

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“…[63][64][65][67][68][69][70][71] If left unmanaged, they can yield important work or school performance difficulties, which may lead to significant distress, anxiety, depression, and impaired quality of life. [72][73][74][75][76] In fact, sleeping issues seemed to be key contributors to psychological health: both adolescents and adults in the present study were 2 to 10 times more likely to report anxiety, depression or distress if they had sleeping difficulty. Interestingly, despite similar percentages in reporting vitality/fatigue issues in both age groups, it only seemed to be a key contributor to psychological risk among adults but not among adolescents.…”

Section: Discussionmentioning

confidence: 56%

“…Cancer‐related fatigue and sleep problems (sleep disturbance, sleep quality, and daytime sleepiness) are among the most common late effects following cancer . If left unmanaged, they can yield important work or school performance difficulties, which may lead to significant distress, anxiety, depression, and impaired quality of life . In fact, sleeping issues seemed to be key contributors to psychological health: both adolescents and adults in the present study were 2 to 10 times more likely to report anxiety, depression or distress if they had sleeping difficulty.…”

Section: Discussionmentioning

confidence: 59%

Psychological risk in long‐term survivors of childhood acute lymphoblastic leukemia and its association with functional health status: A PETALE cohort study

Anestin

Lippé

Robaey

et al. 2018

Pediatric Blood & Cancer

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“…Furthermore, it is known that PBT survivors have an elevated risk for sleep difficulties (Gapstur et al, 2009;Rosen and Abbreviations: CBCL, Child Behavior Checklist; CPT-II, Conners Continuous Performance Test, Second Edition; DSF, Digit Span Forward; DSB, Digit Span Backward; PBT, pediatric brain tumor; GAI, general ability index; HRQOL, health-related quality of life; Hit RT, Hit Reaction Time; NPS, Neurological Predictor Scale; SES, socioeconomic status; SCT, sluggish cognitive tempo; WAIS-IV, Wechsler Adult Intelligence Scale-Fourth Edition; WISC-IV/V, Wechsler Intelligence Scale for Children-Fourth Edition/Fifth Edition. Brand, 2011;Nolan et al, 2013;Brimeyer et al, 2016;Desaulniers et al, 2018). Estimates of the prevalence of sleep problems in PBT survivors have ranged from 20 to 82% (Brimeyer et al, 2016;Pilotto et al, 2018;van Kooten et al, 2019), as compared to rates of 12-25% in healthy populations (Melendres et al, 2004;van Litsenburg et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Sleep Disturbance and Its Association With Sluggish Cognitive Tempo and Attention in Pediatric Brain Tumor Survivors

et al. 2022

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BackgroundPediatric brain tumor (PBT) survivors are at risk for developing sleep disturbances. While in other pediatric populations sleep disturbance has been associated with worse cognitive functioning, it is unclear to what extent this relationship generalizes to PBT survivors. The aim of the current study was to assess the relationship between sleep disturbance and aspects of cognition, including sluggish cognitive tempo (SCT) as well as attention and working memory.Materials and MethodsEighty-three PBT survivors 6–18 years of age who were at least 3 months post-treatment were included in the present cross-sectional study. Level of sleep disturbance was measured as a composite score reflecting various sleep problems as rated by caregivers. Cognitive measures included caregiver-ratings of sluggish cognitive tempo and attention problems, as well as performance-based cognitive measures assessing attention and executive functioning. Hierarchical regression analysis was used to assess associations between sleep and cognition.ResultsOf all caregivers, 32.5% reported one or more sleep disturbances as “very/often true” and over 68% of caregivers rated at least one sleep-related item as “somewhat true.” Of all cognitive variables, scores were most frequently impaired for SCT (30%). A higher level of sleep disturbance was associated with worse SCT and parent-rated attention problems. Associations between sleep and performance-based cognitive measures assessing attention and working memory were not statistically significant.ConclusionFindings of the current study highlight the importance of further investigation into the relationship between sleep and cognition in PBT survivors, which may assist efforts to maximize cognitive outcome and health-related quality of life in PBT survivors. The current study additionally suggests further investigation of SCT in this population is warranted, as it may be more sensitive to detecting possible associations with sleep disturbance relative to discrete measures that assess cognitive performance under ideal circumstances.

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Self-Reported Sleep Problems in Adolescent Survivors of Childhood Cancer

Cited by 9 publications

References 64 publications

Sleep Quality Among Teenagers and Young Adults With Cancer

Sleep Quality Among Teenagers and Young Adults With Cancer

Psychological risk in long‐term survivors of childhood acute lymphoblastic leukemia and its association with functional health status: A PETALE cohort study

Sleep Disturbance and Its Association With Sluggish Cognitive Tempo and Attention in Pediatric Brain Tumor Survivors

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