دورية أكاديمية
أعرض في EDS

Symptoms and survivorship needs differences between "good sleepers" and "bad sleepers" in survivors of breast and gynecologic cancers.

التفاصيل البيبلوغرافية
العنوان: Symptoms and survivorship needs differences between "good sleepers" and "bad sleepers" in survivors of breast and gynecologic cancers.
المؤلفون: Palesh O; Department of Psychiatry, Massey Cancer Center, Virginia Commonwealth University, United States. Electronic address: oxana.palesh@vcuhealth.org., Tolby LT; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, United States., Hofmeister EN; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, United States., Fisher S; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, United States., Solomon NL; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, United States., Sackeyfio S; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, United States., Berek JS; Stanford Cancer Institute, Stanford University School of Medicine, United States., Kurian AW; Stanford Cancer Institute, Stanford University School of Medicine, United States., Cassidy-Eagle E; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, United States., Schapira L; Stanford Cancer Institute, Stanford University School of Medicine, United States.
المصدر: Sleep medicine [Sleep Med] 2022 Dec; Vol. 100, pp. 49-55. Date of Electronic Publication: 2022 Jul 10.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 100898759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-5506 (Electronic) Linking ISSN: 13899457 NLM ISO Abbreviation: Sleep Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam ; New York : Elsevier Science, c2000-
مواضيع طبية MeSH: Sleep Initiation and Maintenance Disorders* , Breast Neoplasms*, Female ; Humans ; Quality of Life ; Survivorship ; Survivors/psychology ; Surveys and Questionnaires
مستخلص: Introduction: Although 80% of cancer survivors report symptoms of insomnia, only 28-43% meet DSM-5 criteria for this diagnosis. We sought to characterize the association between patient-reported insomnia symptoms, patient outcomes, and supportive care variables, as well as explore clinically meaningful insomnia thresholds in a sample of women diagnosed with breast and gynecologic cancers.
Methods: From July 2018-March 2019, all breast and gynecologic cancer survivors seen at the Stanford Women's Cancer Center were approached and invited to participate in the study (15% declined). Of those who consented, 273 survivors completed an online survey related to their sleep (ISI), quality of life (FACT-G), distress (PHQ-4), supportive care needs (SCNS-SF34), and symptom severity (MDASI). Survivors who scored <8 on ISI were categorized as "good sleepers," survivors with ISI ≥8 were categorized as "bad sleepers."
Results: 126 (46.2%) of survivors were "good sleepers," 147 (53.8%) were "bad sleepers." Good sleepers were older than bad sleepers (p < .05) but did not differ in any other demographic or any medical variables. Using hierarchical linear regression models, we found that good sleep (ISI <8) was associated with higher quality of life, lower psychological distress, increased social support, lower symptom severity, and lower supportive care needs, after accounting for demographic, medical, and treatment variables. The findings were largely replicated with an ISI cut off of 15.
Conclusions: Among women treated for breast and gynecologic cancers, survivors who were good sleepers had better psychosocial outcomes, fewer supportive care needs, and lower symptom severity compared to those who reported insomnia symptoms. Results also indicate that degree of sleep impairment, whether mild or severe, has similarly poor associations with most aspects of patient functioning and symptomatic burden. Further research is needed to determine causality of these findings.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
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معلومات مُعتمدة: R01 CA181659 United States CA NCI NIH HHS; R01 CA239714 United States CA NCI NIH HHS; UL1 TR001085 United States TR NCATS NIH HHS
فهرسة مساهمة: Keywords: Breast cancer; Good sleepers; Gynecologic cancer; Insomnia; Survivorship needs
تواريخ الأحداث: Date Created: 20220825 Date Completed: 20221114 Latest Revision: 20240314
رمز التحديث: 20240314
مُعرف محوري في PubMed: PMC10931244
DOI: 10.1016/j.sleep.2022.07.002
PMID: 36007431
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-5506
DOI:10.1016/j.sleep.2022.07.002