دورية أكاديمية
A qualitative study of sleep in young breast cancer survivors: "No longer able to sleep through the night".
| العنوان: | A qualitative study of sleep in young breast cancer survivors: "No longer able to sleep through the night". |
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| المؤلفون: | Hwang Y; School of Nursing, Yale University, New Haven, USA. youri.hwang@yale.edu., Conley S; Department of Nursing, Mayo Clinic, Rochester, USA., Redeker NS; School of Nursing, University of Connecticut, New Haven, USA., Sanft T; School of Medicine, Yale University, New Haven, USA., Knobf MT; School of Nursing, Yale University, New Haven, USA. |
| المصدر: | Journal of cancer survivorship : research and practice [J Cancer Surviv] 2024 Jun; Vol. 18 (3), pp. 828-835. Date of Electronic Publication: 2023 Jan 21. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 101307557 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1932-2267 (Electronic) Linking ISSN: 19322259 NLM ISO Abbreviation: J Cancer Surviv Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, N.Y. : Springer Science + Business Media, c2007- |
| مواضيع طبية MeSH: | Breast Neoplasms*/psychology , Breast Neoplasms*/complications , Breast Neoplasms*/therapy , Cancer Survivors*/psychology , Sleep Wake Disorders*/etiology , Sleep Wake Disorders*/psychology , Sleep Wake Disorders*/epidemiology , Qualitative Research*, Humans ; Female ; Adult ; Middle Aged ; Sleep Quality ; Quality of Life ; Sleep ; Young Adult |
| مستخلص: | Sleep disturbance is common among women with breast cancer and is associated with greater symptom distress and poorer outcomes. Yet, for the unique subgroup of young women with breast cancer (YWBC), there is limited information on sleep. To address the gap in our understanding of sleep health in YWBC, we explored their perspective on sleep quality, sleep changes over time, contributing factors, and any strategies used to promote sleep. As part of an explanatory sequential mixed method study, we recruited a sub-sample of 35 YWBC (≤ 50 years of age at the time of diagnosis) from the larger quantitative study phase. These participants were within the first 5 years since diagnosis and completed primary and systemic adjuvant therapy. We conducted virtual semi-structured interviews, transcribed them verbatim, and analyzed data with an interpretive description approach. YWBC experience difficulty falling asleep, waking up at night, and not feeling refreshed in the morning. They attributed interrupted sleep to vasomotor symptoms, anxiety/worry, ruminating thoughts, everyday life stressors, and discomfort. The sleep disturbance was most severe during and immediately after treatment but persisted across the 5 years of survivorship. The participants reported trying pharmacologic and non-pharmacologic strategies to improve the quantity and quality of their sleep. Future research would benefit from longitudinal designs to capture temporal changes in sleep and develop interventions to improve sleep health. Clinically, assessment of sleep health is indicated for YWBC related to the prevalence of disturbed sleep. IMPLICATIONS FOR CANCER SURVIVORS: Early access to sleep assessment and management, ideally before cancer treatment, would be beneficial for young breast cancer survivors. In addition, cancer treatment plans should include physical and psychological symptoms, especially those reported by women in this study: vasomotor symptoms, anxiety and worry, discomfort, and pain. (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Breast cancer; Sleep disturbance; Survivorship; Young women with breast cancer |
| تواريخ الأحداث: | Date Created: 20230121 Date Completed: 20240509 Latest Revision: 20240509 |
| رمز التحديث: | 20240510 |
| DOI: | 10.1007/s11764-023-01330-3 |
| PMID: | 36680672 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1932-2267 |
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| DOI: | 10.1007/s11764-023-01330-3 |