دورية أكاديمية
أعرض في EDS

Mechanisms of sleep disturbances in long-term cancer survivors: a childhood cancer survivor study report.

التفاصيل البيبلوغرافية
العنوان: Mechanisms of sleep disturbances in long-term cancer survivors: a childhood cancer survivor study report.
المؤلفون: Daniel LC; Department of Psychology, Rutgers University Camden, Camden, NJ, USA., Wang H; Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA., Brinkman TM; Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.; Department of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA., Ruble K; Department of Oncology, Johns Hopkins University, Baltimore, MD, USA., Zhou ES; Division of Sleep Medicine and Department of Psychiatry, Harvard Medical School, Boston, MA, USA.; Department of Pediatrics, Dana Farber Cancer Institute, Boston, MA, USA., Palesh O; Department of Psychiatry, Virginia Commonwealth University Massey Cancer Center, Richmond, VA, USA., Stremler R; Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada., Howell R; Department of Radiation Physics, MD Anderson, Houston, TX, USA., Mulrooney DA; Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.; Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA., Crabtree VM; Department of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA., Mostoufi-Moab S; Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Department of Pediatrics, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA., Oeffinger K; Department of Medicine, Duke University and Duke Cancer Institute, Durham, NC, USA., Neglia J; Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA., Yasui Y; Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA., Armstrong GT; Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.; Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA., Krull K; Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.; Department of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
المصدر: JNCI cancer spectrum [JNCI Cancer Spectr] 2024 Feb 29; Vol. 8 (2).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: England NLM ID: 101721827 Publication Model: Print Cited Medium: Internet ISSN: 2515-5091 (Electronic) Linking ISSN: 25155091 NLM ISO Abbreviation: JNCI Cancer Spectr Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Oxford University Press, [2017]-
مواضيع طبية MeSH: Cancer Survivors* , Neoplasms*/therapy , Sleep Wake Disorders*/complications , Sleep Wake Disorders*/epidemiology , Sleep Wake Disorders*/psychology, Humans ; Child ; Female ; Adult ; Male ; Quality of Life/psychology ; Chronic Disease ; Sleep
مستخلص: Background: Sleep problems following childhood cancer treatment may persist into adulthood, exacerbating cancer-related late effects and putting survivors at risk for poor physical and psychosocial functioning. This study examines sleep in long-term survivors and their siblings to identify risk factors and disease correlates.
Methods: Childhood cancer survivors (≥5 years from diagnosis; n = 12 340; 51.5% female; mean [SD] age = 39.4 [9.6] years) and siblings (n = 2395; 57.1% female; age = 44.6 [10.5] years) participating in the Childhood Cancer Survivor Study completed the Pittsburgh Sleep Quality Index (PSQI). Multivariable Poisson-error generalized estimating equation compared prevalence of binary sleep outcomes between survivors and siblings and evaluated cancer history and chronic health conditions (CHC) for associations with sleep outcomes, adjusting for age (at diagnosis and current), sex, race/ethnicity, and body mass index.
Results: Survivors were more likely to report clinically elevated composite PSQI scores (>5; 45.1% vs 40.0%, adjusted prevalence ratio [PR] = 1.20, 95% CI = 1.13 to 1.27), symptoms of insomnia (38.8% vs 32.0%, PR = 1.26, 95% CI = 1.18 to 1.35), snoring (18.0% vs 17.4%, PR = 1.11, 95% CI = 1.01 to 1.23), and sleep medication use (13.2% vs 11.5%, PR = 1.28, 95% CI = 1.12 to 1.45) compared with siblings. Within cancer survivors, PSQI scores were similar across diagnoses. Anthracycline exposure (PR = 1.13, 95% CI = 1.03 to 1.25), abdominal radiation (PR = 1.16, 95% CI = 1.04 to 1.29), and increasing CHC burden were associated with elevated PSQI scores (PRs = 1.21-1.48).
Conclusions: Among survivors, sleep problems were more closely related to CHC than diagnosis or treatment history, although longitudinal research is needed to determine the direction of this association. Frequent sleep-promoting medication use suggests interest in managing sleep problems; behavioral sleep intervention is advised for long-term management.
(© The Author(s) 2024. Published by Oxford University Press.)
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معلومات مُعتمدة: P30 CA021765 United States CA NCI NIH HHS; U24 CA055727 United States CA NCI NIH HHS; CA55727 United States CA NCI NIH HHS
تواريخ الأحداث: Date Created: 20240217 Date Completed: 20240314 Latest Revision: 20240331
رمز التحديث: 20240331
مُعرف محوري في PubMed: PMC10932943
DOI: 10.1093/jncics/pkae010
PMID: 38366608
قاعدة البيانات: MEDLINE
الوصف
تدمد:2515-5091
DOI:10.1093/jncics/pkae010