Behavioral therapy intervention trial to improve sleep quality and cancer‐related fatigue

Berger, Ann M.; Kuhn, Brett R.; Farr, Lynne; Lynch, James C.; Agrawal, Sangeeta; Chamberlain, Julie; Essen, Susanna G. Von

doi:10.1002/pon.1438

Cited by 143 publications

(179 citation statements)

References 52 publications

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“…In the studies selected for this review, the most common instrument used for data collection was the Pittsburgh Sleep Quality Index (PSQI) in 9 studies [2-4, 6, 9, 10, 14-17, 19-22, 24, 25], followed by actigraphy in 7 studies [6,17,18,22,[25][26][27] , sleep diaries in 6 studies [6,17,18,22,[25][26][27] and general questions in 1 study [15].…”

Section: Resultsmentioning

confidence: 99%

“…Studies using the PSQI documented poor sleep quality for 65% to 70% of the participants [4,28] and, actigraphy verified that up to 87% of the sample had an excessive number of awakenings.13Moreover, sleep diary records identified that difficulty maintaining sleep was evident by the higher than normal (2-6) number of awakenings per night (6)(7)(8)(9)(10)(11)(12) [27].…”

Section: How Is the Sleep Quality In Women With Breast Cancer?mentioning

confidence: 99%

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Sleep Quality in Women with Breast Cancer: An Integrative Review

Mansano-Schlosser

Ceolim²,

Valerio³

2016

Int Arch Med

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Background: Sleep disturbances are a chronic and challenging problem in cancer patients, often associated with multiple factors such as depression, anxiety, fatigue and pain. Aim:The purpose of this integrative review is to evaluate the literature on sleep quality in women with breast cancer and the influence that poor sleep quality has on health. Results: Findings support the presence of poor sleep quality in many women with breast cancer, before, during and after treatment associated with health issues. Methods: Conclusions:Sleep disruptions are associated with breast cancer in woman, and affects their overall health. It is essential for nurses to identify sleep disorders and their impact on the health and quality of life of women with breast cancer. A deeper understanding of sleep quality in women with breast cancer can increase cancer nurses' skill in caring for their patients.

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Section: Resultsmentioning

confidence: 99%

Section: How Is the Sleep Quality In Women With Breast Cancer?mentioning

confidence: 99%

Sleep Quality in Women with Breast Cancer: An Integrative Review

Mansano-Schlosser

Ceolim²,

Valerio³

2016

Int Arch Med

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“…CBT interventions also had a positive effect on daytime fatigue, at least in the short term [57] . However, the majority of these studies have been undertaken among women with localised breast cancer [55,56,58] . Three randomised controlled trials (RCT) investigating the effect of CBT on insomnia included men with prostate cancer.…”

Section: Management Of Insomnia Among Men With Prostate Cancermentioning

confidence: 99%

“…Behavioural therapy in the form of individualised sleep plans, stimulus control, relaxation training and sleep restriction have been used to manage insomnia in cancer populations [55] . However, cognitive behavioural therapy (CBT) aimed at changing beliefs and attitudes about insomnia in conjunction with behavioural therapy, is considered the gold standard, non-pharmaceutical management of insomnia.…”

Section: Management Of Insomnia Among Men With Prostate Cancermentioning

confidence: 99%

Are we sleeping on the job? Insomnia among men with prostate cancer

Drummond

2016

Adv Mod Oncol Res

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Prostate cancer is one of the most commonly diagnosed cancers in men and almost half of male cancer survivors in the US have had a prostate cancer diagnosis. Insomnia is common among cancer patients and survivors. There is evidence that cognitive behavioural therapy can be used to effectively manage insomnia among women with breast cancer. The aim of this review was to investigate the prevalence, risk factors and management of insomnia among men with prostate cancer. The effect of insomnia on the psychological health and health-related quality of life of these patients and/or survivors is also discussed. Increased awareness and knowledge of this symptom among men with prostate cancer may facilitate improved diagnosis, and management of insomnia in this large population. This in turn may improve the health-related quality of life of these men. Therefore, research into the effective management of insomnia among men with prostate cancer is essential.Keywords: prostate cancer; insomnia; androgen deprivation therapy; radiotherapy; health-related quality of life; depression; anxiety

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“…6 The best available evidence for therapeutic effects on CRF in breast cancer patients exists for aerobic training, followed by sleep hygiene, sleep restriction, stimulus control, behaviour treatment, 10,11 and other modes of cognitive behaviour therapy. 12 Pharmacological therapies (apart from transfusion in the case of anemia) such as the use of erythropoietin are controversial because of a 17% elevated mortality risk.…”

Section: Introductionmentioning

confidence: 99%

Multimodal Therapy Concept and Aerobic Training in Breast Cancer Patients With Chronic Cancer-Related Fatigue

et al. 2012

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Hypothese: Cancer-related fatigue (CRF) and sleep disorders are some of the most wearing and common symptoms in disease-free breast cancer patients (BC). Aerobic training (AT) is the treatment with the best available evidence, even though it seems to be insufficient with regards to improvements in cognitive fatigue. We introduced a new multimodal therapy concept (MM) consisting of psycho-, sleep-education and new approaches based on anthroposophic medicine such as eurythmy and painting therapy. Study design: This pilot study will test the implementation of MM and yield first results of the MM and AE in our centres. Methods: 31 out of 34 patients suffering from BC and CRF were fully assessed in a ten-week intervention study. 21 patients chose MM and 10 decided on AT. CRF was measured with the help of the Cancer Fatigue Scale (CFS-D), and the global quality of sleep was measured with the Pittsburgh Sleep Quality Index (PSQI). We also captured autonomic regulation (aR) and patients' satisfaction with questionnaires. Statistical analysis was done with SAS 9.1.3 for windows. Results:The new MM therapy can be implemented with high satisfaction among patients. Significant improvements were found in the MM group with regards to CFS-D, global quality of sleep, sleep efficiency (PSQI), aR and rest/activity regulation compared to baseline (all p<0.05). In the AT group aR orthostatic-circulatory and rest/activity regulation improved significantly (p<0.05), too. However, no improvement in cognitive fatigue was seen in either group. Conclusion: The multimodal therapy concept was feasible and improved cancer fatigue, sleep quality, autonomic and rest-/ activity regulation in breast cancer patients. It may therefore constitute a valuable treatment option in addition to aerobic training for BC patients with CRF. A further study with larger sample size needs to be carried out to assess the efficacy of combined multimodal-aerobic therapy.

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Behavioral therapy intervention trial to improve sleep quality and cancer‐related fatigue

Abstract: The BT group showed improved sleep quality over time and better sleep (diary). Perceptions of improved sleep quality over time are not consistently associated with diary or actigraph, or result in lower fatigue.

Cited by 143 publications

References 52 publications

Sleep Quality in Women with Breast Cancer: An Integrative Review

Sleep Quality in Women with Breast Cancer: An Integrative Review

Are we sleeping on the job? Insomnia among men with prostate cancer

Multimodal Therapy Concept and Aerobic Training in Breast Cancer Patients With Chronic Cancer-Related Fatigue

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