Sleep status of cervical cancer patients and predictors of poor sleep quality during adjuvant therapy

Abstract

The prevalence of poor sleep quality in stages I and II cervical cancer patients was approximately twice than that of women in the communities. Cancer treatment considerably affected sleep quality. Psychological distress, depression, anxiety, and high grade of CIPN during adjuvant therapy were factors associated with poor sleep quality. Exercise during adjuvant therapy could reduce the risk of poor sleep quality.

Sleep quality and its association with fatigue, symptom burden, and mood in patients with advanced cancer in a clinic for early‐phase oncology clinical trials

“…1 The incidence of global PSQI scores > 5 in the current study (64%) was higher than corresponding estimates of poor sleepers in a previous study of patients with cervical cancer before treatment (52.6%) but comparable to the estimates in that study of cervical cancer patients after treatment (64.5%) 19 and to estimates seen in a study of patients with early-stage breast cancer whose sleep quality was measured immediately after completion (within the previous 3 months) of their primary treatment (surgery, radiation, and/or chemotherapy). 1 The incidence of global PSQI scores > 5 in the current study (64%) was higher than corresponding estimates of poor sleepers in a previous study of patients with cervical cancer before treatment (52.6%) but comparable to the estimates in that study of cervical cancer patients after treatment (64.5%) 19 and to estimates seen in a study of patients with early-stage breast cancer whose sleep quality was measured immediately after completion (within the previous 3 months) of their primary treatment (surgery, radiation, and/or chemotherapy).…”

Sleep Quality of Patients with Differentiated Thyroid Cancer

“…It has already been documented that the level of sleep disturbance was significantly elevated at the initiation of radiotherapy or chemotherapy, and maintained elevated over the course of these adjuvant therapies as patients experienced adverse effects of the treatments [12, 15, 18, 19]. It was reported that treatment-induced side effects could lead to anxiety and depression, which affected patients’ sleep qualities [4, 12].…”

“…It was reported that treatment-induced side effects could lead to anxiety and depression, which affected patients’ sleep qualities [4, 12]. On the one hand, tumor and anti-tumor treatments both increase the production of pro-inflammatory cytokines, which in turn act on the central nervous system and alter rest-activity rhythms and negatively affect sleep [20, 21].…”

“…On the other hand, it is also important to keep in mind that psychological fear and worry about these adjuvant therapies could also increase the chances of sleep disturbance. For instance, Tian et al [12] investigated sleep status of cervical cancer patients during adjuvant therapy. They showed that prevalence rate of poor sleep quality was 52.63% for patients before adjuvant therapy, and 64.50% for patients after adjuvant therapy, the latter was significantly higher than the former.…”

Dyadic associations between psychological distress and sleep disturbance among Chinese patients with cancer and their spouses

“…A meta‐analysis study showed that 19%‐27% of patients with cancer reported anxiety and 13%‐25% of patients presented depression . About two‐thirds (67%) of patients with cancer experienced insomnia, and the prevalence of poor sleep quality in patients was twice that of a community sample . In addition, patients' levels of anxiety and depression were associated with poor sleep quality .…”