Sleep-Wake Disturbance: A Systematic Review of Evidence-Based Interventions for Management in Patients With Cancer

Matthews, Ellyn E.; Carter, Patricia; Page, Margaretta; Dean, Grace E.; Berger, Ann M.

doi:10.1188/18.cjon.37-52

Cited by 33 publications

(26 citation statements)

References 112 publications

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“…The results of this study showed that the Internet-based self-management intervention was more effective than general care program in improving sleep quality among cancer patients with fatigue, which was consistent with Matthews et al 36 Trudel-Fitzgerald et al 37 survey showed that the most common symptom of breast cancer patients was insomnia, which was closely related to CRF. About 73.5% of breast cancer patients were experiencing insomnia problems with different severity and frequency, and some patients even were troubled by sleep-related distress.…”

Section: Discussionsupporting

confidence: 88%

The effectiveness of the Internet-based self-management program for cancer-related fatigue patients: a systematic review and meta-analysis

Huang

Yang

Wei³

et al. 2019

Clin Rehabil

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Objective: To systematically investigate how fatigue, depression, anxiety, sleep quality, and life quality are influenced by the Internet-based self-management program (IBSMP) among cancer patients. Data sources: Eight databases (Cochrane Library, Ovid, Web of Science, Medline, Embase, Chinese biomedical database (CBM), China National Knowledge Infrastructure (CNKI), and Wanfang) were systematically searched from inception to January 2019. Methods: The aim of this study is to identify randomized controlled trials (RCTs) associated with the IBSMP among cancer-related fatigue (CRF) patients. Two reviewers independently screened 1128 records and selected 13 articles, including 1603 patients for inclusion. The quality of the evidence was assessed at the study level and at the outcome level. Results: The meta-analysis showed that the IBSMP was effective for ameliorating fatigue and related symptoms among cancer survivors (the Brief Fatigue Index, relative risk = 0.74, 95% confidence interval (CI; 0.69, 0.79), P < 0.01; the Cancer Fatigue Scale or the Multidimension Fatigue Scale, weighted mean difference = −10.15, 95% CI (−11.42, −8.89), P < 0.01; the Self-rating Anxiety scale, relative risk = 1.07, 95% CI (0.55, 2.05), P < 0.01; the Self-rating Depression scale, relative risk = 0.70, 95% CI (0.60, 0.81), P < 0.01; the Pittsburgh Sleep Quality Index, relative risk = 0.46, 95% CI (0.33, 0.62), P < 0.01; and the Function Assessment of Cancer Therapy—General scale or the Function Assessment of Cancer Therapy—Breast, weighted mean difference = 13.76, 95% CI (3.38, 24.14), P < 0.01.) Conclusion: This meta-analysis demonstrates that the IBSMP, as one of the rehabilitation forms, can reduce the incidence of fatigue, depression, and anxiety and improve sleep quality and life quality among CRF patients.

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Section: Discussionsupporting

confidence: 88%

The effectiveness of the Internet-based self-management program for cancer-related fatigue patients: a systematic review and meta-analysis

Huang

Yang

Wei³

et al. 2019

Clin Rehabil

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“…Interventions to improve poor sleep in BC patients have been developed and tested for use when sleep is the primary or only symptom [25]. Meta-analysis results provide a strong quality of evidence and large effect sizes for the use of cognitive behavior therapy (CBT) in cancer survivors [44].…”

Section: Discussionmentioning

confidence: 99%

“…The National Comprehensive Cancer Network (NCCN) Guidelines for Cancer-Related Fatigue [45] and Survivorship [46] recommend a personalized physical activity/exercise program for patients during and after treatment. Likewise, the Oncology Nursing Society Putting Evidence into Practice (ONS-PEP) resource rates CBT as "Recommended for Practice" and physical activity/exercise as "Likely to be Effective" to reduce poor sleep [25].…”

Section: Discussionmentioning

confidence: 99%

“…Empirical evidence recently has established that adult patients with cancer who engage in physical activity/exercise report better sleep quality [23,24]. A recent systematic review concluded that aerobic exercise positively affects sleep outcomes in women with BC [25]. Lower mental health is the most consistent risk factor for poor sleep on PSQI.…”

Section: Introductionmentioning

confidence: 99%

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Breast Cancer Collaborative Registry informs understanding of factors predicting sleep quality

Berger

Kupzyk

Djalilova

et al. 2018

Support Care Cancer

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“…Two interventions which may have promise for treating sleep disturbance are exercise 20 and cognitive behavioral therapy 51 .…”

Section: The Mismatch Between Subjective and Objective Measures Of Sleepmentioning

confidence: 99%

The Relationship between Fatigue and Actigraphy-Derived Sleep and Rest-Activity Patterns in Cancer Survivors

Martin¹,

Twomey²,

Medysky³

et al. 2019

Preprint

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Background: Cancer-related fatigue can continue long after curative cancer treatment. The aim of this study was to investigate sleep and rest-activity cycles in fatigued and non-fatigued cancer survivors. We hypothesized that sleep and rest-activity cycles would be more disturbed in people experiencing clinically-relevant fatigue, and that objective measures of sleep would be associated with the severity of fatigue in cancer survivors.Methods: Cancer survivors (n=87) completed a 14-day wrist actigraphy measurement for the estimation of sleep and rest-activity cycles. Fatigue was measured using the Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F). Participants were dichotomised into two groups using a previously validated score (fatigued n=51 and non-fatigued n=36). Perception of sleep was measured using the Insomnia Severity Index (ISI).Results: FACIT-F score was correlated with wake after sleep onset (r =-0.28; p = 0.010), sleep efficiency (r=0.26; p=0.016), sleep onset latency (r=-0.31; p=0.044) and ISI score (r=-0.56; p <0.001). The relative amplitude of the rest-activity cycles was lower in the fatigued vs. non-fatigued group (p=0.017; d=0.58). Conclusions: After treatment for cancer, the severity of cancer-related fatigue is correlated with specific objective measures of sleep, and there is evidence of rest-activity cycle disruption in people experiencing clinically-relevant fatigue.

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Sleep-Wake Disturbance: A Systematic Review of Evidence-Based Interventions for Management in Patients With Cancer

Cited by 33 publications

References 112 publications

The effectiveness of the Internet-based self-management program for cancer-related fatigue patients: a systematic review and meta-analysis

The effectiveness of the Internet-based self-management program for cancer-related fatigue patients: a systematic review and meta-analysis

Breast Cancer Collaborative Registry informs understanding of factors predicting sleep quality

The Relationship between Fatigue and Actigraphy-Derived Sleep and Rest-Activity Patterns in Cancer Survivors

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