The Influence of Sleep Disturbance and Cognitive Emotion Regulation Strategies on Depressive Symptoms in Breast Cancer Patients

Abstract

Background and ObjectiveaaDepression and insomnia are highly prevalent and important distressing symptoms in breast cancer patients. And also, strategies to assist with cognitive emotions are important to help them cope with the stress of the disease. This study aimed to investigate the effects of sleep disturbance and these coping strategies on depressive symptoms in breast cancer patients. MethodsaaWe retrospectively reviewed the medical records of 119 breast cancer patients. Psychiatric assessments were done using Patient Health Questionnaire-9 (PHQ-9), Insomnia Severity Index (ISI), state subcategory of State and Trait Anxiety Inventory (STAI-S), Cancer-related Dysfunctional Beliefs about Sleep (C-DBS), Fear of Progression (FoP), and Cognitive Emotion Regulation Questionnaire (CERQ). ResultsaaSignificant differences in the ISI, C-DBS, FoP, and in the regulation strategies of CERQ, were observed between depressed (PHQ-9 ≥ 10, n = 60) and non-depressed patient groups (PHQ-9 < 10, n = 59, p < 0.05). The PHQ-9 score correlated with the ISI, C-DBS, and FoP scores. All maladaptive strategies except blaming others were positively, and most adaptive strategies other than a refocus on planning were negatively correlated with PHQ-9 score (p < 0.01). Linear regression analysis revealed that breast cancer patient depression was predicted by high ISI score, high FoP score, and lower acceptance and higher catastrophizing item scores. ConclusionsaaCancer patient depression is associated with insomnia and the cognitive emotion regulation strategies used during their care. Discussions with these patients regarding coping strategies and sleep better will help to improve depressive symptoms.

Impacto de la regulación emocional, el dolor psicológico y el apoyo social en la calidad de vida relacionada con la salud de pacientes con cáncer: una revisión sistemática

“…Para ello se consideraron los estudios publicados en los últimos 6 años, así como las investigaciones que incluyeron muestras de pacientes con diversos tipos de cáncer. Los resultados revelaron que la población femenina con cáncer de mama es la más estudiada, en la cual las estrategias de regulación emocional desadaptativas juegan un papel importante en la aparición de otros síntomas (ansiedad o depresión), repercutiendo a su vez en el nivel de la calidad de vida relacionada con la salud (Lee et al, 2019). Por otro lado, el dolor también genera un impacto negativo en la mejora de la calidad de vida relacionada con la salud (Abu et al, 2017).…”

“…ISN 2707-2207/ISSN 2707-2215 (en línea), enero-febrero, 2023, Volumen 7, Número 1 p 5478 reevaluación (Peh et al, 2017) y la reconstrucción cognitiva (Babore et al, 2019;Bahrami et al, 2017), así mismo se identificó que las estrategias de regulación emocional les permiten a los pacientes afrontar el proceso de enfermedad y evitar desarrollar estrés, ansiedad, depresión, etc. (Babore et al, 2019;Lee et al, 2019).…”

Fear of cancer recurrence in breast cancer: A moderated serial mediation analysis of a prospective international study.

“…Research in the field of psychosocial-oncology has demonstrated a link between cognitive-emotion regulation and mental health (Garnefski & Kraaij, 2006;Sloan et al, 2017), as well as FCR. Recent studies among BC patients have found a significant, direct (Lee et al, 2019), and indirect link (i.e., mediated through personality traits, illness perception, and psychological well-being) between the use of negative cognitive-emotion regulation and greater FCR (Hosseini et al, 2023a(Hosseini et al, , 2023b. However, other studies failed to find associations between negative cognitive-emotion regulation with a reduction in FCR levels from before to after radiation therapy (Guimond et al, 2019).…”

Targeting emotional regulation using an Internet‐delivered psychological intervention for cancer survivors: A randomized controlled trial

“…emotion regulation) influence the trajectories of their emotional distress and adaptation (Conley et al, 2016). Multiple studies in cancer populations (Baziliansky & Cohen, 2021; Boyle et al, 2017; Guimond et al, 2019; Hoyt et al, 2017; Lee et al, 2019; Manne et al, 2019; Marroquín et al, 2016; Wang et al, 2014) show that the use of more approach‐oriented (e.g. cognitively reappraising negative thoughts, emotion‐based acceptance, emotional expression) and less avoidance‐oriented (e.g.…”