Time to Take Sleeping Pills and Subjective Satisfaction among Cancer Patients

Abstract

Objective We investigated the influence of the time to take hypnotics and daytime activity on patient satisfaction with sleeping pills.Methods Ninety-six cancer patients who were currently taking benzodiazepine or z-drug as hypnotics were grouped into satisfied and dissatisfied groups. The subjects’ symptoms, time to take sleeping pills, bedtime, sleep onset time, wake up time, and time in bed within 24 hours (TIB/d) were obtained.Results The satisfied group had significantly late sleeping pill ingestion time (p=0.04); significantly early wake up time (p=0.01); and significantly shorter sleep latency, TIB/d, duration from the administration of pills to sleep onset, and duration from the administration of pills to wake up time (PTW). Logistic regression analysis revealed that the significant predictors of patient satisfaction to hypnotics were less severity of insomnia [odds ratio (OR)=0.91] and the time variables, including late sleeping pill administration time (OR=1.53) and early wake up time (OR=0.57). Among the duration variables, short PTW (OR=0.30) and short TIB/d (OR=0.64) were significantly related with the satisfaction to hypnotics.Conclusion Reducing the duration from the administration of hypnotics to wake up time and TIB/d can influence the satisfaction to sleeping pills.

Discrepancy Between Desired Time in Bed and Desired Total Sleep Time, Insomnia, Depression, and Dysfunctional Beliefs About Sleep Among the General Population

“…Additionally, we proposed to advise patients to take sleeping pills approximately 7 h before their usual getting- out-of-bed time, not 30 min before bedtime, which can lead to confusion regarding the time the pills must be taken for patients to induce short sleep latency. Among cancer patients [ 29 ], we reported that reducing the duration from the sleeping pill ingestion to wake-up time can influence the satisfaction of sleeping pills. Furthermore, we proposed using the sleep in- dex time in bed during a day (TIB/d) as the total TIB during 24 h. This concept is also similar to the concept of DBST in terms of a homeostatic drive (Process S).…”

Reliability and Validity of Dysfunctional Beliefs About Sleep-2 (DBS-2), an Ultra-brief Rating Scale for Assessing Dysfunctional Thoughts About Sleep

“…The DBS-2 scale was derived from the C-DBS scale which was developed to briefly measure cancer-related dysfunctional beliefs about sleep. The C-DBS scale has already been successfully applied to numerous studies on sleep problems of cancer patients [10][11][12]. While applying digital CBT-I using digital therapeutic application to patients with insomnia, brief measure tools are needed to assess insomnia-related symptoms or psychological problems such as depression, anxiety, insomnia severity, and dysfunctional beliefs about sleep.…”

“…It can measure cancer patients' dysfunctional beliefs about sleep. The C-DBS has been successfully applied in previous numerous studies [7][8][9][10][11][12]. It this study, we examined the validity and reliability of a Dysfunctional Beliefs about Sleep-2 items (DBS-2) scale, which was adapted from the C-DBS scale, using two sample groups (a general population and a clinical sample of subjects with insomnia disorder) to explore whether it could be applied as an ultra-brief rating scale for evaluating dysfunctional beliefs about sleep.…”

Changes in Insomnia Severity are Associated With the Changes in Discrepancy Between Desired Time in Bed and Desired Total Sleep Time Among the General Population

“…Any answers of 15 min (one quarter of an hour) were converted to 0.25 (one quarter) and 30 min (half an hour) were converted to 0.50. In this manner, 22:45 was transformed into 10.75 [ 15 , 16 ].…”