Treatment of insomnia in cancer patients using muscle relaxation training

Cannici, James P.; Malcolm, Robert; Peek, Leon A.

doi:10.1016/0005-7916(83)90056-3

Cited by 92 publications

(48 citation statements)

References 32 publications

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“…Second, APRT has been shown to be effective in reducing sleep onset latency for patients with secondary insomnia. 23 This sleepenhancing effect may be partly attributable to increased night-time melatonin levels, which have been found among practitioners of another stress reduction procedure, meditation. 24 Melatonin is thought to play an important role in regulating sleep-wake cycles, 25 and as noted earlier, NES subjects have been shown to have an attenuated nocturnal rise in melatonin.…”

Section: Discussionmentioning

confidence: 99%

Night eating syndrome: effects of brief relaxation training on stress, mood, hunger, and eating patterns

2003

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BACKGROUND: Night eating syndrome (NES) is characterized by a lack of appetite in the morning, consumption of 50% or more of daily food intake after 6:00 p.m., and difficulty falling and/or staying asleep. It has been associated with stress and with poor results at attempts to lose weight. OBJECTIVE: The purpose of this study was to determine whether a relaxation intervention (Abbreviated Progressive Muscle Relaxation Therapy, APRT) that has been shown to significantly reduce stress levels in normal, healthy adults would also benefit an NES sample. RESEARCH METHODS AND PROCEDURES: A total of 20 adults with NES were randomly assigned to either a relaxation training (APRT) or a Control (quietly sitting for the same amount of time) group, and all subjects attended two laboratory sessions 1 week apart. Pre-and postsession indices of stress, anxiety, relaxation, and salivary cortisol were obtained, as well as Day 1 and Day 8 indices of mood. Food diaries and hunger ratings were also obtained. RESULTS:The results indicated that 20 min of a muscle relaxation exercise significantly reduced stress, anxiety, and salivary cortisol immediately postsession. After practicing these exercises daily for a week, subjects exhibited lowered stress, anxiety, fatigue, anger, and depression on Day 8. APRT was also associated with significantly higher a.m. and lower p.m. ratings of hunger, and a trend of both more breakfast and less night-time eating. DISCUSSION: These data support the role of stress and anxiety in NES and suggest that practicing relaxation may be an important component of treatment for this condition.

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Section: Discussionmentioning

confidence: 99%

Night eating syndrome: effects of brief relaxation training on stress, mood, hunger, and eating patterns

2003

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“…With regard specifically to cancer, there are only a few studies that investigated the efficiency of psychological treatment [11,19,50,26,46,44,52]. Stam and Bultz [50] demonstrated good results with a short-term (five-session) progressive muscle relaxation (PMR) and autogenic training (AT) with a cancer patient on his sleep latency (from 1.9 to 0.7 h) and sleep duration (from 4.4 to 7.1 h).…”

Section: Treatment Of Sleeping Problems In Cancer Patientsmentioning

confidence: 99%

Sleep management training for cancer patients with insomnia

Simeit¹,

Deck

Conta-Marx³

2004

Supportive Care in Cancer

120

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Insomnia is a common phenomenon in cancer patients; nevertheless, there are only a few intervention results published covering this topic. We examined the effects of a multi-modal psychological sleep management programme combining relaxation techniques, sleep hygiene, cognitive techniques and advice in stimulus control technique on various sleep and quality-of-life variables. We compared two intervention groups up to 6 months after treatment, one with progressive muscle relaxation (n=80), the other with autogenic training (n=71). A control group (n=78) received only a standard rehabilitation programme. It was a heterogeneous sample of adult patients (mean age 58 years) predominantly with breast, kidney or prostate cancer staying for 3 or 4 weeks in an oncological rehabilitation clinic. In comparison to the control group, the analysis of variance for repeated measures (R-MANOVA) showed significant improvements over time, indicating that intervention group participants benefited with moderate- or large-scale effects on sleep latency (p<0.001), sleep duration (p<0.001), sleep efficiency (p<0.001), sleep quality (p<0.001), sleep medication (p<0.05) and daytime dysfunction (p<0.05). In quality-of-life subscales, there was mainly improvement over time. This may indicate a benefit of the rehabilitation treatment in general. No evidence was found for any differences between the two intervention groups. The results suggest that the use of a multi-modal psychological sleep intervention could enhance various sleep parameters and well being of patients. The efficacy on quality of life is still under review.

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“…Tiredness can also result from insomnia, which is a common problem of cancer patients (McCorkle & Quint, 1983;Cannici et al, 1983;Kaye et al, 1983;Silberfarb et al, 1985). Among other things, difficulty getting to sleep and difficulty staying asleep might result from pain.…”

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confidence: 99%

Fatigue in cancer patients

Smets

Garssen²,

Schuster-Uitterhoeve³

et al. 1993

Br J Cancer

272

139

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(Cristensen, 1989).To date there are few studies which systematically register how many cancer patients experience fatigue, in which stage of the disease process and to what extent. To give an indication, a literature-search using MEDLINE with CD-ROM over the period 1980 to 1991 yielded nine references in which 'fatigue' was included in the title and 'cancer' was included in title, keyword or abstract. Eight of these references pertained to nursing research.An appraisal of the research literature concerning fatigue in cancer is presented in this paper to give an overview of what is currently known. Literature, other than obtained using the MEDLINE-procedure, was gathered either by searching for studies in which fatigue was assessed as part of patient functioning or through references of the papers obtained. This procedure does evidently not lead to an exhaustive list of all the studies which included fatigue as an outcome-variable. However, we think to have obtained a representative sample. Topics that will be discussed are: the conceptualisation of fatigue and its measurement, prevalence rates of fatigue during and after treatment and somatic and psychological correlates of fatigue. Finally, considerations with regard to research and interventions will be discussed.

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Treatment of insomnia in cancer patients using muscle relaxation training

Cited by 92 publications

References 32 publications

Night eating syndrome: effects of brief relaxation training on stress, mood, hunger, and eating patterns

Night eating syndrome: effects of brief relaxation training on stress, mood, hunger, and eating patterns

Sleep management training for cancer patients with insomnia

Fatigue in cancer patients

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