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Feasibility of a self-help treatment for insomnia comorbid with cancer.

Identifieur interne : 001806 ( Main/Corpus ); précédent : 001805; suivant : 001807

Feasibility of a self-help treatment for insomnia comorbid with cancer.

Auteurs : Josée Savard ; Julie Villa ; Sébastien Simard ; Hans Ivers ; Charles M. Morin

Source :

RBID : pubmed:20677329

English descriptors

Abstract

OBJECTIVE

Professionally administered cognitive-behavioral therapy (CBT) is efficacious for treating insomnia in breast cancer survivors. However, given the limited accessibility to CBT for insomnia in cancer clinics, there is a need to develop other delivery formats for this intervention. This feasibility study examined patients' satisfaction with a self-help CBT for insomnia comorbid with cancer and gathered some preliminary data on its effect on sleep and associated features.

METHODS

Eleven breast cancer patients reporting insomnia symptoms received a 6-week intervention composed of a 60-min video using an animated cartoon format and 6 short booklets developed in French. Patients completed a semi-structured interview at post-treatment, a battery of self-report scales and a daily sleep diary (14 days) at pre- and post-treatment and at a 3-month follow-up.

RESULTS

At post-treatment interview, comments about the treatment material were uniformly positive. On a questionnaire, patients also reported to be satisfied with the treatment overall, with the video and the booklets' content, as well as with their sleep improvement at post-treatment (scores from 2.7 to 3.1; scale from 0 to 4). From pre- to post-treatment, moderate-to-large effect sizes and statistically and clinically significant differences were found on most sleep variables, as well as overall quality of life. These therapeutic gains were well sustained at a 3-month follow-up.

CONCLUSIONS

Patients were satisfied with the treatment received. Although it is too early to draw any firm conclusion, treatment outcomes suggest a potential for integration into routine cancer care as a first-line sleep management intervention. Copyright © 2010 John Wiley & Sons, Ltd.


DOI: 10.1002/pon.1818
PubMed: 20677329

Links to Exploration step

pubmed:20677329

Le document en format XML

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<name sortKey="Villa, Julie" sort="Villa, Julie" uniqKey="Villa J" first="Julie" last="Villa">Julie Villa</name>
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<name sortKey="Simard, Sebastien" sort="Simard, Sebastien" uniqKey="Simard S" first="Sébastien" last="Simard">Sébastien Simard</name>
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<name sortKey="Ivers, Hans" sort="Ivers, Hans" uniqKey="Ivers H" first="Hans" last="Ivers">Hans Ivers</name>
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<name sortKey="Morin, Charles M" sort="Morin, Charles M" uniqKey="Morin C" first="Charles M" last="Morin">Charles M. Morin</name>
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<term>Breast Neoplasms (psychology)</term>
<term>Cognitive Behavioral Therapy (methods)</term>
<term>Feasibility Studies (MeSH)</term>
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<term>Sleep Initiation and Maintenance Disorders (complications)</term>
<term>Sleep Initiation and Maintenance Disorders (therapy)</term>
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<b>OBJECTIVE</b>
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<p>Professionally administered cognitive-behavioral therapy (CBT) is efficacious for treating insomnia in breast cancer survivors. However, given the limited accessibility to CBT for insomnia in cancer clinics, there is a need to develop other delivery formats for this intervention. This feasibility study examined patients' satisfaction with a self-help CBT for insomnia comorbid with cancer and gathered some preliminary data on its effect on sleep and associated features.</p>
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<b>METHODS</b>
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<p>Eleven breast cancer patients reporting insomnia symptoms received a 6-week intervention composed of a 60-min video using an animated cartoon format and 6 short booklets developed in French. Patients completed a semi-structured interview at post-treatment, a battery of self-report scales and a daily sleep diary (14 days) at pre- and post-treatment and at a 3-month follow-up.</p>
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<b>RESULTS</b>
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<p>Patients were satisfied with the treatment received. Although it is too early to draw any firm conclusion, treatment outcomes suggest a potential for integration into routine cancer care as a first-line sleep management intervention. Copyright © 2010 John Wiley & Sons, Ltd.</p>
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