Feasibility of a self-help treatment for insomnia comorbid with cancer.
Identifieur interne : 001806 ( Main/Corpus ); précédent : 001805; suivant : 001807Feasibility of a self-help treatment for insomnia comorbid with cancer.
Auteurs : Josée Savard ; Julie Villa ; Sébastien Simard ; Hans Ivers ; Charles M. MorinSource :
- Psycho-oncology [ 1099-1611 ] ; 2011.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Breast Neoplasms (complications), Breast Neoplasms (psychology), Cognitive Behavioral Therapy (methods), Feasibility Studies (MeSH), Female (MeSH), Humans (MeSH), Middle Aged (MeSH), Patient Satisfaction (MeSH), Self Care (MeSH), Sleep Initiation and Maintenance Disorders (complications), Sleep Initiation and Maintenance Disorders (therapy), Surveys and Questionnaires (MeSH), Treatment Outcome (MeSH).
- MESH :
- complications : Breast Neoplasms, Sleep Initiation and Maintenance Disorders.
- methods : Cognitive Behavioral Therapy.
- psychology : Breast Neoplasms.
- therapy : Sleep Initiation and Maintenance Disorders.
- Adult, Aged, Feasibility Studies, Female, Humans, Middle Aged, Patient Satisfaction, Self Care, Surveys and Questionnaires, Treatment Outcome.
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:20677329Le document en format XML
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<author><name sortKey="Savard, Josee" sort="Savard, Josee" uniqKey="Savard J" first="Josée" last="Savard">Josée Savard</name>
<affiliation><nlm:affiliation>School of Psychology, Université Laval, Québec, Québec, Canada; Laval University Cancer Research Center, Québec, Québec, Canada. josee.savard@psy.ulaval.ca</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Villa, Julie" sort="Villa, Julie" uniqKey="Villa J" first="Julie" last="Villa">Julie Villa</name>
</author>
<author><name sortKey="Simard, Sebastien" sort="Simard, Sebastien" uniqKey="Simard S" first="Sébastien" last="Simard">Sébastien Simard</name>
</author>
<author><name sortKey="Ivers, Hans" sort="Ivers, Hans" uniqKey="Ivers H" first="Hans" last="Ivers">Hans Ivers</name>
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<author><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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<sourceDesc><biblStruct><analytic><title xml:lang="en">Feasibility of a self-help treatment for insomnia comorbid with cancer.</title>
<author><name sortKey="Savard, Josee" sort="Savard, Josee" uniqKey="Savard J" first="Josée" last="Savard">Josée Savard</name>
<affiliation><nlm:affiliation>School of Psychology, Université Laval, Québec, Québec, Canada; Laval University Cancer Research Center, Québec, Québec, Canada. josee.savard@psy.ulaval.ca</nlm:affiliation>
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<author><name sortKey="Villa, Julie" sort="Villa, Julie" uniqKey="Villa J" first="Julie" last="Villa">Julie Villa</name>
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<author><name sortKey="Simard, Sebastien" sort="Simard, Sebastien" uniqKey="Simard S" first="Sébastien" last="Simard">Sébastien Simard</name>
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<author><name sortKey="Ivers, Hans" sort="Ivers, Hans" uniqKey="Ivers H" first="Hans" last="Ivers">Hans Ivers</name>
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<author><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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<series><title level="j">Psycho-oncology</title>
<idno type="eISSN">1099-1611</idno>
<imprint><date when="2011" type="published">2011</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (psychology)</term>
<term>Cognitive Behavioral Therapy (methods)</term>
<term>Feasibility Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Patient Satisfaction (MeSH)</term>
<term>Self Care (MeSH)</term>
<term>Sleep Initiation and Maintenance Disorders (complications)</term>
<term>Sleep Initiation and Maintenance Disorders (therapy)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
<term>Sleep Initiation and Maintenance Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cognitive Behavioral Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Sleep Initiation and Maintenance Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Self Care</term>
<term>Surveys and Questionnaires</term>
<term>Treatment Outcome</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<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>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<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>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<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>
</div>
</front>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText>
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