Prevalence, Severity, and Correlates of Sleep-Wake Disturbances in Long-Term Breast Cancer Survivors
Identifieur interne : 003871 ( Ncbi/Checkpoint ); précédent : 003870; suivant : 003872Prevalence, Severity, and Correlates of Sleep-Wake Disturbances in Long-Term Breast Cancer Survivors
Auteurs : Julie L. Otte ; Janet S. Carpenter ; Kathleen M. Russell ; Silvia Bigatti ; Victoria L. ChampionSource :
- Journal of pain and symptom management [ 0885-3924 ] ; 2010.
Abstract
Current evidence shows that sleep-wake disturbances are a persistent problem linked to poor quality of life in women surviving breast cancer. Information regarding correlates of sleep-wake disturbances in long-term survivors is sparse. The purpose of this study was to refine knowledge regarding prevalence, severity, and correlates of sleep-wake disturbances in long-term breast cancer survivors (BCS) compared to age-matched women without breast cancer (WWC). The cross-sectional convenience sample included 246 BCS and 246 WWC who completed a quality-of-life study and were matched within +/− 5 years of age. BCS were a mean of 5.6 years beyond completion of cancer treatment (range 5.6 to 10.0 years). Based on Pittsburgh Sleep Quality Index (PSQI) scores, BCS had significantly more prevalent sleep-wake disturbances (65%) compared to WWC (55%) (
Url:
DOI: 10.1016/j.jpainsymman.2009.07.004
PubMed: 20083371
PubMed Central: 2843803
Affiliations:
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<author><name sortKey="Carpenter, Janet S" sort="Carpenter, Janet S" uniqKey="Carpenter J" first="Janet S." last="Carpenter">Janet S. Carpenter</name>
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<author><name sortKey="Russell, Kathleen M" sort="Russell, Kathleen M" uniqKey="Russell K" first="Kathleen M." last="Russell">Kathleen M. Russell</name>
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<front><div type="abstract" xml:lang="en"><p id="P1">Current evidence shows that sleep-wake disturbances are a persistent problem linked to poor quality of life in women surviving breast cancer. Information regarding correlates of sleep-wake disturbances in long-term survivors is sparse. The purpose of this study was to refine knowledge regarding prevalence, severity, and correlates of sleep-wake disturbances in long-term breast cancer survivors (BCS) compared to age-matched women without breast cancer (WWC). The cross-sectional convenience sample included 246 BCS and 246 WWC who completed a quality-of-life study and were matched within +/− 5 years of age. BCS were a mean of 5.6 years beyond completion of cancer treatment (range 5.6 to 10.0 years). Based on Pittsburgh Sleep Quality Index (PSQI) scores, BCS had significantly more prevalent sleep-wake disturbances (65%) compared to WWC (55%) (<italic>P</italic>
< 0.05). BCS also had significantly higher PSQI global scores indicating poorer sleep quality compared to WWC (<italic>P</italic>
< 0.05). Significant correlates of prevalence of poor sleep for BCS included hot flashes, poor physical functioning, depressive symptoms and distress, and for WWC, included hot flashes, poor physical functioning, and depressive symptoms. Significant correlates (<italic>P</italic>
< 0.05) of severity of poor sleep for BCS included presence of non-cancer co-morbidities, hot flashes, depressive symptoms, and residual effects of cancer treatment. For WWC, these included hot flashes, poor physical functioning, depressive symptoms, and impact of a life event. Knowledge of prevalence, severity, and correlates of sleep-wake disturbances provides useful information to health care providers during clinical evaluations for treatment of sleep-wake disturbances in BCS.</p>
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<name sortKey="Carpenter, Janet S" sort="Carpenter, Janet S" uniqKey="Carpenter J" first="Janet S." last="Carpenter">Janet S. Carpenter</name>
<name sortKey="Champion, Victoria L" sort="Champion, Victoria L" uniqKey="Champion V" first="Victoria L." last="Champion">Victoria L. Champion</name>
<name sortKey="Otte, Julie L" sort="Otte, Julie L" uniqKey="Otte J" first="Julie L." last="Otte">Julie L. Otte</name>
<name sortKey="Russell, Kathleen M" sort="Russell, Kathleen M" uniqKey="Russell K" first="Kathleen M." last="Russell">Kathleen M. Russell</name>
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