Prevalence, Severity, and Correlates of Sleep-Wake Disturbances in Long-Term Breast Cancer Survivors
Identifieur interne : 003274 ( Pmc/Checkpoint ); précédent : 003273; suivant : 003275Prevalence, 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%) (
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DOI: 10.1016/j.jpainsymman.2009.07.004
PubMed: 20083371
PubMed Central: 2843803
Affiliations:
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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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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8605836</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4849</journal-id>
<journal-id journal-id-type="nlm-ta">J Pain Symptom Manage</journal-id>
<journal-title>Journal of pain and symptom management</journal-title>
<issn pub-type="ppub">0885-3924</issn>
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<title-group><article-title>Prevalence, Severity, and Correlates of Sleep-Wake Disturbances in Long-Term Breast Cancer Survivors</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Otte</surname>
<given-names>Julie L.</given-names>
</name>
<degrees>PhD, RN</degrees>
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<contrib contrib-type="author"><name><surname>Carpenter</surname>
<given-names>Janet S.</given-names>
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<degrees>PhD, RN, FAAN</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Russell</surname>
<given-names>Kathleen M.</given-names>
</name>
<degrees>DNS, RN</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Bigatti</surname>
<given-names>Silvia</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Champion</surname>
<given-names>Victoria L.</given-names>
</name>
<degrees>DNS, RN, FAAN</degrees>
</contrib>
<aff id="A1">Center for Nursing Research (J.L.O., J.S.C., K.M.R., V.L.C.), and Department of Psychology (S.B.), Indiana University, Indianapolis, Indiana, USA</aff>
</contrib-group>
<author-notes><corresp id="cor1">Address correspondence to: Julie L. Otte, PhD, RN, Indiana University School of Nursing, 1111 Middle Drive, NU 338, Indianapolis, IN 46202, USA, <email>jlelam@iupui.edu</email>
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<pub-date pub-type="nihms-submitted"><day>19</day>
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<pub-date pub-type="epub"><day>18</day>
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<year>2010</year>
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<pub-date pub-type="pmc-release"><day>1</day>
<month>3</month>
<year>2011</year>
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<volume>39</volume>
<issue>3</issue>
<fpage>535</fpage>
<lpage>547</lpage>
<permissions><copyright-statement>© 2009 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2009</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Sleep-wake disturbance</kwd>
<kwd>sleep quality</kwd>
<kwd>breast cancer survivor</kwd>
<kwd>menopause</kwd>
<kwd>depression</kwd>
<kwd>symptom management</kwd>
</kwd-group>
<contract-num rid="CA1">R25 CA117865-02
||CA</contract-num>
<contract-num rid="CA1">R03 CA097737-02
||CA</contract-num>
<contract-num rid="NR1">F31 NR009890-01
||NR</contract-num>
<contract-sponsor id="CA1">National Cancer Institute : NCI</contract-sponsor>
<contract-sponsor id="NR1">National Institute of Nursing Research : NINR</contract-sponsor>
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<tree><noCountry><name sortKey="Bigatti, Silvia" sort="Bigatti, Silvia" uniqKey="Bigatti S" first="Silvia" last="Bigatti">Silvia Bigatti</name>
<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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