The course of cancer-related insomnia: don't expect it to disappear after cancer treatment
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The course of cancer-related insomnia: don't expect it to disappear after cancer treatment. / Schieber, Katharina; Niecke, Alexander; Geiser, Franziska; Erim, Yesim; Bergelt, Corinna; Büttner-Teleaga, Antje; Maatouk, Imad; Stein, Barbara; Teufel, Martin; Wickert, Martin; Wuensch, Alexander; Weis, Joachim.
in: SLEEP MED, Jahrgang 58, 06.2019, S. 107-113.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - The course of cancer-related insomnia: don't expect it to disappear after cancer treatment
AU - Schieber, Katharina
AU - Niecke, Alexander
AU - Geiser, Franziska
AU - Erim, Yesim
AU - Bergelt, Corinna
AU - Büttner-Teleaga, Antje
AU - Maatouk, Imad
AU - Stein, Barbara
AU - Teufel, Martin
AU - Wickert, Martin
AU - Wuensch, Alexander
AU - Weis, Joachim
N1 - Copyright © 2019 Elsevier B.V. All rights reserved.
PY - 2019/6
Y1 - 2019/6
N2 - OBJECTIVE: The study aimed to examine the 12-month course of cancer-related insomnia (CRI) and to identify possible predictors for the prevalence and persistence of CRI.METHODS: This longitudinal multicenter study included N = 405 patients with cancer (56% females, mean age: 58.6 years). CRI was measured by the Insomnia Severity Index (ISI). Socio-demographic and clinical data, as well as psychological parameters (Distress Thermometer, PHQ-9, GAD-7, and EORTC-Fatigue), were assessed at baseline (T1) and 12 months later (T2).RESULTS: In our sample, a high prevalence of relevant insomnia symptoms (49.4%, ISI > 7) was found, while a clinical insomnia diagnosis was verified in 12.8% (ISI > 14). When insomnia was present at T1, this problem was persistent after one year in 64%. At T2, however, significantly more women suffered from insomnia symptoms (53.3% women vs. 39.3% men; p = 0.003). Insomnia was associated with many clinical and psychological parameters, especially with fatigue (r = 0.5). Multiple regression analysis revealed that, in women, only insomnia at T1 was a significant predictor for insomnia at T2 (R2 = 0.40; F(5) = 12.5; p < 0.001), whereas in men insomnia, depressive symptoms and the use of psychotropic drugs at T1 predicted the extent of insomnia at T2 (R2 = 0.28; F(7) = 9.5; p < 0.001). In all participants, levels of distress, depression, and anxiety decreased from T1 to T2 (p's < 0.016).CONCLUSION: Insomnia is a common disorder in cancer patients. Although medical and psychological parameters improved during the 12-month course of cancer treatment, our results show that insomnia is highly persistent, especially in women. This indicates that adequate support for those affected is needed.CLINICAL TRIAL REGISTRATION NUMBER: DRKS00004860.
AB - OBJECTIVE: The study aimed to examine the 12-month course of cancer-related insomnia (CRI) and to identify possible predictors for the prevalence and persistence of CRI.METHODS: This longitudinal multicenter study included N = 405 patients with cancer (56% females, mean age: 58.6 years). CRI was measured by the Insomnia Severity Index (ISI). Socio-demographic and clinical data, as well as psychological parameters (Distress Thermometer, PHQ-9, GAD-7, and EORTC-Fatigue), were assessed at baseline (T1) and 12 months later (T2).RESULTS: In our sample, a high prevalence of relevant insomnia symptoms (49.4%, ISI > 7) was found, while a clinical insomnia diagnosis was verified in 12.8% (ISI > 14). When insomnia was present at T1, this problem was persistent after one year in 64%. At T2, however, significantly more women suffered from insomnia symptoms (53.3% women vs. 39.3% men; p = 0.003). Insomnia was associated with many clinical and psychological parameters, especially with fatigue (r = 0.5). Multiple regression analysis revealed that, in women, only insomnia at T1 was a significant predictor for insomnia at T2 (R2 = 0.40; F(5) = 12.5; p < 0.001), whereas in men insomnia, depressive symptoms and the use of psychotropic drugs at T1 predicted the extent of insomnia at T2 (R2 = 0.28; F(7) = 9.5; p < 0.001). In all participants, levels of distress, depression, and anxiety decreased from T1 to T2 (p's < 0.016).CONCLUSION: Insomnia is a common disorder in cancer patients. Although medical and psychological parameters improved during the 12-month course of cancer treatment, our results show that insomnia is highly persistent, especially in women. This indicates that adequate support for those affected is needed.CLINICAL TRIAL REGISTRATION NUMBER: DRKS00004860.
KW - Journal Article
U2 - 10.1016/j.sleep.2019.02.018
DO - 10.1016/j.sleep.2019.02.018
M3 - SCORING: Journal article
C2 - 31146122
VL - 58
SP - 107
EP - 113
JO - SLEEP MED
JF - SLEEP MED
SN - 1389-9457
ER -