The relationship between insomnia and patient satisfaction with quality of life in cancer
Abstract
Goals of work Insomnia is the most common sleep disorder in patients with advanced cancer. The goal of this study was to investigate the relationship between insomnia and patient satisfaction with quality of life (QoL) in cancer.Materials and methods A case series of 954 cancer patients treated at Cancer Treatment Centers of America was investigated. Insomnia was measured using the EORTC QLQ-C30 insomnia subscale. Patient satisfaction with QoL was measured using the Ferrans and Powers Quality of Life Index (QLI). The relationship between insomnia and QLI was evaluated using multivariate analysis of variance and multiple regression analysis.Results Of 954 patients, 579 were females and 375 males, with the median age at presentation of 56 years (range, 20-90 years). Most common cancers were breast (26%), colorectal (19%), and lung (16%). After controlling for the effects of age and treatment history, every 10-unit increase in insomnia was statistically significantly associated with 0.67-, 0.17-, 0.42-, 0.20-, and 0.42-unit decline in QLI health/physical, social/economic, psychological/spiritual, family, and overall QoL functioning, respectively.Conclusions We found that insomnia is strongly correlated with patient satisfaction with QoL in cancer. Future studies should evaluate the impact of integrative cancer care services on patient satisfaction with QoL.
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Insomnia is associated with deleterious consequences, including heightened fatigue and pain sensitivity, and reduced quality of life and immune functioning.
“Insomnia has been associated with deleterious consequences, including heightened fatigue and pain sensitivity, and reduced quality of life and immune functioning. 7,8”
From Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial (2024) · cites this paper as [7]
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- Authors
- Lis, C. G., Gupta, D., & Grutsch, J. F.
- Affiliations
- Cancer Treatment Centers of America (US)
- Corresponding author
- Gupta, Digant
- ORCID
- Gupta, Digant
- Venue
- Supportive Care in Cancer
- Published
- 2007-08-08
- Volume
- 16
- Issue
- 3
- Pages
- 261-266
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2044027102
- Cited by
- 69
- References
- 24
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 6 · 2014: 5 · 2013: 2 · 2012: 9
- FWCI
- 3.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- insomnia, quality of life, cancer patients, sleep disorders, patient satisfaction, EORTC QLQ-C30, Ferrans and Powers Quality of Life Index, advanced cancer, integrative cancer care
- MeSH terms
- Adult, Aged, Aged, 80 and over, Analysis of Variance, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Neoplasms, Quality of Life, Surveys and Questionnaires, Regression Analysis, Patient Satisfaction
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