Prevalence, severity, and correlates of sleep-wake disturbances in long-term breast cancer survivors
Open accessAbstract
Context 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.Objectives The objective of this study was to refine knowledge regarding prevalence, severity, and correlates of sleep-wake disturbances in long-term breast cancer survivors (BCS) compared with age-matched women without breast cancer (WWC).Methods 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.Results BCS were a mean of 5.6 years beyond completion of cancer treatment (range = 5.6-10.0 years). Based on Pittsburgh Sleep Quality Index (PSQI) scores, BCS had significantly more prevalent sleep-wake disturbances (65%) compared with WWC (55%) (P < 0.05). BCS also had significantly higher PSQI global scores indicating poorer sleep quality compared with WWC (P < 0.05). Significant correlates of prevalence of poor sleep for BCS included hot flashes, poor physical functioning, depressive symptoms, and distress, and for WWC, these included hot flashes, poor physical functioning, and depressive symptoms. Significant correlates (P < 0.05) of severity of poor sleep for BCS included presence of noncancer comorbidities, 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.Conclusion 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.
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Sleep disturbance is a long-term concern in breast cancer survivors, experienced over 5-10 years post-treatment, and is associated with cancer-related fatigue, depression, anxiety, lower HRQoL, greater severity of pain, fear of cancer recurrence, and increased vasomotor symptoms.
“Sleep disturbance is also a long-term concern in this population. Experienced over 5–10 years post-treatment it has been associated with cancer related fatigue, depression and anxiety (Otte et al., 2010), lower HRQoL, greater severity of pain, fear of cancer recurrence and increased vasomotor symptoms (Lowery-Allison et al., 2017).”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Otte et al., 2010
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References 72 · Cited by 165
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- [3]Berger A Reducing negative health outcomes related to sleep-wake disturbances in people with cancer 2009 Presented at 10th National Nursing Conference on Cancer Nursing Research Orlando, Florida
- Authors
- Otte, J. L., Carpenter, J. S., Russell, K. M., Bigatti, S., & Champion, V. L.
- Affiliations
- Indiana University Indianapolis (US)
- Corresponding author
- Otte, Julie L.
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 39
- Issue
- 3
- Pages
- 535-547
- ISSN
- 0885-3924 (ISSN-L)
- PMC
- PMC2843803
- OpenAlex
- W2035522997
- Cited by
- 165
- References
- 72
- Citations by year
- 2026: 8 · 2025: 14 · 2024: 14 · 2023: 10 · 2022: 13 · 2021: 16 · 2020: 14 · 2019: 7 · 2018: 7 · 2017: 12 · 2016: 11 · 2015: 3 · 2014: 10 · 2013: 7 · 2012: 9
- FWCI
- 3.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- National Cancer Institute (R25 CA117865)
- National Institute of Nursing Research (F31 NR009890)
- Walther Cancer Institute Foundation, American Cancer Society Quality of Life Study (RSGPB-04-089-01-PBP)
- Survey of Quality of Life in African American Women, National Cancer Institute (R03 CA-097737)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- sleep-wake disturbances, breast cancer survivors, long-term cancer survivors, sleep quality, Pittsburgh Sleep Quality Index, hot flashes, depressive symptoms, physical function, cancer-related distress, comorbidities, quality of life
- MeSH terms
- Adult, Aged, Breast Neoplasms, Cross-Sectional Studies, Female, Humans, Middle Aged, Quality of Life, Sleep Wake Disorders, Survivors
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