Sleep problems in breast cancer survivors 1–10 years posttreatment
Abstract
ABSTRACTObjective:Sleep can affect quality of life (QoL) during cancer survivorship, and symptoms related to poor sleep can be exacerbated. We examined the prevalence, severity, and nature of subjective sleep complaints in women surviving stage I-III breast cancer who were 1-10 years posttreatment. We also examined the demographic, medical, physical, and psychosocial correlates of poor sleep in these women in order to identify the subgroups that may be most in need of intervention. Method A total of 200 patients at a comprehensive cancer center who were 1-10 years posttreatment for primary stage I-III breast cancer with no evidence of disease at the time of enrollment completed a battery of questionnaires on demographics, sleep, physical symptoms, mood, cancer-specific fears, and QoL. Results The women had a mean age of 57 years (SD = 10.0), with a mean of 63.3 months (SD = 28.8) of post-cancer treatment. Some 38% of these patients were identified as having poor-quality sleep. Women with poor sleep took longer to fall asleep, had more awakenings, and acquired 2 hours less sleep per night than those with good sleep. They also had a lower QoL, greater severity of pain, more concerns about health and recurrence, and increased vasomotor symptoms (p Significance of results Many breast cancer survivors had severe subjective insomnia, and several breast cancer survivor subgroups were identified as having members who might be most in need of sleep-improvement interventions. Addressin…
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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 Lowery-Allison et al., 2017
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“Anxiety, depression [5,6], fear of recurrence [7], fatigue [8], sleeping problems [9], and sexual dysfunction [10,11] are among the most common problems BCSs experience across survivorship and can manifest up to several years after primary treatment completion [12].”
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- Authors
- Lowery-Allison, A. E., Passik, S. D., Cribbet, M. R., Reinsel, R. A., O'Sullivan, B., Norton, L., Kirsh, K. L., & Kavey, N. B.
- Affiliations
- Texas Tech University (US)
- Stony Brook University (US)
- Memorial Sloan Kettering Cancer Center (US)
- NewYork–Presbyterian Hospital (US)
- Venue
- Palliative and Supportive Care
- Publisher
- Cambridge University Press (CUP)
- Published
- 2017-05-16
- Volume
- 16
- Issue
- 3
- Pages
- 325-334
- ISSN
- 1478-9515 (ISSN-L)
- 1478-9523
- OpenAlex
- W2616200490
- Cited by
- 125
- References
- 10
- Citations by year
- 2026: 9 · 2025: 11 · 2024: 16 · 2023: 22 · 2022: 24 · 2021: 19 · 2020: 9 · 2019: 8 · 2018: 6 · 2017: 1
- FWCI
- 8.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Palliative & Supportive Care (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 › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- breast cancer survivors, sleep disorders, insomnia, sleep quality, quality of life, vasomotor symptoms, cancer pain, daytime sleepiness, depression
- MeSH terms
- Cancer Survivors, Aged, Breast Neoplasms, Fatigue, Female, Humans, Middle Aged, Quality of Life, Surveys and Questionnaires, Sleep Wake Disorders
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