Cited by 415Sleep and related disordersCancer survivorship and careSleep and Work-Related Fatigue

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Prevalence, Clinical Characteristics, and Risk Factors for Insomnia in the Context of Breast Cancer

Savard, Josée, Simard, Sébastien, Blanchet, Julie, Ivers, Hans, Morin, Charles M.·2001·SLEEP

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Abstract

STUDY OBJECTIVES: To estimate the prevalence of insomnia, describe clinical characteristics of sleep difficulties, assess the influence of cancer on the insomnia course, and identify potential risk factors involved in the development of insomnia among women who had received radiotherapy for non metastatic breast cancer. DESIGN: A sample of 300 consecutive women who had been treated with radiotherapy for non metastatic breast cancer first completed an insomnia screening questionnaire. Participants who reported sleep difficulties were subsequently interviewed over the phone to evaluate further the nature, severity, duration, and course of their insomnia. SETTING: N/A. PATIENTS OR PARTICIPANTS: N/A. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Nineteen percent (n=56) of the participants met diagnostic criteria for an insomnia syndrome. In most cases (95%), insomnia was chronic. The onset of insomnia followed the breast cancer diagnosis in 33% of the patients and 58% of the patients reported that cancer either caused or aggravated their sleep difficulties. Factors associated with an increased risk for insomnia were sick leave, unemployment, widowhood, lumpectomy, chemotherapy, and a less severe cancer stage at diagnosis. Among women with insomnia symptoms, the risk to meet diagnostic criteria for an insomnia syndrome was higher in those who were separated and had a university degree. CONCLUSIONS: Insomnia is a prevalent and often chronic problem in breast cancer patients. Although it is not always a direct consequence of cancer, pre-existing sleep difficulties are often aggravated by cancer. It is therefore important to better screen breast cancer patients with insomnia and offer them an appropriate treatment.

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Authors: Savard, J., Simard, S., Blanchet, J., Ivers, H., & Morin, C. M.
Affiliations: Centre hospitalier universitaire de Québec (CA)
Université Laval (CA)
Corresponding author: Savard, Josée
ORCID: Savard, Josée
Simard, Sébastien
Ivers, Hans
Morin, Charles M.
Venue: SLEEP
Publisher: Oxford University Press (OUP)
Published: 2001-08
Volume: 24
Issue: 5
Pages: 583-590
ISSN: 0161-8105 (ISSN-L)
1550-9109
DOI: 10.1093/sleep/24.5.583
OpenAlex: W2187508655
Cited by: 414
References: 39
Citations by year: 2026: 10 · 2025: 9 · 2024: 20 · 2023: 20 · 2022: 25 · 2021: 23 · 2020: 18 · 2019: 19 · 2018: 16 · 2017: 15 · 2016: 22 · 2015: 14 · 2014: 27 · 2013: 20 · 2012: 23
FWCI: 8.47
Type: journal article
Language: en
Open access: closed
Locations: SLEEP (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords: insomnia, breast cancer, radiotherapy, chronic insomnia, sleep disorders, risk factors, prevalence, women, chemotherapy, breast-conserving surgery, tumor stage, sick leave, unemployment, widowhood, marital separation, educational attainment, insomnia screening
MeSH terms: Adult, Aged, Aged, 80 and over, Breast Neoplasms, Cross-Sectional Studies, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Neoplasm Staging, Surveys and Questionnaires, Risk Factors, Severity of Illness Index, Time Factors, Prevalence

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Prevalence, Clinical Characteristics, and Risk Factors for Insomnia in the Context of Breast Cancer

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