The DOI matches its Crossref record; 38 of the 39 references it cites were found in a registry or an index.
Prevalence, Clinical Characteristics, and Risk Factors for Insomnia in the Context of Breast Cancer
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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“Multiple factors contribute to insomnia among patients with breast cancer, including endocrine therapy and hot flashes, pain and discomfort from local therapy, and fear of recurrence [81,87].”
From The Effect of Vinyasa Yoga Practice on the Well-Being of Breast-Cancer Patients during COVID-19 Pandemic (2023) · cites this paper as [87]
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Oncologic and Hematologic Diseases
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Metadata
- 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
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-08
- Volume
- 24
- Issue
- 5
- Pages
- 583-590
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- 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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