Predictors of the Trajectories of Self-Reported Sleep Disturbance in Men with Prostate Cancer During and Following Radiation Therapy
Open accessAbstract
STUDY OBJECTIVES: To examine how self-reported ratings of sleep disturbance changed from the time of the simulation visit to four months after the completion of radiation therapy (RT) and to investigate whether specific patient, disease, and symptom characteristics predicted the initial levels of sleep disturbance and/or characteristics of the trajectories of sleep disturbance. DESIGN: Prospective longitudinal study. SETTING: Two radiation therapy centers. PATIENTS: Patients (n = 82) who underwent primary or adjuvant RT for prostate cancer. MEASUREMENTS AND RESULTS: Changes in self-reported sleep disturbance were measured using the General Sleep Disturbance Scale (GSDS). Depressive symptoms were assessed using the Center for Epidemiologic Studies-Depression Scale. Trait and state anxiety were measured using the Spielberger State-Trait Anxiety Inventory. Hierarchical linear modeling was used to answer the study aims. Self-reported sleep disturbance increased during the course of RT and then decreased following the completion of RT. Predictors of higher levels of sleep disturbance included younger age, higher levels of trait anxiety, higher levels of depressive symptoms, and higher levels of sleep disturbance at the initiation of RT. CONCLUSIONS: Sleep disturbance is a significant problem in patients with prostate cancer who undergo RT. Younger men with co-occurring depression and anxiety may be at greatest risk for sleep disturbance during RT.
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Previous studies have reported negative side effects of fatigue, sleep disturbance, anxiety and depression among men diagnosed with PC during and following RT.
“Previous studies have reported the negative side effects of fatigue, sleep disturbance, anxiety and depression among men diagnosed with PC during and following RT.3,8-11”
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Mondal, S., Edwards, S., Wibowo, E., Ahmed, H. U., Wassersug, R. J., Ellis, J. G., Isaac, M., Dimitriou, D., & Mangar, S. A. (2022) · Healthcare · doi:10.3390/healthcare10050832 · Cited by 14 · see citing works
Kohler, C., Ming, C., Allemann-Su, Y.-Y., Vetter, M. H. F., Jung, M., Jung, M. S., Conley, Y. P., Paul, S. M., Kober, K. M., Cooper, B. A., et al. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.01.001 · Cited by 14 · see citing works
Self-citationThe relationship between sleep hygiene, mood, and insomnia symptoms in men with prostate cancer
Galvin, K., Garland, S. N., & Wibowo, E. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-021-06680-1 · Cited by 13 · see citing works
“In addition, there are data indicating that younger age, higher insomnia symptoms, depression, and anxiety at the start of radiation therapy are all associated with more severe sleep disturbance [17].”
BackgroundTrajectories of Depressive Symptoms in Women Prior to and for 6 Months After Breast Cancer Surgery
Kyranou, M., Puntillo, K., Aouizerat, B. E., Paul, S. M., Cooper, B. A., West, C. M., Dodd, M. J., Miaskowski, C. A., Dunn, L. B., & Elboim, C. (2014) · Journal of Applied Biobehavioral Research · doi:10.1111/jabr.12017 · Cited by 9 · see citing works
Self-citationGrégoire, C., Faymonville, M.-É., Jérusalem, G., Bragard, I., Charland‐Verville, V., & Vanhaudenhuyse, A. (2017) · HEGEL - HEpato-GastroEntérologie Libérale · doi:10.3917/heg.074.0267 · Cited by 8 · see citing works
Gentry, M. T., Atherton, P. J., Lapid, M. I., Rosen, P. S., Kung, S., Richardson, J., Niazi, S. K., Bobo, W. V., Clark, M. M., & Rummans, T. A. (2019) · Palliative & Supportive Care · doi:10.1017/s1478951519000750 · Cited by 8 · see citing works
“This is an important gap in the current knowledge base given the results of numerous studies that have shown a worsening of sleep disturbances during cancer treatment in general, and during radiation therapy, in particular (Hickok et al., 2005; Palesh et al., 2010; Miaskowski et al., 2011).”
ResultLai, X.-Y., Tang, Z.-M., Zhu, X., Li, L., Qin, X., Lan, J.-L., Lu, C., Lyu, Z.-C., Liang, L.-Q., & Chen, L.-J. (2018) · Scientific Reports · doi:10.1038/s41598-018-32587-9 · Cited by 8 · see citing works
Sleep During Pelvic-Abdominal Radiotherapy for Cancer
Blom, K., & Efverman, A. (2020) · Cancer Nursing · doi:10.1097/ncc.0000000000000826 · Cited by 7 · see citing works
Victorson, D., Mishra, K. K., Sauer, J., Langford, G., Maletich, C., Horowitz, B., Sauer, C., Sejpal, S. V., & Kalapurakal, J. (2024) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130241249140 · Cited by 5 · see citing works
Preferences for Help With a Sleep Problem Before Starting Cancer Treatment
Zhou, E. S., Clark, K. L., Recklitis, C. J., Obenchain, R. A., & Loscalzo, M. J. (2018) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2018.09.022 · Cited by 3 · see citing works
Are we sleeping on the job? Insomnia among men with prostate cancer
Drummond, F. J. (2016) · Advances in Modern Oncology Research · doi:10.18282/amor.v2.i2.94 · Cited by 3 · see citing works
Bi, L., Gao, W., Zhang, Q., Li, N., Zhang, X., & Han, J. (2024) · Cancer Nursing · doi:10.1097/ncc.0000000000001436 · Cited by 2 · see citing works
Kayahara, G. M., Sarafim‐Costa, B. A. M., de Oliveira, M. V. B., Fontanelli, A. M., Ye, Y., Valente, V. B., Biasoli, É. R., Miyahara, G. I., & Bernabé, D. G. (2025) · Head & Neck · doi:10.1002/hed.28147 · Cited by 3 · see citing works
“Miaskowski et al. [47] and Shuman et al. [12] re-ported that higher levels of trait anxiety and depressive symptoms were associated with sleep disturbances in prostate cancer and HNSCC patients, respectively.”
Sleep disorders in men with prostate cancer undergoing hormone therapy
Araújo, I. C. S., Barbosa, M. H., & Barichello, E. (2014) · Escola Anna Nery · doi:10.5935/1414-8145.20140100 · Cited by 2 · see citing works
Advances in the Management of Primary and Secondary Insomnia
McCall, W. V. (2014) · doi:10.2217/9781780844800 · Cited by 2 · see citing works
Gilbertson‐White, S., Shahnazi, A. F., & Cherwin, C. H. (2019) · The Permanente Journal · doi:10.7812/tpp/18-120 · Cited by 2 · see citing works
Insomnia in the setting of cancer
Scalo, J., & Rascati, K. L. (2014) · doi:10.2217/9781780844800.fmeb2013.13.194 · Cited by 1 · see citing works
Nazari, Z., Alboghobeish, Z., Hejazi, E., Rakhsha, A., Houshyari, M., & Bahrami, A. (2022) · Iranian Journal of Nutrition Sciences & Food Technology · doi:10.52547/nsft.17.1.19 · Cited by 1 · see citing works
Araújo, I. C. S., Barbosa, M. H., & Barichello, E. (2014)
Objective Causes of Cancer-Related Fatigue: Roles of Neuromuscular Dysfunction and Sleep Disorders
Medysky, M. E. (2016) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/27155
Arneil, M. (2018) · Queensland University of Technology · doi:10.5204/thesis.eprints.121160
Rohrmoser, A., & Goerling, U. (2019) · Springer eBooks · doi:10.1007/978-3-319-52619-5_114-1
Insomnia in the setting of cancer
Scalo, J., & Rascati, K. L. (2014) · doi:10.2217/fmeb2013.13.194 · Cited by 1 · see citing works
- Authors
- Miaskowski, C., Paul, S. M., Cooper, B. A., Lee, K., Dodd, M., West, C., Aouizerat, B. E., Dunn, L., Swift, P. S., & Wara, W.
- Affiliations
- University of California, San Francisco (US)
- Alta Bates Summit Medical Center (US)
- Kaiser Permanente (US)
- Corresponding author
- Miaskowski, Christine
- ORCID
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-02
- Volume
- 34
- Issue
- 2
- Pages
- 171-179
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- PMC
- PMC3022937
- OpenAlex
- W122115076
- Cited by
- 64
- References
- 44
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 6 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 5 · 2016: 8 · 2015: 2 · 2014: 10 · 2013: 3 · 2012: 3
- FWCI
- 7.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- SLEEP (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Cancer Society
- Mount Zion Health Fund
- National Institute for Health and Care Research
- Institut National de la Santé et de la Recherche Médicale
- University of California, San Francisco
- National Institute of Nursing Research (R01NR004835, NR04835)
- National Center for Research Resources (KL2 RR624130)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- sleep disorders, prostate cancer, radiotherapy, sleep trajectories, depressive symptoms, trait anxiety, state anxiety, age, adjuvant radiotherapy
- MeSH terms
- Aged, Follow-Up Studies, Humans, Longitudinal Studies, Male, Prospective Studies, Prostatic Neoplasms, Surveys and Questionnaires, Severity of Illness Index, Sleep Wake Disorders, Comorbidity, Causality, Self Report
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