Efficacy of an insomnia intervention on fatigue, mood and quality of life in breast cancer survivors
Open accessAbstract
AIM: This paper is a report of a study to describe the efficacy of cognitive behavioural therapy for insomnia on fatigue, mood and quality of life in breast cancer survivors. BACKGROUND: Women who receive primary treatment for breast cancer often complain of insomnia. Rarely evaluated in insomnia intervention studies is the effect of cognitive behavioural treatment on the psychosocial outcomes of fatigue, mood and quality of life. METHOD: Data were collected between December 2002 and March 2004 with 72 women who were at least 3 months post-completion of primary treatment without current evidence of disease. Women were randomly assigned to either the cognitive behavioural therapy for insomnia group, which received stimulus control instructions, sleep restriction therapy and sleep education and hygiene, or the component control group which received sleep education and hygiene only. The 10-week study consisted of 2 weeks of pre-treatment, 6 weeks of treatment and 2 weeks of post-treatment. Fatigue, mood and quality of life were measured at pre- and post-treatment. FINDINGS: Women receiving cognitive behavioural therapy for insomnia had significant improvements in fatigue, trait anxiety, depression and quality of life. The component control group also had statistically significant increases in quality of life, with a trend suggestive of lower depression at post-treatment. CONCLUSION: Globally, as the number of survivors in this population continues to grow, it is imperative that nurses continue testing interventions that may positively affect quality of life and the commonly experienced symptoms of fatigue, anxiety and depression.
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Insomnia is a common problem among cancer patients, potentially devastatingly impacting their quality of life.
“Insomnia is a common problem among cancer patients, potentially devastatingly impacting their quality of life [81,82,83,84].”
From The Effect of Vinyasa Yoga Practice on the Well-Being of Breast-Cancer Patients during COVID-19 Pandemic (2023) · cites this paper as [83]
The Introduction describes insomnia as common among people with cancer, and the Background links it to lower quality of life. Neither passage establishes the potentially devastating degree of impact claimed; the Background describes an association, not a causal effect. Page numbers are unavailable in our copy. (LLM, conf=0.82)
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- Authors
- Dirksen, S. R., & Epstein, D. R.
- Affiliations
- Arizona State University (US)
- Carl T. Hayden Veterans Affairs Medical Center (US)
- ORCID
- Epstein, Dana R.
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2008-02-21
- Volume
- 61
- Issue
- 6
- Pages
- 664-675
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W1997157023
- Cited by
- 185
- References
- 64
- Citations by year
- 2026: 3 · 2025: 11 · 2024: 7 · 2023: 5 · 2022: 13 · 2021: 8 · 2020: 12 · 2019: 8 · 2018: 7 · 2017: 8 · 2016: 11 · 2015: 16 · 2014: 15 · 2013: 8 · 2012: 12
- FWCI
- 18.60
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- National Institutes of Health
- National Cancer Institute (CA91869, R21CA091869)
- 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
- cognitive behavioral therapy for insomnia, breast cancer survivors, cancer-related fatigue, depression, anxiety, quality of life, sleep restriction therapy, stimulus control, sleep hygiene education, psychosocial outcomes
- MeSH terms
- Adolescent, Adult, Affect, Aged, Aged, 80 and over, Breast Neoplasms, Fatigue, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Quality of Life, Surveys and Questionnaires, Cognitive Behavioral Therapy, Treatment Outcome
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