Insomnia in the Context of Cancer: A Review of a Neglected Problem

Savard, Josée; Morin, Charles M.

doi:10.1200/jco.2001.19.3.895

Cited by 861Sleep and related disordersCancer survivorship and careSleep and Work-Related Fatigue

Insomnia in the Context of Cancer: A Review of a Neglected Problem

Savard, Josée, Morin, Charles M.·2001·Journal of Clinical Oncology

DOI 10.1200/jco.2001.19.3.895

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Abstract

ABSTRACT: This article reviews the evidence on the diagnosis, epidemiology, etiology, and treatment of insomnia in the context of cancer and proposes several areas for future research. Clinical and diagnostic features of insomnia are described and prevalence estimates of insomnia complaints in cancer patients are summarized. Then, potential etiologic factors (ie, predisposing, precipitating, and perpetuating factors) and consequences of insomnia (ie, psychologic, behavioral, and health impact) in the context of cancer are discussed. Finally, pharmacologic and psychologic treatments previously shown effective to treat insomnia in healthy individuals are discussed as valuable treatment options for cancer patients as well. Because long-term use of hypnotic medications is associated with some risks (eg, dependence), it is argued that psychologic interventions (eg, stimulus control, sleep restriction, cognitive therapy) are the treatment of choice for sleep disturbances in the context of cancer, especially when it has reached a chronic course. However, the efficacy of these treatments has yet to be verified specifically in cancer patients.

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Insomnia is a prevalent complaint linked to cancer and its treatments, affecting between 29% and 64% of cancer survivors months or years after treatment completion.
“Insomnia emerges as a prevalent complaint linked to cancer and its treatments, and tends to persist, affecting between 29% to 64% of can -cer survivors months or years after treatment completion. 4-6”
From Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial (2024) · cites this paper as [6]

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Authors: Savard, J., & Morin, C. M.
Affiliations: Université Laval (CA)
ORCID: Savard, Josée
Morin, Charles M.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2001-02-01
Volume: 19
Issue: 3
Pages: 895-908
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2001.19.3.895
OpenAlex: W2112502628
Cited by: 861
References: 103
Citations by year: 2026: 30 · 2025: 49 · 2024: 50 · 2023: 48 · 2022: 43 · 2021: 56 · 2020: 40 · 2019: 37 · 2018: 35 · 2017: 35 · 2016: 38 · 2015: 34 · 2014: 42 · 2013: 40 · 2012: 44
FWCI: 3.70
Type: journal article
Language: en
Open access: closed
Locations: Journal of Clinical Oncology (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, cancer patients, sleep disorders, insomnia prevalence, insomnia etiology, insomnia treatment, hypnotics, hypnotic dependence, cognitive behavioral therapy, stimulus control, sleep restriction, chronic insomnia
MeSH terms: Humans, Sleep Initiation and Maintenance Disorders, Neoplasms

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Insomnia in the Context of Cancer: A Review of a Neglected Problem

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