Prevalence, Demographics, and Psychological Associations of Sleep Disruption in Patients With Cancer: University of Rochester Cancer Center–Community Clinical Oncology Program
Open accessAbstract
Purpose: Sleep disruption is prevalent in patients with cancer and survivors, but the prevalence of insomnia, a distressing sleep disorder, in these populations has yet to be determined in large-scale studies. Patients and Methods: A total of 823 patients with cancer receiving chemotherapy (mean age, 58 years; 597 female patients) reported on sleep difficulties in a prospective study. Results: During day 7 of cycle 1 of chemotherapy, 36.6% (n = 301) of the patients with cancer reported insomnia symptoms, and 43% (n = 362) met the diagnostic criteria for insomnia syndrome. Patients with cancer younger than 58 years were significantly more likely to experience either symptoms of insomnia or insomnia syndrome (χ 2= 13.6; P = .0002). Patients with breast cancer had the highest number of overall insomnia complaints. A significant positive association was found between symptoms of insomnia during cycles 1 and 2 of chemotherapy (ϕ = .62, P < .0001), showing persistence of insomnia during the first two cycles of chemotherapy. Sixty percent of the patient sample reported that their insomnia symptoms remained unchanged from cycle 1 to cycle 2. Those with insomnia complaints had significantly more depression and fatigue than good sleepers (all P < .0001). Conclusion: The proportions of patients with cancer in this sample reporting symptoms of insomnia and meeting diagnostic criteria for insomnia syndrome during chemotherapy are approximately three times higher than the proportions reported in the general population. Insomnia complaints persist throughout the second chemotherapy cycle for the majority of patients with cancer in this study. Insomnia is prevalent, underrecognized, undermanaged, and understudied among patients with cancer receiving chemotherapy.
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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 [5]
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“Consistent with previous reports, occurrence rates for both symptoms, calculated using clinically meaningful cutoffs, were high for both groups of patients.(20,48) However, for both symptoms,”
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Self-citation
- Authors
- Palesh, O. G., Roscoe, J. A., Mustian, K. M., Roth, T., Savard, J., Ancoli-Israel, S., Heckler, C., Purnell, J. Q., Janelsins, M. C., & Morrow, G. R.
- Affiliations
- Henry Ford Hospital (US)
- From the University of Rochester, Rochester, NY; Henry Ford Hospital, Detroit, MI; Université Laval, Quebec City, Quebec, Canada; University of California San Diego, San Diego, CA; and Washington University, St Louis, MO.
- ORCID
- Venue
- Journal of Clinical Oncology
- Published
- 2010-01-10
- Volume
- 28
- Issue
- 2
- Pages
- 292-298
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- PMC
- PMC2815717
- OpenAlex
- W2130553178
- Cited by
- 557
- References
- 44
- Citations by year
- 2026: 27 · 2025: 50 · 2024: 31 · 2023: 28 · 2022: 51 · 2021: 49 · 2020: 34 · 2019: 34 · 2018: 38 · 2017: 34 · 2016: 35 · 2015: 22 · 2014: 34 · 2013: 31 · 2012: 24
- FWCI
- 24.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Oncology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pfizer
- Sanofi
- American Society of Clinical Oncology
- National Institutes of Health (5k07ca132916-05)
- National Cancer Institute (1K07CA132916, CA 112035, K07CA132916., U10CA037420, R01CA112035, R25CA10618, U10-CA37420)
- 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, sleep disruption, cancer patients, chemotherapy, insomnia prevalence, depression, fatigue, breast cancer, age differences, psychological distress, cancer survivors
- MeSH terms
- Age Factors, Aged, Antineoplastic Agents, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Neoplasms, Sex Factors, Prevalence, Racial Groups
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