Cited by 557Sleep and related disordersCancer survivorship and careSleep and Work-Related Fatigue

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Prevalence, Demographics, and Psychological Associations of Sleep Disruption in Patients With Cancer: University of Rochester Cancer Center–Community Clinical Oncology Program

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Palesh, Oxana G., Roscoe, Joseph A., Mustian, Karen M., Roth, Thomas, Savard, Josée, Ancoli-Israel, Sonia, Heckler, Charles, Purnell, Jason Q., Janelsins, Michelle C., Morrow, Gary R.·2010·Journal of Clinical Oncology

DOI 10.1200/jco.2009.22.5011PMC PMC2815717

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Abstract

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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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: Palesh, Oxana G.
Mustian, Karen M.
Roth, Thomas
Savard, Josée
Heckler, Charles
Purnell, Jason Q.
Janelsins, Michelle C.
Morrow, Gary R.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2010-01-10
Volume: 28
Issue: 2
Pages: 292-298
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2009.22.5011
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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Prevalence, Demographics, and Psychological Associations of Sleep Disruption in Patients With Cancer: University of Rochester Cancer Center–Community Clinical Oncology Program

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