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Cited by 388

The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.

Natural Course of Insomnia Comorbid With Cancer: An 18-Month Longitudinal Study

Savard, Josée, Ivers, Hans, Villa, Julie, Caplette-Gingras, Aude, Morin, Charles M.·2011·Journal of Clinical Oncology

Abstract

Purpose: This study aimed to assess the prevalence and natural course (incidence, persistence, remission, and relapse) of insomnia comorbid with cancer during an 18-month period. Patients and Methods: All patients scheduled to receive a curative surgery for a first diagnosis of nonmetastatic cancer were approached on the day of their preoperative visit to participate in the study. A total of 962 patients with cancer (mixed sites) completed an insomnia diagnostic interview at the perioperative phase (T1), as well as at 2 (T2), 6 (T3) 10 (T4), 14 (T5), and 18 (T6) months after surgery. Results: Findings revealed high rates of insomnia at baseline (59%), including 28% with an insomnia syndrome. The prevalence of insomnia generally declined over time but remained pervasive even at the end of the 18-month period (36%). Rates were greater in patients with breast (42% to 69%) and gynecologic (33% to 68%) cancer and lower in men with prostate cancer (25% to 39%) throughout the study. Nearly 15% of patients had a first incidence of insomnia during the study, and 19.5% experienced relapse. The evolution of symptoms varied according to sleep status. Remissions (patients becoming good sleepers) were much less likely for patients with an insomnia syndrome (10.8% to 14.9%) than for those with insomnia symptoms (42.0% to 51.3%). Most frequently (37.6%), patients with an insomnia syndrome at baseline kept that status throughout the 18-month period. Conclusion: Insomnia is a frequent and enduring problem in patients with cancer, particularly at the syndrome level. Early intervention strategies, such as cognitive-behavioral therapy, could prevent the problem from becoming more severe and chronic.

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Metadata

Authors
Savard, J., Ivers, H., Villa, J., Caplette-Gingras, A., & Morin, C. M.
Venue
Journal of Clinical Oncology
Published
2011-09-10
Volume
29
Issue
26
Pages
3580-3586
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W1992678256
Cited by
388
References
19
FWCI
24.51
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Natural Course of Insomnia Comorbid With Cancer: An 18-Month Longitudinal Study. https://app.cochat.ai/papers/10.1200/jco.2010.33.2247
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Savard, J., Ivers, H., Villa, J., Caplette-Gingras, A., & Morin, C. M. (2011). Natural Course of Insomnia Comorbid With Cancer: An 18-Month Longitudinal Study. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2010.33.2247

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