Sleep Disorders in Cancer—A Systematic Review
Open accessAbstract
Introduction: Sleep disorders, especially insomnia, are very common in different kinds of cancers, but their prevalence and incidence are not well-known. Disturbed sleep in cancer is caused by different reasons and usually appears as a comorbid disorder to different somatic and psychiatric diagnoses, psychological disturbances and treatment methods. There can be many different predictors for sleep disturbances in these vulnerable groups, such as pre-existing sleep disorders, caused by the mental status in cancer or as side effect of the cancer treatment. Methods: A systematic literature review of 8073 studies was conducted on the topic of sleep and sleep disorders in cancer patients. The articles were identified though PubMed, PsycInfo and Web of Knowledge, and a total number of 89 publications were qualified for analysis. Results: The identified eighty-nine studies were analyzed on the topic of sleep and sleep disorders in cancer, twenty-six studies on sleep and fatigue in cancer and sixty-one studies on the topic of sleep disorders in cancer. The prevalence of sleep disturbences and/or sleep disorders in cancer was up to 95%. Discussion: Sleep disturbances and sleep disorders (such as insomnia, OSAS, narcolepsy and RLS; REM-SBD) in cancer patients can be associated with different conditions. Side effects of cancer treatment and cancer-related psychological dysfunctions can be instigated by sleep disturbances and sleep disorders in these patients, especially insomnia and OSAS are common. An evidence-based treatment is necessary for concomitant mental and/or physical states.
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Insomnia itself is most common in people living with cancer.
“Another component of the trifecta of common symptom clusters (along with pain and fatigue) is sleep disturbance; while sleep disorders run the spectrum of conditions including sleep-related breathing disorder/obstructive sleep apnea syndrome, narcolepsy, restless legs syndrome, and REM-sleep behavior disorder, insomnia itself is most common in PLWC (Büttner-Teleagȃ et al. 2021).”
From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Büttner-Teleagȃ et al. 2021
Section 2.2 describes insomnia as very common in cancer patients, and the Introduction says narcolepsy, restless legs syndrome, and REM-sleep behavior disorder are rarely found. The paper does not establish that insomnia is the single most common sleep disorder: its Conclusions also call obstructive sleep apnea very common, without ranking the two. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe rate of cancer-related insomnia is reported at nearly three times that of the general population, with different analyses reporting 30-50% of all people living with cancer experiencing severe sleep difficulties, with a prevalence up to 95% in some studies.
“The rate of cancerrelated insomnia is reported at nearly three times that of the general population, with different analyses reporting 30-50% of all PLWC experiencing severe sleep difficulties, with a prevalence up to 95% in some studies (Büttner-Teleagȃ et al. 2021).”
From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Büttner-Teleagȃ et al. 2021
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“breathing disorder/obstructive sleep apnea syndrome, narcolepsy, restless legs syndrome, and REM-sleep behavior disorder, insomnia itself is most common in PLWC (Büttner-Teleag˘a et al. 2021).”
BackgroundZok, A., Matecka, M., Zapala, J., Izycki, D., & Baum, E. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20043770 · Cited by 12 · see citing works
García-Torres, F., García-Carmona, M., Rubio, S., Luque, B., Gómez-Solís, Á., & Aranda, E. (2023) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2023.105131 · Cited by 5 · see citing works
- Authors
- Büttner-Teleagă, A., Kim, Y.-T., Osel, T., & Richter, K.
- Affiliations
- Institute of Cognitive Science, Woosuk University Samnye-up, Samnye-up, Wanju-gun 565-701, Jeollabuk-do, Korea
- Woosuk University (KR)
- University of Reading (GB)
- Georg Simon Ohm University of Applied Sciences Nuremberg (DE)
- Corresponding author
- Richter, Kneginja
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2021-11-07
- Volume
- 18
- Issue
- 21
- Pages
- 11696
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC8583058
- OpenAlex
- W3211445650
- Cited by
- 186
- References
- 16
- Citations by year
- 2026: 34 · 2025: 52 · 2024: 57 · 2023: 27 · 2022: 16
- FWCI
- 4.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- OHMdok (Technische Hochschule Nürnberg) (submittedVersion, cc-by)
- 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
- sleep disorders, cancer patients, insomnia, obstructive sleep apnea, narcolepsy, restless legs syndrome, REM sleep behavior disorder, cancer-related fatigue, cancer treatment side effects, psychological comorbidity
- MeSH terms
- Humans, Sleep Initiation and Maintenance Disorders, Narcolepsy, Neoplasms, Restless Legs Syndrome, Sleep, Sleep Wake Disorders
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