Document Detail

Sleep problems in cancer patients: prevalence and association with distress and pain.
MedLine Citation:
PMID:  21726015     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Although it is increasingly recognized that cancer patients often have sleep problems, we lack data on their prevalence and associations in representative clinical populations. We aimed to determine (i) the prevalence of sleep problems amongst outpatients of a cancer centre and (ii) the association with medical variables, emotional distress and pain.
METHODS: Secondary analysis of self-report and medical data on 2862 cancer centre outpatients. Sleep problems were identified using the sleep item from the Patient Health Questionnaire-9: 'Over the last two weeks, how often have you been bothered by trouble falling or staying asleep or sleeping too much?' scored on a four-point frequency scale. Emotional distress was measured using the Hospital Anxiety and Depression Scale and pain using the subscale of the European Organisation for Research and Treatment of Cancer Quality of Life Core 30 questionnaire. Medical data were obtained from the cancer centre clinical database.
RESULTS: Sleep problems (bothered more than half the days during the previous 2 weeks) were reported by 30.2% (865/2862, 95% CI = 28.5 to 31.9) of the patients. They were common in both patients with active cancer (34.5%) and in cancer survivors (28.0%). There was only a modest association with cancer site and treatment status, but there was a strong association with pain (odds ratio = 2.7, 95% CI = 2.2 to 3.4) and emotional distress (odds ratio = 4.5, 95% CI = 3.7 to 5.6).
CONCLUSIONS: Sleep problems are common in cancer outpatients and are strongly associated with pain and emotional distress. A combined approach to the management of sleep, pain and emotional distress is indicated. Copyright © 2011 John Wiley & Sons, Ltd.
Neelom Sharma; Christian Holm Hansen; Mark O'Connor; Parvez Thekkumpurath; Jane Walker; Annet Kleiboer; Gordon Murray; Colin Espie; Dawn Storey; Michael Sharpe; Leanne Fleming
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-07-01
Journal Detail:
Title:  Psycho-oncology     Volume:  21     ISSN:  1099-1611     ISO Abbreviation:  Psychooncology     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-03     Completed Date:  2012-11-16     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  9214524     Medline TA:  Psychooncology     Country:  England    
Other Details:
Languages:  eng     Pagination:  1003-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 John Wiley & Sons, Ltd.
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MeSH Terms
Age Distribution
Aged, 80 and over
Cancer Care Facilities
Cross-Sectional Studies
Depression / epidemiology,  etiology,  psychology
Middle Aged
Neoplasms / complications,  epidemiology*,  psychology*
Odds Ratio
Outpatients / psychology,  statistics & numerical data
Pain / complications,  epidemiology*
Psychiatric Status Rating Scales
Quality of Life
Scotland / epidemiology
Sleep Disorders / complications,  epidemiology*,  psychology
Stress, Psychological / epidemiology*,  psychology
Young Adult
Grant Support
G0800803//Medical Research Council; //Cancer Research UK
Erratum In:
Psychooncology. 2013 May;22(5):1198
Note: Fleming, Leanne [added]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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