How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature

Meta-analytic methods were used to synthesize the results of published randomized, controlledoutcome studies of psychosocial interventions with adult cancer patients. Forty-five studies reporting 62 treatment-control comparisons were identified. Samples were predominantly White, female, and from the United States. Beneficial effect size ds were .24 for emotional adjustment measures, .19 for functional adjustment measures, .26 for measures of treatment- and diseaserelated symptoms, and .28 for compound and global measures. The effect size of .17 found for medical measures was not statistically significant for the few reporting studies. Effect sizes for treatment-control comparisons did not significantly differ among several categories of treatment: behavioral interventions, nonbehavioral counseling and therapy, informational and educational methods, organized social support provided by other patients, and other nonhospice interventions. Though the field of psychosocial oncology is relatively young, intervention studies and indeed even narrative reviews of those studies are no longer rare. Meta-analytic investigations, however, are conspicuously absent from the literature. In the present article, the results of treatment-control studies of psychosocial interventions with adult cancer patients are assessed meta-analytically. The focus is on the effects of nonpharmacological interventions intended to improve the quality of life of adults who have already been diagnosed with

EMPIRICAL ARTICLES Effects of Psychosocial Interventions With Adult Cancer Patients: A Meta-Analysis of Randomized Experiments

Meta-analytic methods were used to synthesize the results of published randomized, controlled-outcome studies of psychosocial interventions with adult cancer patients. Forty-five studies reporting 62 treatment-control comparisons were identified. Samples were predominantly White, female, and from the United States. Beneficial effect size ds were .24 for emotional adjustment measures, .19 for functional adjustment measures, .26 for measures of treatment- and disease-related symptoms, and .28 for compound and global measures. The effect size of .17 found for medical measures was not statistically significant for the few reporting studies. Effect sizes for treatment-control comparisons did not significantly differ among several categories of treatment: behavioral interventions, nonbehavioral counseling and therapy, informational and educational methods, organized social support provided by other patients, and other nonhospice interventions.

Effects of psychosocial interventions with adult cancer patients: a meta-analysis of randomized experiments

This article reviews the evidence on the diagnosis, epidemiology, etiology, and treatment of insomnia in the context of cancer and proposes several areas for future research. Clinical and diagnostic features of insomnia are described and prevalence estimates of insomnia complaints in cancer patients are summarized. Then, potential etiologic factors (ie, predisposing, precipitating, and perpetuating factors) and consequences of insomnia (ie, psychologic, behavioral, and health impact) in the context of cancer are discussed. Finally, pharmacologic and psychologic treatments previously shown effective to treat insomnia in healthy individuals are discussed as valuable treatment options for cancer patients as well. Because long-term use of hypnotic medications is associated with some risks (eg, dependence), it is argued that psychologic interventions (eg, stimulus control, sleep restriction, cognitive therapy) are the treatment of choice for sleep disturbances in the context of cancer, especially whe...

Insomnia in the Context of Cancer: A Review of a Neglected Problem

http://sfb55068d25a70fdb.jimcontent.com/download/version/0/module/4771181560/name/Sleep%20disturbance%20in%20cancer%20patients.pdf

Sleep disturbance in cancer patients

https://digital.library.unt.edu/ark:/67531/metadc331129/m2/1/high_res_d/1002783426-Cannici.pdf

Treatment of insomnia in cancer patients using muscle relaxation training

Descriptions of the typical subjective effects of marihuana usage abound in both popular and professional publications. For the most part, these studies utilize sociological and anecdotal approaches (Weil, Zinberg and Nelson, 1968). However, reports of systematic and objective research efforts dealing with the effects of ingestion of marihuana or its active ingredient, tetrahydrocannabinol (THC), on broad psychological cognitive and physiological processes are almost nonexistent. This lack of relevant research is attributable to a combination of legal, ethical, social, and methodological problems.

Leon A. Peek

Papers

Treatment of insomnia in cancer patients using muscle relaxation training

Treatment Effects of Delta-9-THC in an Advanced Cancer Population