Sleeping well with cancer: A systematic review of cognitive behavioral therapy for insomnia in cancer patients
Sheila N. Garland,Jillian A. Johnson,Josée Savard,Philip R. Gehrman,Michael L. Perlis,Linda E. Carlson,Tavis S. Campbell +6 more
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TLDR
Results suggest that CBT-I is associated with statistically and clinically significant improvements in subjective sleep outcomes in patients with cancer and can be successfully delivered through a variety of treatment modalities, making it possible to reach a broader range of patients who may not have access to more traditional programs.Abstract:
Individuals with cancer are disproportionately affected by sleep disturbance and insomnia relative to the general population. These problems can be a consequence of the psychological, behavioral, and physical effects of a cancer diagnosis and treatment. Insomnia often persists for years and, when combined with already high levels of cancer-related distress, may place cancer survivors at a higher risk of future physical and mental health problems and poorer quality of life. The recommended first-line treatment for insomnia is cognitive behavioral therapy for insomnia (CBT-I), a non-pharmacological treatment that incorporates cognitive and behavior-change techniques and targets dysfunctional attitudes, beliefs, and habits involving sleep. This article presents a comprehensive review of the literature examining the efficacy of CBT-I on sleep and psychological outcomes in cancer patients and survivors. The search revealed 12 studies (four uncontrolled, eight controlled) that evaluated the effects of CBT-I in cancer patients or survivors. Results suggest that CBT-I is associated with statistically and clinically significant improvements in subjective sleep outcomes in patients with cancer. CBT-I may also improve mood, fatigue, and overall quality of life, and can be successfully delivered through a variety of treatment modalities, making it possible to reach a broader range of patients who may not have access to more traditional programs. Future research in this area should focus on the translation of evidence into clinical practice in order to increase awareness and access to effective insomnia treatment in cancer care.read more
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A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for insomnia (CBT-I) in cancer survivors
Jillian A. Johnson,Joshua A. Rash,Tavis S. Campbell,Josée Savard,Philip R. Gehrman,Michael L. Perlis,Linda E. Carlson,Sheila N. Garland,Sheila N. Garland +8 more
TL;DR: The quality of the evidence supports a strong recommendation for the use of CBT-I among cancer survivors, and large effect sizes were observed for self-reported insomnia severity for those patients who received CBTs, representing a clinically relevant eight point reduction.
Journal ArticleDOI
Screening, evaluation, and management of cancer‐related fatigue: Ready for implementation to practice?
TL;DR: The evidence-based fatigue recommendations are available for clinicians, and some have patient versions; but barriers at the patient, clinician, and system levels hinder dissemination and implementation into practice.
Journal ArticleDOI
Nonpharmacological Treatments of Insomnia for Long-Term Painful Conditions: A Systematic Review and Meta-analysis of Patient-Reported Outcomes in Randomized Controlled Trials.
Nicole K. Y. Tang,S Tanya Lereya,Hayley Boulton,Michelle A. Miller,Dieter Wolke,Francesco P. Cappuccio +5 more
TL;DR: Although the body of evidence was small, nonpharmacological sleep interventions may represent a fruitful avenue for optimizing treatment outcomes in patients with chronic pain.
Journal ArticleDOI
Putting evidence into practice: an update of evidence-based interventions for cancer-related fatigue during and following treatment.
Sandra A. Mitchell,Amy J. Hoffman,Jane C. Clark,Regina M. DeGennaro,Patricia Poirier,Carolene B. Robinson,Breanna L. Weisbrod +6 more
TL;DR: This article critically reviews and integrates the available empirical evidence supporting the efficacy of pharmacologic and nonpharmacologic treatment approaches to CRF, highlighting new evidence since 2007 and 2009 Putting Evidence Into Practice publications.
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