OBJECTIVE:Sleep disturbances are common among women with breast cancer and can have serious consequences. The present study examined depression, pain, life stress, and participation in group therapy in relation to sleep disturbances in a sample of women with metastatic breast cancer. METHODS:Ninety-three women with metastatic breast cancer participated in a large intervention trial examining the effect of the group therapy on their symptoms. They completed measures of depression, pain, life stress, and sleep disturbance at baseline, 4, 8 and 12 months. RESULTS: The results showed that higher initial levels of depression at baseline predicted problems associated with getting up in the morning, waking up during the night, and daytime sleepiness. Increases in depression over the course of 12 months were associated with fewer hours of sleep, more problems with waking up during the night and more daytime sleepiness. Higher levels of pain at baseline predicted more problems getting to sleep. Increases in pain predicted more difficulty getting to sleep and more problems waking up during the night. Greater life stress at baseline predicted more problems getting to sleep and more daytime sleepiness. CONCLUSIONS:Depression, pain, and life stress scores were each associated with different types of negative change in self-reported sleep disturbances. Depression, especially worsening depression, was associated with the greatest number of types of negative change. The relationships found between sleep disturbance and depression, pain, and life stress suggest specific ways to address the problem of sleep disturbance for women with metastatic breast cancer and show how different types of disturbed sleep may be clinical markers for depression, pain, or life stress in this population.
RCT Entities:
OBJECTIVE:Sleep disturbances are common among women with breast cancer and can have serious consequences. The present study examined depression, pain, life stress, and participation in group therapy in relation to sleep disturbances in a sample of women with metastatic breast cancer. METHODS: Ninety-three women with metastatic breast cancer participated in a large intervention trial examining the effect of the group therapy on their symptoms. They completed measures of depression, pain, life stress, and sleep disturbance at baseline, 4, 8 and 12 months. RESULTS: The results showed that higher initial levels of depression at baseline predicted problems associated with getting up in the morning, waking up during the night, and daytime sleepiness. Increases in depression over the course of 12 months were associated with fewer hours of sleep, more problems with waking up during the night and more daytime sleepiness. Higher levels of pain at baseline predicted more problems getting to sleep. Increases in pain predicted more difficulty getting to sleep and more problems waking up during the night. Greater life stress at baseline predicted more problems getting to sleep and more daytime sleepiness. CONCLUSIONS:Depression, pain, and life stress scores were each associated with different types of negative change in self-reported sleep disturbances. Depression, especially worsening depression, was associated with the greatest number of types of negative change. The relationships found between sleep disturbance and depression, pain, and life stress suggest specific ways to address the problem of sleep disturbance for women with metastatic breast cancer and show how different types of disturbed sleep may be clinical markers for depression, pain, or life stress in this population.
Authors: Janine Giese-Davis; Cheryl Koopman; Lisa D Butler; Catherine Classen; Matthew Cordova; Pat Fobair; Jane Benson; Helena C Kraemer; David Spiegel Journal: J Consult Clin Psychol Date: 2002-08
Authors: Lisa D Butler; Nigel P Field; Amy L Busch; Julie E Seplaki; T Andrew Hastings; David Spiegel Journal: Psychooncology Date: 2005-06 Impact factor: 3.894
Authors: Cheryl Koopman; Cheryl Gore-Felton; Negar Azimi; Kristen O'Shea; Eric Ashton; Rachel Power; Shannon De Maria; Dennis Israelski; David Spiegel Journal: Int J Psychiatry Med Date: 2002 Impact factor: 1.210
Authors: Lisa D Butler; Cheryl Koopman; Matthew J Cordova; Robert W Garlan; Sue DiMiceli; David Spiegel Journal: Psychosom Med Date: 2003 May-Jun Impact factor: 4.312
Authors: Barry V Fortner; Edward J Stepanski; Stephanie C Wang; Sarah Kasprowicz; H Heith Durrence Journal: J Pain Symptom Manage Date: 2002-11 Impact factor: 3.612
Authors: Cheryl Koopman; Bita Nouriani; Vanessa Erickson; Renu Anupindi; Lisa D Butler; Michael H Bachmann; Sandra E Sephton; David Spiegel Journal: Breast J Date: 2002 Nov-Dec Impact factor: 2.431
Authors: Shauna L Shapiro; Richard R Bootzin; Aurelio J Figueredo; Ana Maria Lopez; Gary E Schwartz Journal: J Psychosom Res Date: 2003-01 Impact factor: 3.006
Authors: Kristin L Schreiber; Nantthansorn Zinboonyahgoon; K Mikayla Flowers; Valerie Hruschak; Kara G Fields; Megan E Patton; Emily Schwartz; Desiree Azizoddin; Mieke Soens; Tari King; Ann Partridge; Andrea Pusic; Mehra Golshan; Rob R Edwards Journal: Ann Surg Oncol Date: 2021-01-15 Impact factor: 5.344
Authors: Catherine E Mosher; Katherine N Duhamel; Joanne Lam; Maura Dickler; Yuelin Li; Mary Jane Massie; Larry Norton Journal: Psychol Health Date: 2011-07-08
Authors: Janae L Kirsch; Michael E Robinson; Christina S McCrae; Elizabeth L Kacel; Shan S Wong; Seema Patidar; Timothy S Sannes; Stephanie Garey; Jacqueline C Castagno; Deidre B Pereira Journal: Pain Med Date: 2020-01-01 Impact factor: 3.750
Authors: Ann M Berger; Kathi Mooney; Amy Alvarez-Perez; William S Breitbart; Kristen M Carpenter; David Cella; Charles Cleeland; Efrat Dotan; Mario A Eisenberger; Carmen P Escalante; Paul B Jacobsen; Catherine Jankowski; Thomas LeBlanc; Jennifer A Ligibel; Elizabeth Trice Loggers; Belinda Mandrell; Barbara A Murphy; Oxana Palesh; William F Pirl; Steven C Plaxe; Michelle B Riba; Hope S Rugo; Carolina Salvador; Lynne I Wagner; Nina D Wagner-Johnston; Finly J Zachariah; Mary Anne Bergman; Courtney Smith Journal: J Natl Compr Canc Netw Date: 2015-08 Impact factor: 11.908
Authors: Thomas Hyphantis; Panagiota Goulia; Ioannis Zerdes; Solomis Solomou; Elias Andreoulakis; André F Carvalho; Nicholas Pavlidis Journal: Dig Dis Sci Date: 2015-08-20 Impact factor: 3.199
Authors: Amanda I Phipps; Parveen Bhatti; Marian L Neuhouser; Chu Chen; Tracy E Crane; Candyce H Kroenke; Heather Ochs-Balcom; Michelle Rissling; Beverly M Snively; Marcia L Stefanick; Miriam M Treggiari; Nathaniel F Watson Journal: J Clin Sleep Med Date: 2016-04-15 Impact factor: 4.062
Authors: Catherine E Mosher; Courtney Johnson; Maura Dickler; Larry Norton; Mary Jane Massie; Katherine DuHamel Journal: Breast J Date: 2013-03-26 Impact factor: 2.431