INTRODUCTION: Insomnia is underrecognized in patients with cancer. By identifying clinical correlations and predisposing factors of insomnia, interventions may be initiated to treat insomnia. METHODS: Consecutive patients referred to palliative medicine services were screened with a single question. Patients answering affirmatively completed the Insomnia Severity Index (ISI). Patients were screened for depression, fatigue, and pain. Spearman correlation was performed for associations. RESULTS: Of 715 consecutive patients, 102 had sleep problems and 64 had clinical insomnia by the ISI criteria. Insomnia correlated with depression (r = .32), pain (r = .29), and tiredness (r = .40) but not with age or precipitating factors. DISCUSSION: Insomnia severity moderately correlates with depression, pain, and tiredness. We found no association of insomnia severity with age or medications. CONCLUSION: Insomnia, pain, depression, and tiredness are a symptom cluster.
INTRODUCTION:Insomnia is underrecognized in patients with cancer. By identifying clinical correlations and predisposing factors of insomnia, interventions may be initiated to treat insomnia. METHODS: Consecutive patients referred to palliative medicine services were screened with a single question. Patients answering affirmatively completed the Insomnia Severity Index (ISI). Patients were screened for depression, fatigue, and pain. Spearman correlation was performed for associations. RESULTS: Of 715 consecutive patients, 102 had sleep problems and 64 had clinical insomnia by the ISI criteria. Insomnia correlated with depression (r = .32), pain (r = .29), and tiredness (r = .40) but not with age or precipitating factors. DISCUSSION: Insomnia severity moderately correlates with depression, pain, and tiredness. We found no association of insomnia severity with age or medications. CONCLUSION:Insomnia, pain, depression, and tiredness are a symptom cluster.
Authors: Julia de Mello Ramirez Medina; Ingrid de Araujo Trugilho; Giovanna Nunes Belo Mendes; Josiel Guedes Silva; Maria Alexsandra da Silva Paiva; Suzana Sales de Aguiar; Luiz Claudio Santos Thuler; Anke Bergmann Journal: Eur J Breast Health Date: 2018-12-19
Authors: Anna Renom-Guiteras; José Planas; Cristina Farriols; Sergi Mojal; Ramón Miralles; Maria A Silvent; Ada I Ruiz-Ripoll Journal: BMC Palliat Care Date: 2014-08-12 Impact factor: 3.234
Authors: Tristan Martin; Rosie Twomey; Mary E Medysky; John Temesi; S Nicole Culos-Reed; Guillaume Y Millet Journal: Curr Oncol Date: 2021-03-10 Impact factor: 3.677