Guang-Wei Sun1, Yi-Long Yang2, Xue-Bin Yang3, Yin-Yin Wang3, Xue-Jiao Cui4, Ying Liu5, Cheng-Zhong Xing6. 1. Department of Anorectal, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China. 2. Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning, People's Republic of China. 3. Dalian Seventh People's Hospital, Dalian, Liaoning, PR China. 4. Psychological Clinic, The Second Hospital of Dalian Medical University, Dalian, Liaoning, People's Republic of China. 5. Department of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China. liuyingpsy1@163.com. 6. Department of Anorectal, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China. xczcoloyto5876@163.com.
Abstract
PURPOSE: Sleep disturbances are common in cancer patients, but little is known about preoperative insomnia and its associated factors in colorectal cancer (CRC) patients. The aim of this study was to clarify the relationship between preoperative insomnia and its associated factors (i.e., pain, anxiety, self-esteem, and coping styles) in CRC patients. METHODS: A cross-sectional study was conducted in consecutive CRC inpatients (N = 434), who were required to complete the questionnaires about insomnia, pain, anxiety, self-esteem, and coping styles (acceptance/resignation, confrontation, avoidance) before the day of surgery. Hierarchical regression analyses were conducted to explore the relationships between preoperative anxiety and its associated factors. RESULTS: Based on the cutoff value of Athens Insomnia Scale (scores ≥ 6) in Chinese cancer patients, the prevalence of insomnia was 38.2% before surgery. Pain (β = 0.087, p = 0.015) and anxiety (β = 0.372, p < 0.001) were positively associated with preoperative insomnia, while self-esteem (β = - 0.479, p < 0.001) and confrontation coping (β = - 0.124, p = 0.003) showed protective effects on preoperative insomnia when putting them together into hierarchical regression. The associated factors together accounted for an additional variance of preoperative insomnia (47.6%). CONCLUSIONS: In line with previous findings, the detrimental effects of pain and anxiety on preoperative insomnia were also observed in our study. More importantly, our main new findings were that self-esteem and confrontation coping played important roles in alleviating preoperative insomnia among CRC patients. Clinicians should take these results into account when developing cancer care management to relieve preoperative insomnia.
PURPOSE: Sleep disturbances are common in cancerpatients, but little is known about preoperative insomnia and its associated factors in colorectal cancer (CRC) patients. The aim of this study was to clarify the relationship between preoperative insomnia and its associated factors (i.e., pain, anxiety, self-esteem, and coping styles) in CRCpatients. METHODS: A cross-sectional study was conducted in consecutive CRC inpatients (N = 434), who were required to complete the questionnaires about insomnia, pain, anxiety, self-esteem, and coping styles (acceptance/resignation, confrontation, avoidance) before the day of surgery. Hierarchical regression analyses were conducted to explore the relationships between preoperative anxiety and its associated factors. RESULTS: Based on the cutoff value of Athens Insomnia Scale (scores ≥ 6) in Chinese cancerpatients, the prevalence of insomnia was 38.2% before surgery. Pain (β = 0.087, p = 0.015) and anxiety (β = 0.372, p < 0.001) were positively associated with preoperative insomnia, while self-esteem (β = - 0.479, p < 0.001) and confrontation coping (β = - 0.124, p = 0.003) showed protective effects on preoperative insomnia when putting them together into hierarchical regression. The associated factors together accounted for an additional variance of preoperative insomnia (47.6%). CONCLUSIONS: In line with previous findings, the detrimental effects of pain and anxiety on preoperative insomnia were also observed in our study. More importantly, our main new findings were that self-esteem and confrontation coping played important roles in alleviating preoperative insomnia among CRCpatients. Clinicians should take these results into account when developing cancer care management to relieve preoperative insomnia.
Authors: Anita R Peoples; Sheila N Garland; Wilfred R Pigeon; Michael L Perlis; Julie Rya Wolf; Kathi L Heffner; Karen M Mustian; Charles E Heckler; Luke J Peppone; Charles S Kamen; Gary R Morrow; Joseph A Roscoe Journal: J Clin Sleep Med Date: 2019-01-15 Impact factor: 4.062
Authors: Ingrid Helene Halle; Therese Krystad Westgaard; Alexander Wahba; Trine Oksholm; Tone Rustøen; Kari Hanne Gjeilo Journal: Interact Cardiovasc Thorac Surg Date: 2017-08-01
Authors: Kyeong Min Cha; Young Ki Chung; Ki Young Lim; Jae Sung Noh; Mison Chun; So Yeon Hyun; Dae Ryong Kang; Min Jung Oh; Nam Hee Kim Journal: J Affect Disord Date: 2017-04-17 Impact factor: 4.839
Authors: Brian D Gonzalez; Michael A Grandner; Courtney B Caminiti; Siu-Kuen Azor Hui Journal: Support Care Cancer Date: 2018-06-05 Impact factor: 3.603
Authors: Xiao-Lan Cao; Shi-Bin Wang; Bao-Liang Zhong; Ling Zhang; Gabor S Ungvari; Chee H Ng; Lu Li; Helen F K Chiu; Grace K I Lok; Jian-Ping Lu; Fu-Jun Jia; Yu-Tao Xiang Journal: PLoS One Date: 2017-02-24 Impact factor: 3.240
Authors: Yufen Lin; Donald E Bailey; Sharron L Docherty; Laura S Porter; Bruce A Cooper; Steven M Paul; Marilyn J Hammer; Yvette P Conley; Jon D Levine; Christine Miaskowski Journal: Cancer Nurs Date: 2022 Mar-Apr 01 Impact factor: 2.592