Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients

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dc.contributor.authorGarland, Sheila
dc.contributor.authorJohnson, Jillian
dc.contributor.authorCarlson, Linda E.
dc.contributor.authorPerlis, Michael
dc.contributor.authorGehrman, Philip
dc.contributor.authorSavard, Josee
dc.contributor.authorCampbell, Tavis
dc.date.accessioned2018-10-12T17:49:02Z
dc.date.available2018-10-12T17:49:02Z
dc.date.issued2014-6
dc.description.abstractIndividuals 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.
dc.identifier.citationCampbell, T., Garland, S., Johnson, J., Savard, J., Gehrman, P., Perlis, M., & Carlson, L. (2014). Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients. Neuropsychiatric Disease and Treatment, 1113. https://doi.org/10.2147/ndt.s47790
dc.identifier.doi10.2147/NDT.S47790
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/33883
dc.identifier.issn1178-2021
dc.identifier.urihttp://hdl.handle.net/1880/108874
dc.language.isoen
dc.publisherDove Medical Press Ltd.
dc.publisher.departmentPsychology
dc.publisher.departmentOncology
dc.publisher.facultyArts
dc.publisher.facultyCumming School of Medicine
dc.publisher.hasversionPublisher’s version
dc.publisher.institutionUniversity of Calgary
dc.publisher.policyhttp://www.dovepress.com/author_guidelines.php?content_id=696
dc.rightsUnless otherwise indicated, this material is protected by copyright and has been made available with authorization from the copyright owner. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/
dc.subjectsystematic review
dc.subjectsurvivors
dc.subjectcancer
dc.subjectinsomnia
dc.subjectsleep
dc.subjectquality of life
dc.subjectCBT-I
dc.titleSleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients
dc.typejournal article
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