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

Sheila N Garland,1 Jillian A Johnson,2 Josee Savard,3 Philip Gehrman,4 Michael Perlis,4 Linda Carlson,5 Tavis Campbell2 1Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA, USA; 2Department of Psychology, University of Calgary, Calgary, AB, Canada; 3Sch...

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Autores principales:	Garl, SN, Johnson JA, Savard J, Gehrman P, Perlis M, Carlson L, Campbell T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/ec8c352a6a9344769e16de21898984d6
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spelling	oai:doaj.org-article:ec8c352a6a9344769e16de21898984d62021-12-02T06:52:25ZSleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients1178-2021https://doaj.org/article/ec8c352a6a9344769e16de21898984d62014-06-01T00:00:00Zhttp://www.dovepress.com/sleeping-well-with-cancer-a-systematic-review-of-cognitive-behavioral--a17259https://doaj.org/toc/1178-2021 Sheila N Garland,1 Jillian A Johnson,2 Josee Savard,3 Philip Gehrman,4 Michael Perlis,4 Linda Carlson,5 Tavis Campbell2 1Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA, USA; 2Department of Psychology, University of Calgary, Calgary, AB, Canada; 3School of Psychology, Laval University, Quebec City, QC, Canada; 4Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA; 5Department of Oncology, University of Calgary, Calgary, AB, Canada 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. Keywords: CBT-I, cancer, insomnia, sleep, systematic review, quality of life, survivorsGarlSNJohnson JASavard JGehrman PPerlis MCarlson LCampbell TDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2014, Iss default, Pp 1113-1124 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Garl SN Johnson JA Savard J Gehrman P Perlis M Carlson L Campbell T Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients
description	Sheila N Garland,1 Jillian A Johnson,2 Josee Savard,3 Philip Gehrman,4 Michael Perlis,4 Linda Carlson,5 Tavis Campbell2 1Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA, USA; 2Department of Psychology, University of Calgary, Calgary, AB, Canada; 3School of Psychology, Laval University, Quebec City, QC, Canada; 4Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA; 5Department of Oncology, University of Calgary, Calgary, AB, Canada 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. Keywords: CBT-I, cancer, insomnia, sleep, systematic review, quality of life, survivors
format	article
author	Garl SN Johnson JA Savard J Gehrman P Perlis M Carlson L Campbell T
author_facet	Garl SN Johnson JA Savard J Gehrman P Perlis M Carlson L Campbell T
author_sort	Garl
title	Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients
title_short	Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients
title_full	Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients
title_fullStr	Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients
title_full_unstemmed	Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients
title_sort	sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/ec8c352a6a9344769e16de21898984d6
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Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients

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