Wednesday, 10 November 2010

Contribution of Cancer Symptoms, Dysfunctional Sleep Related Thoughts, and Sleep Inhibitory Behaviors to the Insomnia Process in Breast Cancer Survivors: A Daily Process Analysis

CANCER SYMPTOMS AND INSOMNIA IN BREAST CANCER SURVIVORS
Contribution of Cancer Symptoms, Dysfunctional Sleep Related Thoughts, and Sleep Inhibitory Behaviors to the Insomnia Process in Breast Cancer Survivors: A Daily Process Analysis

Meredith E. Rumble, PhD1; Francis J. Keefe, PhD2; Jack D. Edinger, PhD2,3; Glenn Affleck, PhD4; P. Kelly Marcom, MD2; Heather S. Shaw, MD5

1University of Wisconsin, Madison, WI; 2Duke University Medical Center, Durham, NC; 3VA Medical Center, Durham, NC; 4University of Connecticut Health Center, Farmington, CT; 5University of North Carolina, Chapel Hill, NC



Editor's Note. 1425.
David F. Dinges, PhD Post-H1N1 Narcolepsy-Cataplexy. 1428-1430.
Yves Dauvilliers, MD, PhD1; Jacques Montplaisir, MD, PhD2,3; Valéerie Cochen, MD, PhD1; Alex Desautels, MD2,4; Mali Einen, BA5; Ling Lin, MD, PhD5; Minae Kawashima, PhD5; Sophie Bayard, PhD1; Christelle Monaca, MD, PhD6; Michel Tiberge, MD7; Daniel Filipini, MD2; Asit Tripathy, MD8; Bich Hong Nguyen, MD1,9; Suresh Kotagal, MD10; Emmanuel Mignot, MD, PhD5 Intermittent Hypoxia Mobilizes Bone Marrow-Derived Very Small Embryonic-Like Stem Cells and Activates Developmental Transcriptional Programs in Mice. 1439-1446.
Sina A. Gharib, MD1; Ehab A. Dayyat, MD2; Abdelnaby Khalyfa, PhD2,4; Jinkwan Kim, PhD2,4; Heather B. Clair, MSc2; Magdalena Kucia, PhD3; David Gozal, MD2,4 Clinical and Therapeutic Aspects of Childhood Narcolepsy-Cataplexy: A Retrospective Study of 51 Children. 1457-1464. Article Is Eligible For CME Credits
Adi Aran, MD1; Mali Einen2; Ling Lin, MD, PhD2; Guiseppe Plazzi, MD3; Seiji Nishino, MD, PhD2; Emmanuel Mignot, MD, PhD2 Coping with Sleep Deprivation: Shifts in Regional Brain Activity and Learning Strategy. 1465-1473.
Roelina Hagewoud1; Robbert Havekes, PhD1; Paula A. Tiba, PhD2; Arianna Novati1; Koen Hogenelst1; Pim Weinreder1; Eddy A. Van der Zee, PhD1; Peter Meerlo, PhD1 Positive Airway Pressure Adherence in Veterans with Posttraumatic Stress Disorder. 1495-1500.
Ali A. El-Solh, MD, MPH1,2,3; Lakshmy Ayyar, MD2; Morohonfolu Akinnusi, MD2; Sachin Relia, MD4; Opeoluwa Akinnusi, MD4 Analysis of Slow-Wave Activity and Slow-Wave Oscillations Prior to Somnambulism. 1511-1516.
Olivier Jaar1,2; Mathieu Pilon, PhD1,2; Julie Carrier, PhD1,2; Jacques Montplaisir, MD, PhD, CRCPc1,3; Antonio Zadra, PhD1,2 Motor Unit Recruitment in Human Genioglossus Muscle in Response to Hypercapnia. 1529-1538.
Christian L. Nicholas, PhD1; Bei Bei, DPsych1; Christopher Worsnop, MBBS, PhD1; Atul Malhotra, MD2; Amy S. Jordan, PhD1; Julian P. Saboisky, PhD2; Julia K. M. Chan, BA (Hons)1; Ella Duckworth, BSc (Hons)1; David P. White, MD2; John Trinder, PhD1 Reliability and Validity of the Brief Insomnia Questionnaire in the America Insomnia Survey. 1539-1549.
Ronald C. Kessler, PhD1; Catherine Coulouvrat, MD2; Goeran Hajak, MD3; Matthew D. Lakoma, MPH1; Thomas Roth, PhD4; Nancy Sampson, BA1; Victoria Shahly, PhD1; Alicia Shillington, PhD5; Judith J. Stephenson, SM6; James K. Walsh, PhD7; Gary K. Zammit, PhD8 Efficacy and Safety of Doxepin 1 mg and 3 mg in a 12-week Sleep Laboratory and Outpatient Trial of Elderly Subjects with Chronic Primary Insomnia. 1553-1561.
Andrew D. Krystal, MD, MS1; H. Heith Durrence, PhD2; Martin Scharf, PhD3; Philip Jochelson, MD4; Roberta Rogowski, BSN2; Elizabeth Ludington, PhD2; Thomas Roth, PhD5 Alterations in Cyclic Alternating Pattern Associated with Phase Advanced Sleep are Differentially Modulated by Gaboxadol and Zolpidem. 1562-1570.
Vladimir Svetnik, PhD1; Raffaele Ferri, MD2; Shubhankar Ray, PhD1; Junshui Ma, PhD1; James K. Walsh, PhD3,4; Ellen Snyder, PhD5; Bjarke Ebert, PhD, DSc6; Steve Deacon, PhD7 Expand  Table of Contents     Using a comprehensive cognitive-behavioral model of insomnia and a daily process approach, this study was conducted to examine the contribution of cancer symptoms and dysfunctional sleep related thoughts and behaviors to the process of insomnia in breast cancer survivors.

Within-group longitudinal research design.

41 women with breast cancer who had completed their primary cancer treatment and met Research Diagnostic Criteria for primary insomnia or insomnia comorbid with breast cancer.

For 28 days, participants completed morning diaries assessing sleep, nighttime pain and hot flashes, and dysfunctional sleep related thoughts and behaviors during the day and night, and evening diaries assessing daytime pain, fatigue, hot flashes, and mood. All diaries were collected using an automated telephone-based system. Results revealed that poorer sleep was related to nighttime pain and hot flashes in breast cancer patients. Time-lagged effects were also found. The current study identified higher levels of dysfunctional sleep related thoughts and sleep inhibitory behaviors during the day and night as antecedents of insomnia, and higher levels of pain, fatigue, and hot flashes and lower levels of positive mood and dysfunctional sleep related thoughts as consequences of insomnia in this population.

The current study found support for a comprehensive cognitive-behavioral model of insomnia, which has several theoretical, practice, and research implications.

Rumble ME; Keefe FJ; Edinger JD; Affleck G; Marcom PK; Shaw HS. Contribution of cancer symptoms, dysfunctional sleep related thoughts, and sleep inhibitory behaviors to the insomnia process in breast cancer survivors: a daily process analysis. SLEEP 2010;33(11):1501-1509.



Editor's Note. 1425.
David F. Dinges, PhD Post-H1N1 Narcolepsy-Cataplexy. 1428-1430.
Yves Dauvilliers, MD, PhD1; Jacques Montplaisir, MD, PhD2,3; Valéerie Cochen, MD, PhD1; Alex Desautels, MD2,4; Mali Einen, BA5; Ling Lin, MD, PhD5; Minae Kawashima, PhD5; Sophie Bayard, PhD1; Christelle Monaca, MD, PhD6; Michel Tiberge, MD7; Daniel Filipini, MD2; Asit Tripathy, MD8; Bich Hong Nguyen, MD1,9; Suresh Kotagal, MD10; Emmanuel Mignot, MD, PhD5 Intermittent Hypoxia Mobilizes Bone Marrow-Derived Very Small Embryonic-Like Stem Cells and Activates Developmental Transcriptional Programs in Mice. 1439-1446.
Sina A. Gharib, MD1; Ehab A. Dayyat, MD2; Abdelnaby Khalyfa, PhD2,4; Jinkwan Kim, PhD2,4; Heather B. Clair, MSc2; Magdalena Kucia, PhD3; David Gozal, MD2,4 Clinical and Therapeutic Aspects of Childhood Narcolepsy-Cataplexy: A Retrospective Study of 51 Children. 1457-1464. Article Is Eligible For CME Credits
Adi Aran, MD1; Mali Einen2; Ling Lin, MD, PhD2; Guiseppe Plazzi, MD3; Seiji Nishino, MD, PhD2; Emmanuel Mignot, MD, PhD2 Coping with Sleep Deprivation: Shifts in Regional Brain Activity and Learning Strategy. 1465-1473.
Roelina Hagewoud1; Robbert Havekes, PhD1; Paula A. Tiba, PhD2; Arianna Novati1; Koen Hogenelst1; Pim Weinreder1; Eddy A. Van der Zee, PhD1; Peter Meerlo, PhD1 Positive Airway Pressure Adherence in Veterans with Posttraumatic Stress Disorder. 1495-1500.
Ali A. El-Solh, MD, MPH1,2,3; Lakshmy Ayyar, MD2; Morohonfolu Akinnusi, MD2; Sachin Relia, MD4; Opeoluwa Akinnusi, MD4 Analysis of Slow-Wave Activity and Slow-Wave Oscillations Prior to Somnambulism. 1511-1516.
Olivier Jaar1,2; Mathieu Pilon, PhD1,2; Julie Carrier, PhD1,2; Jacques Montplaisir, MD, PhD, CRCPc1,3; Antonio Zadra, PhD1,2 Motor Unit Recruitment in Human Genioglossus Muscle in Response to Hypercapnia. 1529-1538.
Christian L. Nicholas, PhD1; Bei Bei, DPsych1; Christopher Worsnop, MBBS, PhD1; Atul Malhotra, MD2; Amy S. Jordan, PhD1; Julian P. Saboisky, PhD2; Julia K. M. Chan, BA (Hons)1; Ella Duckworth, BSc (Hons)1; David P. White, MD2; John Trinder, PhD1 Reliability and Validity of the Brief Insomnia Questionnaire in the America Insomnia Survey. 1539-1549.
Ronald C. Kessler, PhD1; Catherine Coulouvrat, MD2; Goeran Hajak, MD3; Matthew D. Lakoma, MPH1; Thomas Roth, PhD4; Nancy Sampson, BA1; Victoria Shahly, PhD1; Alicia Shillington, PhD5; Judith J. Stephenson, SM6; James K. Walsh, PhD7; Gary K. Zammit, PhD8 Efficacy and Safety of Doxepin 1 mg and 3 mg in a 12-week Sleep Laboratory and Outpatient Trial of Elderly Subjects with Chronic Primary Insomnia. 1553-1561.
Andrew D. Krystal, MD, MS1; H. Heith Durrence, PhD2; Martin Scharf, PhD3; Philip Jochelson, MD4; Roberta Rogowski, BSN2; Elizabeth Ludington, PhD2; Thomas Roth, PhD5 Alterations in Cyclic Alternating Pattern Associated with Phase Advanced Sleep are Differentially Modulated by Gaboxadol and Zolpidem. 1562-1570.
Vladimir Svetnik, PhD1; Raffaele Ferri, MD2; Shubhankar Ray, PhD1; Junshui Ma, PhD1; James K. Walsh, PhD3,4; Ellen Snyder, PhD5; Bjarke Ebert, PhD, DSc6; Steve Deacon, PhD7 Expand  Table of Contents
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