Disruptions in sleep–wake cycles in community-dwelling cancer patients receiving palliative care and their correlates

@article{Bernatchez2018DisruptionsIS,
  title={Disruptions in sleep–wake cycles in community-dwelling cancer patients receiving palliative care and their correlates},
  author={Marie Solange Bernatchez and Jos{\'e}e Savard and Hans Ivers},
  journal={Chronobiology International},
  year={2018},
  volume={35},
  pages={49 - 62}
}
ABSTRACT Significant disruptions in sleep–wake cycles have been found in advanced cancer patients in prior research. However, much remains to be known about specific sleep–wake cycle variables that are impaired in patients with a significantly altered performance status. More studies are also needed to explore the extent to which disrupted sleep–wake cycles are related to physical and psychological symptoms, time to death, maladaptive sleep behaviors, quality of life and 24-h light exposure… 
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Cancer
  • J. Savard
  • Handbook of Sleep Disorders in Medical Conditions
  • 2019

References

SHOWING 1-10 OF 68 REFERENCES
Sleep–wake difficulties in community-dwelling cancer patients receiving palliative care: subjective and objective assessment
TLDR
A need to screen more systematically for sleep–wake disorders, including insomnia and hypersomnolence, in both palliative care research and clinical practice, and to develop effective nonpharmacological interventions specifically adapted to this population is indicated.
Sleep, fatigue, depression, and circadian activity rhythms in women with breast cancer before and after treatment: a 1-year longitudinal study
TLDR
Sleep disturbance, fatigue and depression are common complaints in patients with cancer, and often contribute to worse quality of life (QoL), so it is needed to determine if beginning treatment of these symptoms before the start of chemotherapy will minimize symptom severity over time.
Breast cancer patients have progressively impaired sleep-wake activity rhythms during chemotherapy.
TLDR
Assessment of the longitudinal course of sleep-wake activity rhythms before and during chemotherapy for breast cancer suggests that the first administration of chemotherapy is associated with transient disruption ofSleep-wake rhythm, while repeated treatment with chemotherapy results in progressively worse and more enduring impairments in sleep- wake activity rhythms.
Sleep Disturbances in Patients With Advanced Cancer in Different Palliative Care Settings.
Fatigue, sleep, and circadian rhythms prior to chemotherapy for breast cancer
TLDR
Sleep, fatigue, and circadian rhythms in women with breast cancer before the start of chemotherapy are examined to suggest that strategies to improve disturbed sleep and to phase-advance circadian rhythms prior to initiation of chemotherapy may be beneficial in improving daily function in breast cancer patients.
Circadian function in patients with advanced non-small-cell lung cancer
TLDR
The daily sleep/activity patterns of patients with advanced lung cancer are disturbed, accompanied by marked disruption of QoL and function, and data indicate that measurement of circadianSleep/activity dynamics should be accomplished in the outpatient/home setting for a minimum of 4–7 circadian cycles to assure that they are most representative of patients' true condition.
Rest/activity rhythm is related to the coexistence of pain and sleep disturbance among advanced cancer patients with pain
TLDR
The rest/activity rhythm influences the coexisting pain and sleep disturbances in cancer patients and pain functions as a complete mediator in their relationship.
The association of quality of life with potentially remediable disruptions of circadian sleep/activity rhythms in patients with advanced lung cancer
TLDR
It is found that circadian disruption is universal and severe among patients compared to non-cancer-bearing individuals and the testable possibility that behavioral, hormonal and/or light-based strategies to improve circadian organization may help patients suffering from advanced lung cancer to feel and function better.
Validation of actigraphy to assess circadian organization and sleep quality in patients with advanced lung cancer
TLDR
The correlation of daily activity/sleep time with PSQI-documented sleep indicates that actigraphy can be used as an objective tool and/or to complement subjective assessments of sleep quality in patients with advanced lung cancer.
How is sleep quality affected by the psychological and symptom distress of advanced cancer patients?
TLDR
Post-traumatic experience and quality of life seemed to be the strongest predictors of sleep quality in a sample of advanced cancer patients referred for palliative care.
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