Psychological correlates of sleep quality in lung cancer patients under chemotherapy: A single-center cross-sectional study

Autor:	Andriani Charpidou, Konstantinos N. Syrigos, Dimitrios Papadopoulos, Maria Kiagia, Ioannis Gkiozos
Rok vydání:	2019
Předmět:	Male Sleep Wake Disorders medicine.medical_specialty Coping (psychology) Lung Neoplasms Cross-sectional study Experimental and Cognitive Psychology Anxiety 03 medical and health sciences Social support 0302 clinical medicine Internal medicine Sleep Initiation and Maintenance Disorders Surveys and Questionnaires Adaptation Psychological Medicine Humans 030212 general & internal medicine Lung cancer Fatigue Aged Sleep hygiene Performance status business.industry Medical record Social Support Middle Aged medicine.disease Psychiatry and Mental health Cross-Sectional Studies Oncology 030220 oncology & carcinogenesis Female medicine.symptom business Sleep Stress Psychological
Zdroj:	Psycho-oncologyREFERENCES. 28(9)
ISSN:	1099-1611
Popis:	Objectives Disturbed sleep is a common complaint of lung cancer patients undergoing active oncologic treatment. We aimed to clarify the extent to which psychological symptoms, coping strategies, and social support interfere with sleep quality and whether they mediate the relationship between sleep quality and fatigue or functional capacity in a sample of chemotherapy treated lung cancer patients. Methods Lung cancer patients attending an oncology unit for scheduled chemotherapy cycles completed questionnaires assessing their sleep quality, fatigue, depression, anxiety, stress, coping, social support, symptoms of pain, dyspnea, and cough, and sleep hygiene practices. Demographic and disease-related characteristics were obtained from patients' medical records and treating physicians rated their functional status. Multivariate regression and mediation analyses were applied to test the study's hypotheses. Results One hundred nineteen patients were enrolled, 58.2% of whom were identified as poor sleepers. After adjusting for age, gender, comorbidities, concomitant medications, cancer stage, prior and ongoing treatment, sleep hygiene, and symptoms, there was a statistically significant association between poor sleep quality and anxiety (odd`s ratio [OR] 1.17 [95% CI, 1.01-1.35]), stress (OR 1.14 [95% CI, 1.04-1.25]), and positive coping (OR 1.15 [95% CI, 1.02-1.31]). Poor sleep quality was an independent correlate of fatigue (B 1.56 [95% CI, 0.61-2.50]) and low performance status (OR 5.17 [95% CI, 1.60-16.72]); stress symptoms partially mediated the relationship between sleep quality and fatigue (P = .030). Conclusions Higher psychological burden predict sleep disturbances and contribute to increased fatigue in lung cancer patients undergoing chemotherapy. Effective psychoeducational interventions may benefit these populations.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::04e47f334951707a7103be757063c889 https://pubmed.ncbi.nlm.nih.gov/31264308 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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