Insomnia and Susceptibility to Depressive Symptoms and Fatigue in Diverse Breast Cancer Survivors
| Autor: | Chantal Avila, Judith E. Carroll, Michael R. Irwin, Reina Haque, Jin Wen Hsu, Richard G. Olmstead |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
insomnia Breast Neoplasms Medical and Health Sciences 03 medical and health sciences breast cancer depressive symptoms 0302 clinical medicine Breast cancer Quality of life Cancer Survivors Clinical Research Sleep Initiation and Maintenance Disorders Behavioral and Social Science mental disorders Insomnia medicine Humans 030212 general & internal medicine Survivors Psychiatry Depression (differential diagnoses) Depressive symptoms Fatigue Cancer Depressive Disorder Depressive Disorder Major business.industry Depression Prevention Rehabilitation Major General Medicine medicine.disease nervous system diseases Mental Health Cross-Sectional Studies quality of life 030220 oncology & carcinogenesis Quality of Life Female Public Health medicine.symptom Sleep Research business |
| Zdroj: | Journal of women's health (2002), vol 30, iss 11 |
| ISSN: | 1931-843X |
| Popis: | Background: Nearly 40% of breast cancer survivors have insomnia, yet, information how this condition affects their quality of life is lacking. We examined the association between insomnia and depressive symptoms and fatigue in breast cancer survivors. Methods: Participants were recruited from a community health plan. We conducted a cross-sectional analysis to examine the association between current insomnia (using Insomnia Severity Index [ISI]) and current depressive symptoms (using Inventory of Depressive Symptomology [IDS]) and fatigue (using Fatigue Symptom Inventory [FSI]) in 315 breast cancer survivors who did not have major depressive disorder. We calculated odds ratios (ORs) and 95% confidence intervals (CIs) using multivariable logistic regression. Results: The cohort included 30% minority women whose median time since breast cancer diagnosis was 6 years. Survivors with current insomnia symptoms (ISI ≥8) had a sixfold greater odds of current depressive symptoms (IDS >14, OR = 5.98, 95% CI: 3.04-11.76), after adjusting for lifetime insomnia history (OR = 2.01, 95% CI: 1.03-3.94) and perceived stress (OR = 6.37, 95% CI: 2.48-16.32). Insomnia symptoms were markedly associated with moderate fatigue (FSI >3, OR = 5.02, 95% CI: 2.66-9.44). Ever use of antidepressants or sleep medications post-breast cancer diagnosis was not associated with lower odds of current depressive symptoms or feeling fatigued in those with insomnia symptoms. Conclusion: Current insomnia symptoms were strongly correlated with current depressive symptoms and fatigue. Survivorship care plans should consider incorporating insomnia screening to that may potentially enhance quality of life domains. |
| Databáze: | OpenAIRE |
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