Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: An Update of Efficacy Evidence and Areas for Future Research
Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during t...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Savard, Marie-Hélène [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2017 |
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| Schlagwörter: |
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| Anmerkung: |
© Springer International Publishing AG 2017 |
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| Übergeordnetes Werk: |
Enthalten in: Current sleep medicine reports - Berlin [u.a.] : Springer, 2015, 3(2017), 2 vom: 18. Apr., Seite 66-75 |
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| Übergeordnetes Werk: |
volume:3 ; year:2017 ; number:2 ; day:18 ; month:04 ; pages:66-75 |
| Links: |
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| DOI / URN: |
10.1007/s40675-017-0067-2 |
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| Katalog-ID: |
SPR037242571 |
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| 520 | |a Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during the cancer trajectory, especially in patients with breast and gynecological cancer. Surgery and hospitalization, adjuvant treatments, nocturnal hot flashes, fatigue, and pain may trigger the onset of sleep disturbances. Several clinical trials have supported the efficacy of CBT-I to improve sleep of cancer patients. Summary CBT-I is now recognized as the treatment of choice for insomnia comorbid with cancer. However, its accessibility is limited in oncology settings and could be improved through the use of minimal interventions (e.g., self-administered). Future research should assess the patients’ acceptability and efficacy of CBT-I during the active phase of cancer treatment and in patients with advanced disease. Stepped care approaches and interventions targeting multiple cancer-related symptoms associated with the occurrence of insomnia could increase treatment efficacy and cost-effectiveness, but their utility needs to be empirically assessed. | ||
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10.1007/s40675-017-0067-2 doi (DE-627)SPR037242571 (SPR)s40675-017-0067-2-e DE-627 ger DE-627 rakwb eng Savard, Marie-Hélène verfasserin aut Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: An Update of Efficacy Evidence and Areas for Future Research 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer International Publishing AG 2017 Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during the cancer trajectory, especially in patients with breast and gynecological cancer. Surgery and hospitalization, adjuvant treatments, nocturnal hot flashes, fatigue, and pain may trigger the onset of sleep disturbances. Several clinical trials have supported the efficacy of CBT-I to improve sleep of cancer patients. Summary CBT-I is now recognized as the treatment of choice for insomnia comorbid with cancer. However, its accessibility is limited in oncology settings and could be improved through the use of minimal interventions (e.g., self-administered). Future research should assess the patients’ acceptability and efficacy of CBT-I during the active phase of cancer treatment and in patients with advanced disease. Stepped care approaches and interventions targeting multiple cancer-related symptoms associated with the occurrence of insomnia could increase treatment efficacy and cost-effectiveness, but their utility needs to be empirically assessed. Insomnia (dpeaa)DE-He213 Behavioral therapy (dpeaa)DE-He213 Cognitive-behavioral therapy for insomnia (CBT-I) (dpeaa)DE-He213 Savard, Josée aut Enthalten in Current sleep medicine reports Berlin [u.a.] : Springer, 2015 3(2017), 2 vom: 18. Apr., Seite 66-75 (DE-627)81591394X (DE-600)2806592-X 2198-6401 nnns volume:3 year:2017 number:2 day:18 month:04 pages:66-75 https://dx.doi.org/10.1007/s40675-017-0067-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 3 2017 2 18 04 66-75 |
| spelling |
10.1007/s40675-017-0067-2 doi (DE-627)SPR037242571 (SPR)s40675-017-0067-2-e DE-627 ger DE-627 rakwb eng Savard, Marie-Hélène verfasserin aut Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: An Update of Efficacy Evidence and Areas for Future Research 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer International Publishing AG 2017 Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during the cancer trajectory, especially in patients with breast and gynecological cancer. Surgery and hospitalization, adjuvant treatments, nocturnal hot flashes, fatigue, and pain may trigger the onset of sleep disturbances. Several clinical trials have supported the efficacy of CBT-I to improve sleep of cancer patients. Summary CBT-I is now recognized as the treatment of choice for insomnia comorbid with cancer. However, its accessibility is limited in oncology settings and could be improved through the use of minimal interventions (e.g., self-administered). Future research should assess the patients’ acceptability and efficacy of CBT-I during the active phase of cancer treatment and in patients with advanced disease. Stepped care approaches and interventions targeting multiple cancer-related symptoms associated with the occurrence of insomnia could increase treatment efficacy and cost-effectiveness, but their utility needs to be empirically assessed. Insomnia (dpeaa)DE-He213 Behavioral therapy (dpeaa)DE-He213 Cognitive-behavioral therapy for insomnia (CBT-I) (dpeaa)DE-He213 Savard, Josée aut Enthalten in Current sleep medicine reports Berlin [u.a.] : Springer, 2015 3(2017), 2 vom: 18. Apr., Seite 66-75 (DE-627)81591394X (DE-600)2806592-X 2198-6401 nnns volume:3 year:2017 number:2 day:18 month:04 pages:66-75 https://dx.doi.org/10.1007/s40675-017-0067-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 3 2017 2 18 04 66-75 |
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10.1007/s40675-017-0067-2 doi (DE-627)SPR037242571 (SPR)s40675-017-0067-2-e DE-627 ger DE-627 rakwb eng Savard, Marie-Hélène verfasserin aut Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: An Update of Efficacy Evidence and Areas for Future Research 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer International Publishing AG 2017 Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during the cancer trajectory, especially in patients with breast and gynecological cancer. Surgery and hospitalization, adjuvant treatments, nocturnal hot flashes, fatigue, and pain may trigger the onset of sleep disturbances. Several clinical trials have supported the efficacy of CBT-I to improve sleep of cancer patients. Summary CBT-I is now recognized as the treatment of choice for insomnia comorbid with cancer. However, its accessibility is limited in oncology settings and could be improved through the use of minimal interventions (e.g., self-administered). Future research should assess the patients’ acceptability and efficacy of CBT-I during the active phase of cancer treatment and in patients with advanced disease. Stepped care approaches and interventions targeting multiple cancer-related symptoms associated with the occurrence of insomnia could increase treatment efficacy and cost-effectiveness, but their utility needs to be empirically assessed. Insomnia (dpeaa)DE-He213 Behavioral therapy (dpeaa)DE-He213 Cognitive-behavioral therapy for insomnia (CBT-I) (dpeaa)DE-He213 Savard, Josée aut Enthalten in Current sleep medicine reports Berlin [u.a.] : Springer, 2015 3(2017), 2 vom: 18. Apr., Seite 66-75 (DE-627)81591394X (DE-600)2806592-X 2198-6401 nnns volume:3 year:2017 number:2 day:18 month:04 pages:66-75 https://dx.doi.org/10.1007/s40675-017-0067-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 3 2017 2 18 04 66-75 |
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10.1007/s40675-017-0067-2 doi (DE-627)SPR037242571 (SPR)s40675-017-0067-2-e DE-627 ger DE-627 rakwb eng Savard, Marie-Hélène verfasserin aut Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: An Update of Efficacy Evidence and Areas for Future Research 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer International Publishing AG 2017 Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during the cancer trajectory, especially in patients with breast and gynecological cancer. Surgery and hospitalization, adjuvant treatments, nocturnal hot flashes, fatigue, and pain may trigger the onset of sleep disturbances. Several clinical trials have supported the efficacy of CBT-I to improve sleep of cancer patients. Summary CBT-I is now recognized as the treatment of choice for insomnia comorbid with cancer. However, its accessibility is limited in oncology settings and could be improved through the use of minimal interventions (e.g., self-administered). Future research should assess the patients’ acceptability and efficacy of CBT-I during the active phase of cancer treatment and in patients with advanced disease. Stepped care approaches and interventions targeting multiple cancer-related symptoms associated with the occurrence of insomnia could increase treatment efficacy and cost-effectiveness, but their utility needs to be empirically assessed. Insomnia (dpeaa)DE-He213 Behavioral therapy (dpeaa)DE-He213 Cognitive-behavioral therapy for insomnia (CBT-I) (dpeaa)DE-He213 Savard, Josée aut Enthalten in Current sleep medicine reports Berlin [u.a.] : Springer, 2015 3(2017), 2 vom: 18. Apr., Seite 66-75 (DE-627)81591394X (DE-600)2806592-X 2198-6401 nnns volume:3 year:2017 number:2 day:18 month:04 pages:66-75 https://dx.doi.org/10.1007/s40675-017-0067-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 3 2017 2 18 04 66-75 |
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10.1007/s40675-017-0067-2 doi (DE-627)SPR037242571 (SPR)s40675-017-0067-2-e DE-627 ger DE-627 rakwb eng Savard, Marie-Hélène verfasserin aut Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: An Update of Efficacy Evidence and Areas for Future Research 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer International Publishing AG 2017 Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during the cancer trajectory, especially in patients with breast and gynecological cancer. Surgery and hospitalization, adjuvant treatments, nocturnal hot flashes, fatigue, and pain may trigger the onset of sleep disturbances. Several clinical trials have supported the efficacy of CBT-I to improve sleep of cancer patients. Summary CBT-I is now recognized as the treatment of choice for insomnia comorbid with cancer. However, its accessibility is limited in oncology settings and could be improved through the use of minimal interventions (e.g., self-administered). Future research should assess the patients’ acceptability and efficacy of CBT-I during the active phase of cancer treatment and in patients with advanced disease. Stepped care approaches and interventions targeting multiple cancer-related symptoms associated with the occurrence of insomnia could increase treatment efficacy and cost-effectiveness, but their utility needs to be empirically assessed. Insomnia (dpeaa)DE-He213 Behavioral therapy (dpeaa)DE-He213 Cognitive-behavioral therapy for insomnia (CBT-I) (dpeaa)DE-He213 Savard, Josée aut Enthalten in Current sleep medicine reports Berlin [u.a.] : Springer, 2015 3(2017), 2 vom: 18. Apr., Seite 66-75 (DE-627)81591394X (DE-600)2806592-X 2198-6401 nnns volume:3 year:2017 number:2 day:18 month:04 pages:66-75 https://dx.doi.org/10.1007/s40675-017-0067-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_266 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 3 2017 2 18 04 66-75 |
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Savard, Marie-Hélène |
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Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: An Update of Efficacy Evidence and Areas for Future Research Insomnia (dpeaa)DE-He213 Behavioral therapy (dpeaa)DE-He213 Cognitive-behavioral therapy for insomnia (CBT-I) (dpeaa)DE-He213 |
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cognitive-behavioral therapy for insomnia in cancer patients: an update of efficacy evidence and areas for future research |
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Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: An Update of Efficacy Evidence and Areas for Future Research |
| abstract |
Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during the cancer trajectory, especially in patients with breast and gynecological cancer. Surgery and hospitalization, adjuvant treatments, nocturnal hot flashes, fatigue, and pain may trigger the onset of sleep disturbances. Several clinical trials have supported the efficacy of CBT-I to improve sleep of cancer patients. Summary CBT-I is now recognized as the treatment of choice for insomnia comorbid with cancer. However, its accessibility is limited in oncology settings and could be improved through the use of minimal interventions (e.g., self-administered). Future research should assess the patients’ acceptability and efficacy of CBT-I during the active phase of cancer treatment and in patients with advanced disease. Stepped care approaches and interventions targeting multiple cancer-related symptoms associated with the occurrence of insomnia could increase treatment efficacy and cost-effectiveness, but their utility needs to be empirically assessed. © Springer International Publishing AG 2017 |
| abstractGer |
Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during the cancer trajectory, especially in patients with breast and gynecological cancer. Surgery and hospitalization, adjuvant treatments, nocturnal hot flashes, fatigue, and pain may trigger the onset of sleep disturbances. Several clinical trials have supported the efficacy of CBT-I to improve sleep of cancer patients. Summary CBT-I is now recognized as the treatment of choice for insomnia comorbid with cancer. However, its accessibility is limited in oncology settings and could be improved through the use of minimal interventions (e.g., self-administered). Future research should assess the patients’ acceptability and efficacy of CBT-I during the active phase of cancer treatment and in patients with advanced disease. Stepped care approaches and interventions targeting multiple cancer-related symptoms associated with the occurrence of insomnia could increase treatment efficacy and cost-effectiveness, but their utility needs to be empirically assessed. © Springer International Publishing AG 2017 |
| abstract_unstemmed |
Purpose of Review This study aims to review the empirical evidence on the prevalence, evolution, and etiology of insomnia in cancer as well as on the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in this population. Recent Findings Insomnia is highly prevalent and persistent during the cancer trajectory, especially in patients with breast and gynecological cancer. Surgery and hospitalization, adjuvant treatments, nocturnal hot flashes, fatigue, and pain may trigger the onset of sleep disturbances. Several clinical trials have supported the efficacy of CBT-I to improve sleep of cancer patients. Summary CBT-I is now recognized as the treatment of choice for insomnia comorbid with cancer. However, its accessibility is limited in oncology settings and could be improved through the use of minimal interventions (e.g., self-administered). Future research should assess the patients’ acceptability and efficacy of CBT-I during the active phase of cancer treatment and in patients with advanced disease. Stepped care approaches and interventions targeting multiple cancer-related symptoms associated with the occurrence of insomnia could increase treatment efficacy and cost-effectiveness, but their utility needs to be empirically assessed. © Springer International Publishing AG 2017 |
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Cognitive-Behavioral Therapy for Insomnia in Cancer Patients: An Update of Efficacy Evidence and Areas for Future Research |
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https://dx.doi.org/10.1007/s40675-017-0067-2 |
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Savard, Josée |
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2024-07-03T21:52:00.407Z |
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