Assessment of sleep disturbance in lung cancer patients: Relationship between sleep disturbance and pain, fatigue, quality of life, and psychological distress
We investigated the prevalence of sleep disturbance and psychological distress in lung cancer patients. We also examined the association between sleep disturbance and psychological distress, pain, fatigue, and quality of life in the same population. Fifty lung cancer patients were evaluated. Sleep d...
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| Veröffentlicht in: | Palliative & supportive care 2015-06, Vol.13 (3), p.575-581 |
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| creator | Nishiura, Mare Tamura, Atsuhisa Nagai, Hideaki Matsushima, Eisuke |
| description | We investigated the prevalence of sleep disturbance and psychological distress in lung cancer patients. We also examined the association between sleep disturbance and psychological distress, pain, fatigue, and quality of life in the same population.
Fifty lung cancer patients were evaluated. Sleep disturbance was assessed using the Athens Sleep Insomnia Scale (AIS) and psychological distress using the Hospital Anxiety and Depression Scale (HADS). Quality of life (QOL), pain, and fatigue were assessed employing the European Organization of Research and Treatment Quality of Life Questionnaire-Cancer 30 (EORTC QLQ-C30).
We observed that 56% of lung cancer patients had sleep disturbance (AIS score ≥6) and 60% had psychological distress (total HADS score ≥11). Patients with sleep disturbance had a HADS score of 14.6 ± 5.8, a fatigue score of 45.3 ± 22.0, and a pain score of 27.2 ± 26.2. In contrast, patients without sleep disturbance had a lower HADS score of 9.9 ± 8.1 (p < 0.05) and a higher fatigue score of 28.5 ± 18.0 (p < 0.01) and a pain score of 8.7 ± 15.8 (p < 0.01). In addition, we found a lower QOL in patients with sleep disturbance (46.3 ± 20.2) than in those without (65.2 ± 20.7) (p < 0.05). We also observed a significant correlation between the AIS, HADS, fatigue, QOL, and pain scores.
Lung cancer patients suffered from combined symptoms related to sleep. Sleeping pills improved sleep induction but were not sufficient to provide sleep quality and prevent daytime dysfunction. Daytime dysfunction was specifically associated with psychological distress. Additionally, the type of sleep disturbance was related to other patient factors, including whether or not they received chemotherapy. |
| doi_str_mv | 10.1017/S1478951513001119 |
| format | Article |
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Fifty lung cancer patients were evaluated. Sleep disturbance was assessed using the Athens Sleep Insomnia Scale (AIS) and psychological distress using the Hospital Anxiety and Depression Scale (HADS). Quality of life (QOL), pain, and fatigue were assessed employing the European Organization of Research and Treatment Quality of Life Questionnaire-Cancer 30 (EORTC QLQ-C30).
We observed that 56% of lung cancer patients had sleep disturbance (AIS score ≥6) and 60% had psychological distress (total HADS score ≥11). Patients with sleep disturbance had a HADS score of 14.6 ± 5.8, a fatigue score of 45.3 ± 22.0, and a pain score of 27.2 ± 26.2. In contrast, patients without sleep disturbance had a lower HADS score of 9.9 ± 8.1 (p < 0.05) and a higher fatigue score of 28.5 ± 18.0 (p < 0.01) and a pain score of 8.7 ± 15.8 (p < 0.01). In addition, we found a lower QOL in patients with sleep disturbance (46.3 ± 20.2) than in those without (65.2 ± 20.7) (p < 0.05). We also observed a significant correlation between the AIS, HADS, fatigue, QOL, and pain scores.
Lung cancer patients suffered from combined symptoms related to sleep. Sleeping pills improved sleep induction but were not sufficient to provide sleep quality and prevent daytime dysfunction. Daytime dysfunction was specifically associated with psychological distress. Additionally, the type of sleep disturbance was related to other patient factors, including whether or not they received chemotherapy.</description><identifier>ISSN: 1478-9515</identifier><identifier>EISSN: 1478-9523</identifier><identifier>DOI: 10.1017/S1478951513001119</identifier><identifier>PMID: 24524428</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Adaptation, Physiological ; Adaptation, Psychological ; Aged ; Aged, 80 and over ; Anxiety ; Chemotherapy ; Drug Therapy ; Drug-Related Side Effects and Adverse Reactions - complications ; Dyssomnias - complications ; Dyssomnias - etiology ; Fatigue ; Fatigue - etiology ; Fatigue - psychology ; Female ; Hospitals ; Humans ; Insomnia ; Japan - epidemiology ; Lung cancer ; Lung Neoplasms - complications ; Lung Neoplasms - psychology ; Male ; Mental depression ; Original Articles ; Pain ; Pain - complications ; Quality of life ; Quality of Life - psychology ; Questionnaires ; Sleep ; Sleep Initiation and Maintenance Disorders - complications ; Sleep Wake Disorders - complications ; Sleep Wake Disorders - etiology ; Surveys and Questionnaires</subject><ispartof>Palliative & supportive care, 2015-06, Vol.13 (3), p.575-581</ispartof><rights>Copyright © Cambridge University Press 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c542t-ad0533482febe1551ff167bf920a0a0e0b23496171a867bb0e677ca63a3a5d3d3</citedby><cites>FETCH-LOGICAL-c542t-ad0533482febe1551ff167bf920a0a0e0b23496171a867bb0e677ca63a3a5d3d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1478951513001119/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27903,27904,55606</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24524428$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishiura, Mare</creatorcontrib><creatorcontrib>Tamura, Atsuhisa</creatorcontrib><creatorcontrib>Nagai, Hideaki</creatorcontrib><creatorcontrib>Matsushima, Eisuke</creatorcontrib><title>Assessment of sleep disturbance in lung cancer patients: Relationship between sleep disturbance and pain, fatigue, quality of life, and psychological distress</title><title>Palliative & supportive care</title><addtitle>Pall Supp Care</addtitle><description>We investigated the prevalence of sleep disturbance and psychological distress in lung cancer patients. We also examined the association between sleep disturbance and psychological distress, pain, fatigue, and quality of life in the same population.
Fifty lung cancer patients were evaluated. Sleep disturbance was assessed using the Athens Sleep Insomnia Scale (AIS) and psychological distress using the Hospital Anxiety and Depression Scale (HADS). Quality of life (QOL), pain, and fatigue were assessed employing the European Organization of Research and Treatment Quality of Life Questionnaire-Cancer 30 (EORTC QLQ-C30).
We observed that 56% of lung cancer patients had sleep disturbance (AIS score ≥6) and 60% had psychological distress (total HADS score ≥11). Patients with sleep disturbance had a HADS score of 14.6 ± 5.8, a fatigue score of 45.3 ± 22.0, and a pain score of 27.2 ± 26.2. In contrast, patients without sleep disturbance had a lower HADS score of 9.9 ± 8.1 (p < 0.05) and a higher fatigue score of 28.5 ± 18.0 (p < 0.01) and a pain score of 8.7 ± 15.8 (p < 0.01). In addition, we found a lower QOL in patients with sleep disturbance (46.3 ± 20.2) than in those without (65.2 ± 20.7) (p < 0.05). We also observed a significant correlation between the AIS, HADS, fatigue, QOL, and pain scores.
Lung cancer patients suffered from combined symptoms related to sleep. Sleeping pills improved sleep induction but were not sufficient to provide sleep quality and prevent daytime dysfunction. Daytime dysfunction was specifically associated with psychological distress. Additionally, the type of sleep disturbance was related to other patient factors, including whether or not they received chemotherapy.</description><subject>Adaptation, Physiological</subject><subject>Adaptation, Psychological</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anxiety</subject><subject>Chemotherapy</subject><subject>Drug Therapy</subject><subject>Drug-Related Side Effects and Adverse Reactions - complications</subject><subject>Dyssomnias - complications</subject><subject>Dyssomnias - etiology</subject><subject>Fatigue</subject><subject>Fatigue - etiology</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Japan - epidemiology</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - complications</subject><subject>Lung Neoplasms - psychology</subject><subject>Male</subject><subject>Mental depression</subject><subject>Original Articles</subject><subject>Pain</subject><subject>Pain - complications</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Questionnaires</subject><subject>Sleep</subject><subject>Sleep Initiation and Maintenance Disorders - complications</subject><subject>Sleep Wake Disorders - complications</subject><subject>Sleep Wake Disorders - etiology</subject><subject>Surveys and Questionnaires</subject><issn>1478-9515</issn><issn>1478-9523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkctq3TAQhkVpaNK0D9BNEXTTRU6rkSxb7i6E3iAQ6GVtZHt0oiDLjsamnJfJs0ZOTkPphaKFZobv_0fiZ-wFiDcgoHr7FYrK1Bo0KCEAoH7EjtbRptZSPX6oQR-yp0RXQkipRPWEHcpCy6KQ5ojdnBIh0YBx5qPjFBAn3nual9Ta2CH3kYclbnm3dolPdvaZpXf8C4Zcj5Eu_cRbnH8gxr_obeyzyMcT7jK-XfCEXy82-Hm37gve5cEdQ7vucgzj1nc23Dmk_K5n7MDZQPh8fx-z7x_efzv7tDm_-Pj57PR80-lCzhvbC61UYaTDFkFrcA7KqnW1FDYfFK1URV1CBdbkeSuwrKrOlsoqq3vVq2P2-t53SuP1gjQ3g6cOQ7ARx4UaqLTWypja_B8tjTSm1GWd0Ve_oVfjkmL-SKbqHExhYDWEe6pLI1FC10zJDzbtGhDNmnPzR85Z83LvvLQD9g-Kn8FmQO1N7dAm32_xl93_tL0FFVqzxA</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Nishiura, Mare</creator><creator>Tamura, Atsuhisa</creator><creator>Nagai, Hideaki</creator><creator>Matsushima, Eisuke</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>Assessment of sleep disturbance in lung cancer patients: Relationship between sleep disturbance and pain, fatigue, quality of life, and psychological distress</title><author>Nishiura, Mare ; Tamura, Atsuhisa ; Nagai, Hideaki ; Matsushima, Eisuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-ad0533482febe1551ff167bf920a0a0e0b23496171a867bb0e677ca63a3a5d3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adaptation, Physiological</topic><topic>Adaptation, Psychological</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anxiety</topic><topic>Chemotherapy</topic><topic>Drug Therapy</topic><topic>Drug-Related Side Effects and Adverse Reactions - complications</topic><topic>Dyssomnias - complications</topic><topic>Dyssomnias - etiology</topic><topic>Fatigue</topic><topic>Fatigue - etiology</topic><topic>Fatigue - psychology</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Japan - epidemiology</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - complications</topic><topic>Lung Neoplasms - psychology</topic><topic>Male</topic><topic>Mental depression</topic><topic>Original Articles</topic><topic>Pain</topic><topic>Pain - complications</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Questionnaires</topic><topic>Sleep</topic><topic>Sleep Initiation and Maintenance Disorders - complications</topic><topic>Sleep Wake Disorders - complications</topic><topic>Sleep Wake Disorders - etiology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishiura, Mare</creatorcontrib><creatorcontrib>Tamura, Atsuhisa</creatorcontrib><creatorcontrib>Nagai, Hideaki</creatorcontrib><creatorcontrib>Matsushima, Eisuke</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Palliative & supportive care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishiura, Mare</au><au>Tamura, Atsuhisa</au><au>Nagai, Hideaki</au><au>Matsushima, Eisuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of sleep disturbance in lung cancer patients: Relationship between sleep disturbance and pain, fatigue, quality of life, and psychological distress</atitle><jtitle>Palliative & supportive care</jtitle><addtitle>Pall Supp Care</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>13</volume><issue>3</issue><spage>575</spage><epage>581</epage><pages>575-581</pages><issn>1478-9515</issn><eissn>1478-9523</eissn><abstract>We investigated the prevalence of sleep disturbance and psychological distress in lung cancer patients. We also examined the association between sleep disturbance and psychological distress, pain, fatigue, and quality of life in the same population.
Fifty lung cancer patients were evaluated. Sleep disturbance was assessed using the Athens Sleep Insomnia Scale (AIS) and psychological distress using the Hospital Anxiety and Depression Scale (HADS). Quality of life (QOL), pain, and fatigue were assessed employing the European Organization of Research and Treatment Quality of Life Questionnaire-Cancer 30 (EORTC QLQ-C30).
We observed that 56% of lung cancer patients had sleep disturbance (AIS score ≥6) and 60% had psychological distress (total HADS score ≥11). Patients with sleep disturbance had a HADS score of 14.6 ± 5.8, a fatigue score of 45.3 ± 22.0, and a pain score of 27.2 ± 26.2. In contrast, patients without sleep disturbance had a lower HADS score of 9.9 ± 8.1 (p < 0.05) and a higher fatigue score of 28.5 ± 18.0 (p < 0.01) and a pain score of 8.7 ± 15.8 (p < 0.01). In addition, we found a lower QOL in patients with sleep disturbance (46.3 ± 20.2) than in those without (65.2 ± 20.7) (p < 0.05). We also observed a significant correlation between the AIS, HADS, fatigue, QOL, and pain scores.
Lung cancer patients suffered from combined symptoms related to sleep. Sleeping pills improved sleep induction but were not sufficient to provide sleep quality and prevent daytime dysfunction. Daytime dysfunction was specifically associated with psychological distress. Additionally, the type of sleep disturbance was related to other patient factors, including whether or not they received chemotherapy.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>24524428</pmid><doi>10.1017/S1478951513001119</doi><tpages>7</tpages></addata></record> |
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| subjects | Adaptation, Physiological Adaptation, Psychological Aged Aged, 80 and over Anxiety Chemotherapy Drug Therapy Drug-Related Side Effects and Adverse Reactions - complications Dyssomnias - complications Dyssomnias - etiology Fatigue Fatigue - etiology Fatigue - psychology Female Hospitals Humans Insomnia Japan - epidemiology Lung cancer Lung Neoplasms - complications Lung Neoplasms - psychology Male Mental depression Original Articles Pain Pain - complications Quality of life Quality of Life - psychology Questionnaires Sleep Sleep Initiation and Maintenance Disorders - complications Sleep Wake Disorders - complications Sleep Wake Disorders - etiology Surveys and Questionnaires |
| title | Assessment of sleep disturbance in lung cancer patients: Relationship between sleep disturbance and pain, fatigue, quality of life, and psychological distress |
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