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Supportive Care in Cancer

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01-02-2016 | Original Article

Relationship between sleep problems and psychological outcomes in adolescent and young adult cancer survivors and controls

Authors: Lauren Daniel, Anne E. Kazak, Yimei Li, Wendy Hobbie, Jill Ginsberg, Eliana Butler, Lisa Schwartz

Published in: Supportive Care in Cancer | Issue 2/2016

Abstract

Purpose

How cancer history and distress relate to sleep outcomes of adolescents and young adults (AYAs) is unclear. The current study compares AYA cancer survivors to controls on indicators of sleep and fatigue; examines the concurrent association between psychological status, sleep, and fatigue; and investigates the lagged relationship between sleep and fatigue problems with psychological functioning.

Methods

AYA cancer survivors (n = 167) and controls (n = 170), ages 16 to 30, completed measures at a survivorship clinic/primary care visit (time 1) and 2 months later (time 2). Participants completed questions about sleep quality, quantity, sleep medication use, self-reports of sleep problems, and fatigue in addition to measures of depression, anxiety, and posttraumatic stress symptoms (PTSS).

Results

There were no differences in sleep quantity or quality between survivors and controls, but survivors reported significantly more fatigue. Within groups, AYAs with self-reported sleep and fatigue problems reported significantly higher depression, anxiety, and PTS symptoms. Controlling for baseline depression, sleep, and fatigue problems at time 1 significantly predicted depression at time 2 in survivors but not in controls.

Conclusion

This study offers important insight into the psychological functioning of childhood cancer survivors and prospectively describes sleep and fatigue as risk factors for poor psychological functioning in survivors. These findings support screening for sleep problems in AYA survivors as these difficulties are closely related to mental health functioning.

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Title: Relationship between sleep problems and psychological outcomes in adolescent and young adult cancer survivors and controls
Authors: Lauren Daniel
Anne E. Kazak
Yimei Li
Wendy Hobbie
Jill Ginsberg
Eliana Butler
Lisa Schwartz
Publication date: 01-02-2016
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 2/2016
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-015-2798-2

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