Sleep Composition of Patients With Colorectal Cancer and Their Sleep-Partner Caregivers: Physical Health Correlates of Sleep Diary and Actigraphy Measurements.

IF 3.3 2区医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2024-08-01 DOI:10.1002/pon.9302

Amanda Ting, Thomas C Tsai, Jamie M Zeitzer, Armando Mendez, Youngmee Kim

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Abstract

Background: Disturbed sleep is frequently identified in adult patients with cancer and their caregivers, with detrimental impact on physical health. Less known is the extent to which self-reported and actigraph-measured sleep patterns are similar between patients and their sleep-partner caregivers, and how these different modes of sleep measurements are related to physical health.

Methods: Patients diagnosed with colorectal cancer and their sleep-partner caregivers (81 dyads) completed a questionnaire for physical functioning and collected saliva samples for seven consecutive days, from which cortisol slope was quantified. Additionally, participants completed a daily sleep diary and wore actigraph for 14 consecutive days, from which sleep duration, sleep onset latency (SOL), and duration of wake after sleep onset (WASO) were calculated.

Results: Participants reported sleep patterns that fell within or close to the optimal range, which were similar between patients and their caregivers. Self-reported and actigraph-measured sleep duration had moderate levels of agreement (ICC = 0.604), whereas SOL and WASO had poor agreement (ICC = 0.269). Among patients, longer self-reported WASO was associated with poorer physical health and flatter cortisol slope (p ≤ 0.013). Among caregivers, longer self-reported SOL was associated with poorer physical functioning, actigraph-measured WASO was associated with steeper cortisol slope, and longer self-reported sleep markers studied than actigraph-measured were associated with poorer physical functioning (p ≤ 0.042).

Conclusion: Findings suggest that employing multiple assessment modes for sleep and physical health is vital for comprehensive understanding of sleep health. Furthermore, when addressing patients' sleep health, it may be beneficial to include their sleep-partner caregivers who may experience similar disturbed sleep.

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结直肠癌患者及其睡眠伴侣照顾者的睡眠构成：睡眠日记和活动记录仪测量的身体健康相关性

背景：成年癌症患者及其护理人员经常会出现睡眠紊乱的情况，对身体健康造成不利影响。人们较少了解患者及其睡眠伴侣照顾者自我报告的睡眠模式与动图测量的睡眠模式在多大程度上相似，以及这些不同的睡眠测量模式与身体健康的关系：方法：确诊为结肠直肠癌的患者及其睡眠伴侣照护者（81 对）填写了一份身体功能问卷，并收集了连续七天的唾液样本，从中量化了皮质醇斜率。此外，参与者还填写了每日睡眠日记，并连续 14 天佩戴行动计，从中计算睡眠持续时间、睡眠开始潜伏期（SOL）和睡眠开始后唤醒持续时间（WASO）：结果：参与者报告的睡眠模式在最佳范围内或接近最佳范围，患者及其护理人员的睡眠模式相似。自我报告的睡眠时长与动图测量的睡眠时长具有中等程度的一致性（ICC = 0.604），而 SOL 和 WASO 的一致性较差（ICC = 0.269）。在患者中，自我报告的 WASO 时间越长，身体健康状况越差，皮质醇斜率越低（p ≤ 0.013）。在护理人员中，自我报告的SOL时间较长与身体机能较差有关，动图测量的WASO时间较长与皮质醇斜率较陡有关，而自我报告的睡眠标记时间长于动图测量的睡眠标记时间与身体机能较差有关（p≤0.042）：研究结果表明，采用多种睡眠和身体健康评估模式对于全面了解睡眠健康状况至关重要。此外，在处理患者的睡眠健康问题时，将他们的睡眠伴侣照顾者包括在内可能会有好处，因为他们也可能经历类似的睡眠紊乱。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.