Insomnia in Cancer Survivors

IF 3.9 3区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY European Psychologist Pub Date : 2023-03-01 DOI:10.1027/1016-9040/a000506

M. Clara, M. C. Canavarro, M. Miller-Mendes, A. Gomes

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Abstract

Abstract: Insomnia is among the most prevailing and distressing iatrogenic complaints reported by cancer survivors. Untreated insomnia negatively impacts survivors’ functioning, quality of life and health, and may have implications for cancer progression. Cognitive behavioral therapy is recommended as the first-line treatment for cancer-related insomnia but remains largely unavailable in European oncology care. For cancer survivors, it may be prudent to expand the scope of insomnia treatment. In this paper, we analyze the etiopathogenesis of insomnia among cancer populations and review the latest developments in cognitive behavioral therapeutics for cancer-related insomnia. Pondering upon the distinctive nature and pathophysiology of cancer-related insomnia, we discuss opportunities to optimize insomnia treatment in cancer care. We suggest adapting the content and format delivery of standard cognitive behavioral therapy for insomnia to meet the needs of cancer survivors and surmount resource availability. Digital therapeutics may provide cancer survivors who would otherwise be limited to pharmacologic treatment options with the guideline treatment for insomnia. Internet-delivered cognitive behavioral interventions may be integrated into survivorship care programs within healthcare systems.

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癌症幸存者的失眠

摘要:失眠是癌症幸存者报告的最普遍和最痛苦的医源性主诉之一。未经治疗的失眠会对幸存者的功能、生活质量和健康产生负面影响，并可能对癌症的进展产生影响。认知行为疗法被推荐为癌症相关失眠的一线治疗方法，但在欧洲的肿瘤治疗中仍未广泛应用。对于癌症幸存者来说，扩大失眠治疗的范围可能是明智的。本文就癌症人群失眠的发病机制进行分析，并对认知行为治疗癌症相关性失眠的最新进展进行综述。考虑到癌症相关失眠的独特性质和病理生理，我们讨论了在癌症护理中优化失眠治疗的机会。我们建议调整标准的失眠认知行为治疗的内容和形式，以满足癌症幸存者的需求和超越资源的可用性。数字疗法可以为癌症幸存者提供失眠的指导治疗，否则他们将受到药物治疗的限制。互联网提供的认知行为干预可以整合到医疗保健系统的幸存者护理计划中。

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

European Psychologist PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

8.40

自引率

0.00%

发文量

期刊介绍： The European Psychologist - is a direct source of information regarding both applied and research psychology throughout Europe; - provides both reviews of specific fields and original papers of seminal importance; integrates across subfields and provides easy access to essential state-of-the-art information in all areas within psychology; - provides a European perspective on many dimensions of new work being done elsewhere in psychology; - makes European psychology visible globally; - promotes scientific and professional cooperation among European psychologists; develops the mutual contribution of psychological theory and practice.

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