We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Predisposing, Precipitating, and Perpetuating Factors of Insomnia in Cancer Survivors.
- Authors
Kwon, Misol; McPhillips, Miranda V.; Fanghong Dong; Jingtao Zhu; Wilding, Gregory E.; Dickerson, Suzanne S.
- Abstract
OBJECTIVES: To explore and characterize predisposing, precipitating, and perpetuating factors of subthreshold, moderate, and severe insomnia in cancer survivors. SAMPLE & SETTING: 135 cancer survivors who selfreported symptom severity on the Insomnia Severity Index during the baseline phase of a randomized clinical trial on insomnia treatment. METHODS & VARIABLES: Participants completed measures assessing predisposing factors (age, sex, race and ethnicity, body mass index), precipitating factors (number of years since cancer diagnosis, depression and anxiety symptoms, health-related quality of life), and perpetuating factors (frequency of consuming alcoholic and caffeinated beverages, napping behavior, dysfunctional beliefs about sleep). RESULTS: In the multivariate model, being female was protective against insomnia, and being a person of color, having higher anxiety, having more depression symptoms, and having stronger dysfunctional beliefs about sleep were significantly associated with greater insomnia severity. IMPLICATIONS FOR NURSING: By fostering interprofessional collaboration and implementing evidence-based interventions, nurses can contribute to the well-being of cancer survivors and address their sleep-related challenges. This study underscores the importance of regular insomnia screenings for cancer survivors, with nurses as essential facilitators.
- Subjects
RISK assessment; CROSS-sectional method; SELF-evaluation; SCALE analysis (Psychology); BODY mass index; HEALTH attitudes; RESEARCH funding; INSOMNIA; PEOPLE of color; SEX distribution; QUESTIONNAIRES; MULTIPLE regression analysis; AGE distribution; ANXIETY; SEVERITY of illness index; DESCRIPTIVE statistics; RACE; ODDS ratio; QUALITY of life; SLEEP apnea syndromes; TUMORS; CANCER patient psychology; ALCOHOL drinking; SOCIODEMOGRAPHIC factors; COMPARATIVE studies; DATA analysis software; CONFIDENCE intervals; MENTAL depression; SLEEP disorders; DISEASE risk factors; DISEASE complications
- Publication
Oncology Nursing Forum, 2024, Vol 51, Issue 3, p210
- ISSN
0190-535X
- Publication type
Article
- DOI
10.1188/24.ONF.210-222