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dc.contributor.authorPrice, Sarah N.
dc.contributor.authorHamann, Heidi A.
dc.contributor.authorHalaby, Laila
dc.contributor.authorTrejo, Juanita I.
dc.contributor.authorCorella, Fernanda
dc.contributor.authorWeihs, Karen L.
dc.date.accessioned2022-03-09T00:27:19Z
dc.date.available2022-03-09T00:27:19Z
dc.date.issued2022-01-31
dc.identifier.citationPrice, S. N., Hamann, H. A., Halaby, L., Trejo, J. I., Corella, F., & Weihs, K. L. (2022). Poor Subjective Sleep Quality Among Patients with Cancer and Comorbid Depression: An Opportunity to Inform Screening and Intervention. Behavioral Sleep Medicine.en_US
dc.identifier.issn1540-2002
dc.identifier.doi10.1080/15402002.2022.2033243
dc.identifier.urihttp://hdl.handle.net/10150/663515
dc.description.abstractObjective: Sleep disturbances are under-identified and under-treated in oncology settings, especially for underserved populations and those with psychiatric comorbidities. This study examined the prevalence and correlates of poor subjective sleep quality as well as clinical sleep recommendations among a socioeconomically and ethnically diverse population of patients with cancer referred for depression management. Methods: Participants were 140 adults with cancer who screened positive for depression through routine, practice-based assessment with the Patient Health Questionnaire (PHQ-9 ≥ 8) and were referred to a study of collaborative care for depression. Demographics, clinical characteristics, subjective sleep quality, and sleep recommendations received were self-reported by patients prior to intervention. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), general health status was measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) Global-10, and depressive symptoms were measured using the PHQ-9. Results: Of 138 patients with complete data, 123 (89.1%) reported poor sleep quality, and 87 (63%) met the threshold for possible insomnia. The strongest correlates of poor subjective sleep were female gender (β = 0.19, p = .02), greater depressive symptom severity (β = 0.28, p = .001), and worse physical health (β = −0.19, p = .04). Of 118 patients reporting problems with sleep since their cancer diagnosis, 95 discussed the issue with a medical provider; medications were recommended most often (37; 38.9%); only 9 (9.5%) received recommendations for cognitive-behavioral therapy for insomnia (CBT-I) or other CBT. Conclusions: Patients with cancer seeking treatment for depression report very high rates of poor subjective sleep quality and insomnia, underscoring the importance of providing and referring to guideline-concordant sleep interventions in oncology supportive care contexts.en_US
dc.description.sponsorshipMerck Foundation Alliance to Advance Patient-Centered Cancer Careen_US
dc.language.isoenen_US
dc.publisherInforma UK Limiteden_US
dc.rights© 2022 Taylor & Francis Group, LLC.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en_US
dc.titlePoor Subjective Sleep Quality Among Patients with Cancer and Comorbid Depression: An Opportunity to Inform Screening and Interventionen_US
dc.typeArticleen_US
dc.identifier.eissn1540-2010
dc.contributor.departmentDepartment of Psychology, University of Arizonaen_US
dc.contributor.departmentDepartment of Family and Community Medicine, University of Arizonaen_US
dc.contributor.departmentDepartment of Nutritional Sciences, University of Arizonaen_US
dc.identifier.journalBehavioral Sleep Medicineen_US
dc.description.note12 month embargo; published online: 31 January 2022en_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.identifier.pii10.1080/15402002.2022.2033243
dc.source.journaltitleBehavioral Sleep Medicine
dc.source.beginpage1
dc.source.endpage16


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