An exploration into the relationship between insomnia and repetitive negative thinking among cancer survivors.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2024-06-03 DOI:10.1080/07347332.2024.2356193

Kimberly A Arditte Hall, Sarah N Price, Alexander R Lucas, Elyse R Park, Lynne I Wagner, Helen R Mizrach, Michael H Werner, Brooke C Juhel, Michael R Goldstein, Mark J Gorman, Daniel L Hall

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引用次数: 0

Abstract

Objective: Insomnia and repetitive negative thinking (RNT) are both prevalent among cancer survivors, yet little work has investigated their interrelationship. To explore the hypothesis that RNT and insomnia are related, we conducted secondary analyses on data from a pilot clinical trial of cognitive behavioral therapy for insomnia (CBT-I) for cancer survivors.

Methods: This study analyzed survey data from 40 cancer survivors with insomnia who participated in a pilot randomized trial of CBT-I. Correlations and linear regression models were used to determine associations between aspects of RNT and related constructs (fear of cancer recurrence [FCR], cancer-specific rumination, worry, and intolerance of uncertainty) and sleep (insomnia and sleep quality), while accounting for psychiatric symptoms such as anxiety and depression. Treatment-related change in RNT was examined using a series of linear mixed models.

Results: Evidence for an association between RNT and insomnia among cancer survivors emerged. Higher levels of FCR and cancer-related rumination were correlated with more severe insomnia symptoms and worse sleep quality. Notably, FCR levels predicted insomnia, even after controlling for anxiety and depression. Results identified potential benefits and limitations of CBT-I in addressing RNT that should be examined more thoroughly in future research.

Conclusions: RNT is a potential target to consider in insomnia treatment for cancer survivors.

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探讨癌症幸存者失眠与反复消极思考之间的关系。

目的：失眠和重复性消极思维（RNT）在癌症幸存者中都很普遍，但很少有人研究它们之间的相互关系。为了探讨 RNT 与失眠相关的假设，我们对癌症幸存者失眠认知行为疗法（CBT-I）试点临床试验的数据进行了二次分析：本研究分析了 40 名癌症幸存者的失眠调查数据，这些幸存者参加了 CBT-I 的试点随机试验。在考虑焦虑和抑郁等精神症状的同时，采用相关性和线性回归模型来确定 RNT 的各个方面与相关结构（对癌症复发的恐惧 [FCR]、癌症特异性反刍、担忧和对不确定性的不容忍）和睡眠（失眠和睡眠质量）之间的关联。通过一系列线性混合模型研究了与治疗相关的RNT变化：结果：有证据表明癌症幸存者的 RNT 与失眠有关。FCR和癌症相关反刍水平越高，失眠症状越严重，睡眠质量越差。值得注意的是，即使在控制了焦虑和抑郁之后，FCR水平仍能预测失眠。研究结果发现了 CBT-I 在解决 RNT 方面的潜在益处和局限性，这些益处和局限性应在今后的研究中进行更深入的探讨：结论：RNT是治疗癌症幸存者失眠症的一个潜在目标。

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

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.