DOI QR코드

DOI QR Code

An Explanatory Model for Sleep Disorders in People with Cancer

암환자의 수면장애 설명모형

  • Received : 2011.01.20
  • Accepted : 2011.08.04
  • Published : 2011.08.31

Abstract

Purpose: The aim of this study was to develop and test an explanatory model for sleep disorders in people with cancer. A hypothetical model was constructed on the basis of a review of previous studies, literature, and sleep models, and 10 latent variables were used to construct a hypothetical model. Methods: Data were collected from April 19 to June 25, 2010, using self-report questionnaires. The sample was 291 outpatients with cancer who visited the oncology cancer center at a university hospital. Collected data were analyzed using SPSS Win 15.0 program for descriptive statistics and correlation analysis and AMOS 7.0 program for covariance structural analysis. Results: It appeared that overall fit index was good as ${\chi}^2/df=1.162$, GFI=.969, AGFI=.944, SRMR=.052, NFI=.881, NNFI=.969, CFI=.980, RMSEA=.024, CN=337 in the modified model. The explanatory power of this model for sleep disorders in people with cancer was 62%. Further, sleep disorders were influenced directly by cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and past sleep pattern. Conclusion: Findings suggest that nurses should assess past sleep pattern and consider the development of a comprehensive nursing intervention program to minimize the cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and thus, reduce sleep disorders in people with cancer.

Keywords

References

  1. Arving, C., Sjoden, P. O., Bergh. J., Hellbom, M., Johansson, B., Glimelius, B., et al. (2007). Individual psychosocial support for breast cancer patients: A randomized study of nurse versus psychologist interventions and standard care. Cancer Nursing, 30, E10-E19. doi:10.1097/01.NCC.0000270709.64790.05
  2. Ashworth, P. C., Davidson, K. M., & Espie, C. A. (2010). Cognitive-behavioral factors associated with sleep quality in chronic pain patients. Behavioral Sleep Medicine, 8, 28-39. doi:10.1080/15402000903425587
  3. Bae, B. R. (2002). Comprehension and practice of structural equation modeling. Seoul: Daegyeong.
  4. Borbely, A. A., & Achermann, P. (1999). Sleep homeostasis and models of sleep regulation. Journal of Biological Rhythms, 14, 557-568.
  5. Buysse, D., Reynolds 3rd, C., Monk, T., Berman, S., & Kupfer, D. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193-198. doi:10.1016/0165-1781(89)90047-4
  6. Cicero, V., Coco, G. L., Gullo, S., & Verso, G. L. (2009). The role of attachment dimensions and perceived social support in predicting adjustment to cancer. Psycho-oncology, 18, 1045-1052. doi:10.1002/pon.1390
  7. Cleeland, C. S., Mendoza, T. R., Wang, X. S., Chou, C., Harle, M. T., Morrissey, M., et al. (2000). Assessing symptom distress in cancer patients- The M. D. Anderson Symptom Inventory. Cancer, 89, 1634-1646. doi:10.1002/ 1097-0142(20001001)89:7
  8. Cordova, M., Giese-Davis, J., Golant, M., Kronnenwetter, C., Chang, V., McFarlin, S., et al. (2003). Mood disturbance in community cancer support groups: The role of emotional suppression and fighting spirit. Journal of Psychosomatic Research, 55, 461-467. doi:10.1016/S0022-3999(03)00510-5
  9. Davidson, J. R., MacLean, A. W., Brundage, M. D., & Schulze, K. (2002). Sleep disturbance in cancer patients. Social Science & Medicine, 54, 1309-1321. doi:10.1016/S0277-9536(01)00043-0
  10. Du-Quiton, J., Wood, P. A., Burch, J. B., Grutsch, J. F., Gupta, D., Tyer, K., et al. (2010). Actigraphic assessment of daily sleep-activity pattern abnormalities reflects self-assessed depression and anxiety in outpatients with advanced non-small cell lung cancer. Psycho-oncology, 19, 180-189. doi:10.1002/pon.1539
  11. Epstein, D. R., & Dirksen, S. R. (2007). Randomized trial of a cognitive-behavioral intervention for insomnia in breast cancer survivors. Oncology Nursing Forum, 34, E51-E59. doi:10.1188/07.ONF.E51-E59
  12. Espie, C. A. (2002). Insomnia: Conceptual issues in the development, persistence, and treatment of sleep disorder in adults. Annual Review of Psychology, 53, 215-243. doi:10.1146/annurev.psych.53.100901.135243
  13. Fayer, P., Aaronson, N, K., Bjordal, K., & Sullian, M. (1995). EORTC QLQ C-30 Scoring Manual. Brussels: Belgium.
  14. Harvey, A. G. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40, 869-893. doi:10.1016/S0005-7967(01)00061-4
  15. Koopman, C., Nouriani, B., Erickson, V., Anupindi, R., Butler, L. D., Bachmann, M. H., et al. ( ). Sleep disturbances in women with metastatic breast cancer. The Breast Journal, 8, 362-370. doi:10.1046/j.1524-4741.2002.08606.x
  16. Le Guen, Y., Gagnadoux, F., Hureaux, J., Jeanfaivre, T., Meslier, N., Racineux, J. L., et al. (2007). Sleep disturbances and impaired daytime functioning in outpatients with newly diagnosed lung cancer. Lung Cancer, 58, 139-143. doi:10.1016/j.lungcan.2007.05.021
  17. Lee, K., Cho, M., Miaskowski, C., & Dodd, M. (2004). Impaired sleep and rhythms in persons with cancer. Sleep Medicine Reviews, 8, 199-212. doi:10.1016/j.smrv.2003.10.001
  18. Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A. C., & Suppe, F. (1997). The middle range theory of unpleasant symptoms: An update. Advances in Nursing Science, 19, 14-27. https://doi.org/10.1097/00012272-199703000-00003
  19. Liu, L., Fiorentino, L., Natarajan, L., Parker, B. A., Mills, P. J., Sadler, G. R., et al. (2009). Pre-treatment symptom cluster in breast cancer patients is associated with worse sleep, fatigue and depression during chemotherapy. Psycho-oncology, 18, 187-194. doi:10.1002/pon.1412
  20. Morin, C. M., Vallières, A., & Ivers, H. (2007). Dysfunctional beliefs and attitudes about sleep (DBAS): Validation of a brief version (DBAS-16). Sleep, 20, 1547-1554.
  21. Mystakidou, K., Parpa, E., Tsilika, E., Pathiaki, M., Patiraki, E., Galanos, A., et al. (2007). Sleep quality in advanced cancer patients. Journal of Psychosomatic Research, 62, 527-533. doi:10.1016/j.jpsychores.2006.11.008
  22. Redeker, N. S., Lev, E. L., & Ruggiero, J. (2000). Insomnia, fatigue, anxiety, depression, and quality of life of cancer patients undergoing chemotherapy. Scholarly Inquiry for Nursing Practice, 14, 275-290.
  23. Savard, J., Villa, J., Ivers, H., Simard, S., & Morin, C. M. (2009). Prevalence, natural course, and risk factors of insomnia comorbid with cancer over a 2-month period. Journal of Clinical Oncology, 27, 5233-5239. doi: 10.1200/JCO.2008.21.6333
  24. Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science & Medicine, 32, 705-714. doi:10.1016/0277-9536(91)90150-B
  25. Spielman, A. J., Caruso, L. S., & Glovinsky, P. B. (1987). A behavioral perspective on insomnia treatment. The Psychiatric Clinics of North American, 10, 541-553.
  26. Stepanski, E. J., Walker, M. S., Schwartzberg, L. S., Blakely, L. J., Ong, J. C., & Houts, A. C. (2009). The relation of trouble sleeping, depressed mood, pain, and fatigue in patients with cancer. Journal of Clinical Sleep Medicine, 5, 132-136.
  27. Vena, C., Parker, K., Cunningham, M., Clark, J., & McMillan, S. (2004). Sleep-wake disturbances in people with cancer part I: An overview of sleep, sleep regulation, and effects of disease and treatment. Oncology Nursing Forum, 31, 735-746. doi:10.1188/04.ONF.735-746
  28. Watson, M., Greer, S., Young, J., Inayat, Q., Burgess, C., & Robertson, B. (1988). Development of questionnaire measure of adjustment to cancer: The MAC scale. Psyhcological Medicine, 18, 203-209. https://doi.org/10.1017/S0033291700002026
  29. Woodley, J., & Smith, S. (2006). Safety behaviors and dysfunctional beliefs about sleep: Testing a cognitive model of the maintenance of insomnia. Journal of Psychosomatic Research, 60, 551-557. doi:10.1016/j.jpsychores.2006.03.002
  30. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x

Cited by

  1. 항암화학요법을 받은 입원 암환자의 삶의 질에 영향을 미치는 요인 vol.12, pp.1, 2011, https://doi.org/10.5388/aon.2012.12.1.84
  2. Symptom Clusters in Korean Patients With Metastatic Cancer Undergoing Palliative Chemotherapy : vol.18, pp.4, 2011, https://doi.org/10.1097/njh.0000000000000240
  3. 외래에서 항암화학요법을 받는 유방암 환자의 수면의 질 영향요인 vol.20, pp.2, 2011, https://doi.org/10.5762/kais.2019.20.2.562