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A multicomponent cognitive–behavioural intervention for breast cancer survivors with insomnia improved perceived sleepCommentary

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D R Epstein

Dr D R Epstein, Carl T Hayden Veterans Affairs Medical Center, Phoenix, AZ, USA; dana.epstein@va.gov

QUESTION

Is a multicomponent cognitive–behavioural intervention effective for chronic insomnia in breast cancer survivors?

METHODS

Design:

randomised controlled trial.

Allocation:

{concealed}.*

Blinding:

{unblinded}.*

Follow-up period:

2 weeks after intervention.

Setting:

a university and a medical centre {in Phoenix and Tempe, Arizona, USA}.*

Patients:

81 women 29–86 years of age who completed surgery, chemotherapy, or radiation therapy for stage 1–3 breast cancer ⩾3 months before study entry and had sleep onset latency or time awake after sleep onset ⩾30 minutes for ⩾3 nights/wk for 2 weeks. Exclusion criteria included cognitive impairment and suspected sleep apnoea, restless legs syndrome, or periodic limb movement disorder; or Brief Symptom Inventory global severity index T score >70.

Intervention:

multicomponent intervention (stimulus control instructions, sleep restriction, and sleep education and hygiene [SEH]) (n = 40) or SEH only (control) (n = 41). Stimulus control instructions associated the bed and …

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