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

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

https://doi.org/10.1136/ebn.11.2.54

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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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    Footnotes

    • Source of funding: National Cancer Institute.