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Feasibility of a self-help treatment for insomnia comorbid with cancer

Savard Josée, Villa Julie, Simard Sébastien, Ivers Hans et Morin Charles M.. (2011). Feasibility of a self-help treatment for insomnia comorbid with cancer. Psycho-Oncology, 20, (9), p. 1013-1019.

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OBJECTIVE: Professionally administered cognitive-behavioral therapy (CBT) is efficacious for treating insomnia in breast cancer survivors. However, given the limited accessibility to CBT for insomnia in cancer clinics, there is a need to develop other delivery formats for this intervention. This feasibility study examined patients' satisfaction with a self-help CBT for insomnia comorbid with cancer and gathered some preliminary data on its effect on sleep and associated features.

METHODS: Eleven breast cancer patients reporting insomnia symptoms received a 6-week intervention composed of a 60-min video using an animated cartoon format and 6 short booklets developed in French. Patients completed a semi-structured interview at post-treatment, a battery of self-report scales and a daily sleep diary (14 days) at pre- and post-treatment and at a 3-month follow-up.

RESULTS: At post-treatment interview, comments about the treatment material were uniformly positive. On a questionnaire, patients also reported to be satisfied with the treatment overall, with the video and the booklets' content, as well as with their sleep improvement at post-treatment (scores from 2.7 to 3.1; scale from 0 to 4). From pre- to post-treatment, moderate-to-large effect sizes and statistically and clinically significant differences were found on most sleep variables, as well as overall quality of life. These therapeutic gains were well sustained at a 3-month follow-up.

CONCLUSIONS: Patients were satisfied with the treatment received. Although it is too early to draw any firm conclusion, treatment outcomes suggest a potential for integration into routine cancer care as a first-line sleep management intervention.

Type de document:Article publié dans une revue avec comité d'évaluation
Pages:p. 1013-1019
Version évaluée par les pairs:Oui
Sujets:Sciences sociales et humaines > Sciences sociales > Psychologie
Sciences de la santé
Sciences de la santé > Sciences médicales
Sciences de la santé > Sciences médicales > Oncologie
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module de psychologie
Mots-clés:oncology, breast cancer, insomnia, cognitive-behavioral therapy, self-help treatment, video, stepped care, oncologie, cancer du sein, insomnie, thérapie cognitivo-comportementale
Déposé le:20 déc. 2017 01:00
Dernière modification:20 déc. 2017 01:00
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