{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:17:09Z","timestamp":1777922229983,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breast cancer survivors (BCSs) have many lifelong symptoms of anxiety, depression, lymphedema, and fatigue that can be exacerbated by sleep disturbance. However, little is known about unique factors contributing to sleep disturbance among BCSs with lymphedema; this requires further investigation to offer appropriate support and treatment to these individuals. Therefore, the objective of this study was to capture perceptions and experiences of lymphedema and sleep among BCSs with lymphedema.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>Qualitative description guided data collection and analysis as part of a mixed-methods investigation to characterize sleep disturbance among BCSs with and without lymphedema. The participants were interviewed one-on-one using a semistructured interview guide. Inductive content analysis was completed using an iterative coding approach, condensing, and categorizing to develop four themes. Seven BCSs with lymphedema participated. From their narratives, four themes were developed: (1) mind and body fatigue are exacerbated by sleep disturbance; (2) fatigue impacted fragile coping and support systems; (3) fatigue influenced self-identity and roles in society; and (4) self-management strategies were used for sleep health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The participants' perceptions of sleep disturbances' impact on their lives endorse further investigation into optimal interventions to improve sleep quality and modify these impactful findings to create a higher quality of life for survivorship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2023.0034","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T13:59:20Z","timestamp":1713794360000},"page":"203-209","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["The Impact of Sleep on the Lives of Women Who Have Breast Cancer-Related Lymphedema: A Qualitative Exploration"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4277-1615","authenticated-orcid":false,"given":"Karen J.","family":"Bock","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, Kansas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, Kansas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delainey R.","family":"Pospichal","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, Kansas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7706-6804","authenticated-orcid":false,"given":"Catherine F.","family":"Siengsukon","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, Kansas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8529-5172","authenticated-orcid":false,"given":"Jill","family":"Peltzer","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Kansas Medical Center, Kansas City, Kansas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Surveillance Epidemiology and End Results Program. Cancer Stat Facts: Female Breast Cancer. National Cancer Institute. Available from: https:\/\/seer.cancer.gov\/statfacts\/html\/breast.html [Last accessed: March 26]."},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/24.5.583"},{"issue":"3","key":"e_1_3_4_4_2","first-page":"118","article-title":"Post-breast cancer lymphedema: incidence increases from 12 to 30 to 60 months","volume":"43","author":"Armer JM","year":"2010","unstructured":"Armer JM, , Stewart BR. Post-breast cancer lymphedema: incidence increases from 12 to 30 to 60 months. Lymphology, 2010; 43(3):118\u2013127.","journal-title":"Lymphology"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/jpm5030280"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2013.0179"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12446"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951518000135"},{"issue":"1","key":"e_1_3_4_9_2","first-page":"3","article-title":"The diagnosis and treatment of peripheral lymphedema: 2020 Consensus Document of the International Society of Lymphology","volume":"53","author":"Executive Committee of the International Society of Lymphology","year":"2020","unstructured":"Executive Committee of the International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2020 Consensus Document of the International Society of Lymphology. Lymphology, 2020; 53(1):3\u201319.","journal-title":"Lymphology"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315576699"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0193-953X(18)30532-X"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21319"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2019.08.008"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-019-01564-9"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-021-06559-1"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33943"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2016.21.Sup10.S22"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.04.030"},{"issue":"1","key":"e_1_3_4_19_2","first-page":"44","article-title":"Irish insights into the lived experience of breast cancer related lymphoedema: Implications for occupation focused practice","volume":"68","author":"McGrath T","year":"2013","unstructured":"McGrath T. Irish insights into the lived experience of breast cancer related lymphoedema: Implications for occupation focused practice. WFOT Bull, 2013; 68(1):44\u201350.","journal-title":"WFOT Bull"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/15404153221116755"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-022-01225-9"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.3794"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2019.28.Sup6a.S1"}],"container-title":["Lymphatic Research and Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lrb.2023.0034","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2023.0034","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lrb.2023.0034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:15:05Z","timestamp":1777666505000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lrb.2023.0034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,1]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6,1]]}},"alternative-id":["10.1089\/lrb.2023.0034"],"URL":"https:\/\/doi.org\/10.1089\/lrb.2023.0034","relation":{},"ISSN":["1539-6851","1557-8585"],"issn-type":[{"value":"1539-6851","type":"print"},{"value":"1557-8585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,1]]}}}