{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T01:54:49Z","timestamp":1792288489799,"version":"4.4.0"},"reference-count":138,"publisher":"Harborside Press, LLC","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold>The NCCN Guidelines for Survivorship recommend dedicated sleep assessment. Reported insomnia prevalence in the general Irish population is 6% to 15%. Reported insomnia prevalence internationally among new\/recently diagnosed patients with cancer varies from 30.9% to 54.3%. Insomnia prevalence has not been previously quantified in an Irish oncology cohort.<jats:bold>Methods:<\/jats:bold>A 40-item questionnaire was prospectively administered to ambulatory patients with cancer aged \u226518 years. Prespecified criteria to define insomnia syndrome combined those of the<jats:italic>International Classification of Sleep Disorders<\/jats:italic>, version 1, and the<jats:italic>Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition<\/jats:italic>(DSM-IV). The Hospital Anxiety and Depression Scale-Depression\/Anxiety (HADS-D\/A) was used to screen for potential confounding variables.<jats:bold>Results:<\/jats:bold>The response rate to the questionnaire was 87% (294\/337). The predominant respondent age group was 55 to 64 years (26%; 77\/294), 70.7% were female (208\/294), and the most common cancer subtypes were breast (37.4%), colorectal (12.9%), and lung (12.2%). A total of 62% (183\/294) of patients reported sleep disturbance after diagnosis, 63% (115\/183) reported moderate\/severe distress related to this disturbance, and 37% (61\/183) reported a significant impact on physical function. Although 33% (98\/294) met insomnia syndrome criteria, only 34% (33\/98) of these patients had a preexisting history of sleep disturbance. Female sex, age &lt;65 years, cancer subtype, alcohol consumption, and HADS-D\/A \u226511 were associated with statistically significant higher odds ratios (OR) of insomnia syndrome. Multivariate analysis identified breast cancer (OR, 3.17;<jats:italic>P<\/jats:italic>=.01), age &lt;65 years (OR, 1.8;<jats:italic>P<\/jats:italic>=.03), and alcohol consumption (OR, 2.3;<jats:italic>P<\/jats:italic>=.005) as independent predictors of insomnia syndrome.<jats:bold>Conclusions:<\/jats:bold>Insomnia syndrome prevalence in this cohort is comparable to that reported previously and supports dedicated sleep assessment. This study identifies potentially modifiable risk factors for insomnia and demonstrates additional utility of the HADS score in identifying patients at risk.<\/jats:p>","DOI":"10.6004\/jnccn.2020.7611","type":"journal-article","created":{"date-parts":[[2020,12,7]],"date-time":"2020-12-07T20:47:14Z","timestamp":1607374034000},"page":"1623-1630","source":"Crossref","is-referenced-by-count":31,"title":["Prevalence of Insomnia in an Oncology Patient Population: An Irish Tertiary Referral Center Experience"],"prefix":"10.6004","volume":"18","author":[{"given":"Emily C.","family":"Harrold","sequence":"first","affiliation":[{"name":"1Department of Medical Oncology, Mater Misericordiae University Hospital, Dublin, Ireland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad F.","family":"Idris","sequence":"additional","affiliation":[{"name":"2Department of Medical Oncology, St. James\u2019s Hospital, Dublin, Ireland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niamh M.","family":"Keegan","sequence":"additional","affiliation":[{"name":"3Department of Medical Oncology, Memorial Sloan Kettering Cancer Center, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynda","family":"Corrigan","sequence":"additional","affiliation":[{"name":"2Department of Medical Oncology, St. James\u2019s Hospital, Dublin, Ireland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Yuen","family":"Teo","sequence":"additional","affiliation":[{"name":"3Department of Medical Oncology, Memorial Sloan Kettering Cancer Center, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"O\u2019Donnell","sequence":"additional","affiliation":[{"name":"4Trinity College Medical School, Dublin, Ireland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean Tee","family":"Lim","sequence":"additional","affiliation":[{"name":"4Trinity College Medical School, Dublin, Ireland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eimear","family":"Duff","sequence":"additional","affiliation":[{"name":"4Trinity College Medical School, Dublin, Ireland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dearbhaile M.","family":"O\u2019Donnell","sequence":"additional","affiliation":[{"name":"2Department of Medical Oncology, St. James\u2019s Hospital, Dublin, Ireland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. John","family":"Kennedy","sequence":"additional","affiliation":[{"name":"2Department of Medical Oncology, St. James\u2019s Hospital, Dublin, Ireland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Sukor","sequence":"additional","affiliation":[{"name":"2Department of Medical Oncology, St. James\u2019s Hospital, Dublin, Ireland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cliona","family":"Grant","sequence":"additional","affiliation":[{"name":"2Department of Medical Oncology, St. James\u2019s Hospital, Dublin, Ireland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Gallagher","sequence":"additional","affiliation":[{"name":"2Department of Medical Oncology, St. James\u2019s Hospital, Dublin, Ireland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Collier","sequence":"additional","affiliation":[{"name":"5Department of Psychological Oncology Medicine, St. James\u2019s University Hospital, Dublin, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Kingston","sequence":"additional","affiliation":[{"name":"5Department of Psychological Oncology Medicine, St. James\u2019s University Hospital, Dublin, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann Marie","family":"O\u2019Dwyer","sequence":"additional","affiliation":[{"name":"5Department of Psychological Oncology Medicine, St. James\u2019s University Hospital, Dublin, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinead","family":"Cuffe","sequence":"additional","affiliation":[{"name":"2Department of Medical Oncology, St. James\u2019s Hospital, Dublin, Ireland;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4047","reference":[{"key":"ref361","first-page":"1","article-title":"Global PG SGA Accessed Available at http pt global org page id","volume":"13","author":"August","year":"2019"},{"key":"ref431","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1038\/sj.bjc.6604952","article-title":"Hospital anxiety and depression scale cutoff scores for cancer patients in acute care","volume":"100","author":"Singer","year":"2009","journal-title":"Br J Cancer"},{"key":"ref01","doi-asserted-by":"crossref","first-page":"e442","DOI":"10.1371\/journal.pmed.0030442","article-title":"Projections of global mortality and burden of disease from 2002 to 2030","volume":"3","author":"Mathers","year":"2006","journal-title":"PLoS Med"},{"key":"ref1151","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1192\/bjp.158.2.255","article-title":"The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer","volume":"158","author":"Moorey","year":"1991","journal-title":"Br J Psychiatry"},{"key":"ref1131","doi-asserted-by":"crossref","first-page":"4376","DOI":"10.1200\/JCO.2009.27.1916","article-title":"Prognostic factors in patients with advanced cancer: use of the patient-generated subjective global assessment in survival prediction","volume":"28","author":"Martin","year":"2010","journal-title":"J Clin Oncol"},{"key":"ref441","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1192\/bjp.158.2.255","article-title":"The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer","volume":"158","author":"Moorey","year":"1991","journal-title":"Br J Psychiatry"},{"key":"ref821","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.ijcard.2016.04.080","article-title":"Insomnia predicts long-term all-cause mortality after acute myocardial infarction: a prospective cohort study","volume":"215","author":"Cond\u00e9n","year":"2016","journal-title":"Int J Cardiol"},{"key":"ref211","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1177\/014107689408700705","article-title":"Assessment of the impact of cancer on work, recreation, home management and sleep using a general health status measure","volume":"87","author":"Malone","year":"1994","journal-title":"J R Soc Med"},{"key":"ref371","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"ref961","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1200\/JCO.1998.16.4.1380","article-title":"Quality of life and preferences for treatment following systemic adjuvant therapy for early-stage breast cancer","volume":"16","author":"Lindley","year":"1998","journal-title":"J Clin Oncol"},{"key":"ref581","doi-asserted-by":"crossref","first-page":"E98","DOI":"10.1188\/05.ONF.E98-E126","article-title":"Sleep\/Wake disturbances in people with cancer and their caregivers: state of the science","volume":"32","author":"Berger","year":"2005","journal-title":"Oncol Nurs Forum"},{"key":"ref811","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1093\/sleep\/33.5.585","article-title":"Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies","volume":"33","author":"Cappuccio","year":"2010","journal-title":"Sleep"},{"key":"ref241","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1002\/(SICI)1097-0347(199705)19:3<169::AID-HED1>3.0.CO;2-0","article-title":"Detailed quality of life assessment in patients treated with primary radiotherapy for squamous cell cancer of the base of the tongue","volume":"19","author":"Harrison","year":"1997","journal-title":"Head Neck"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1136\/bmj.2.5708.509","article-title":"Sleep habits and symptoms in male medical and surgical patients","volume":"2","author":"Johns","year":"1970","journal-title":"BMJ"},{"key":"ref571","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1016\/S0277-9536(01)00043-0","article-title":"Sleep disturbance in cancer patients","volume":"54","author":"Davidson","year":"2002","journal-title":"Soc Sci Med"},{"key":"ref141","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1016\/j.annepidem.2013.09.002","article-title":"The risk of cancer among patients with sleep disturbance: a nationwide retrospective study in Taiwan","volume":"23","author":"Hu","year":"2013","journal-title":"Ann Epidemiol"},{"key":"ref491","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1200\/JCO.2009.22.5011","article-title":"Prevalence, demographics, and psychological associations of sleep disruption in patients with cancer: University of Rochester Cancer Center-Community Clinical Oncology Program","volume":"28","author":"Palesh","year":"2010","journal-title":"J Clin Oncol"},{"key":"ref911","first-page":"275","article-title":"Loss of physical functioning among patients with cancer: a longitudinal view","volume":"1","author":"Kurtz","year":"1993","journal-title":"Cancer Pract"},{"key":"ref891","first-page":"701","article-title":"Psychiatric illness and psychosocial concerns of patients with newly diagnosed lung cancer","volume":"152","author":"Ginsburg","year":"1995","journal-title":"CMAJ"},{"key":"ref601","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1111\/j.1365-2648.2007.04560.x","article-title":"Efficacy of an insomnia intervention on fatigue, mood and quality of life in breast cancer survivors","volume":"61","author":"Dirksen","year":"2008","journal-title":"J Adv Nurs"},{"key":"ref651","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1093\/sleep\/32.6.807","article-title":"Logging on for better sleep: RCT of the effectiveness of online treatment for insomnia","volume":"32","author":"Vincent","year":"2009","journal-title":"Sleep"},{"key":"ref1161","doi-asserted-by":"crossref","first-page":"2330","DOI":"10.1093\/annonc\/mdq750","article-title":"Defining Hospital Anxiety and Depression Scale (HADS) structure by confirmatory factor analysis: a contribution to validation for oncological settings","volume":"22","author":"Annunziata","year":"2011","journal-title":"Ann Oncol"},{"key":"ref1061","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1016\/j.jpainsymman.2018.02.015","article-title":"Patient-reported functional status in outpatients with advanced cancer: correlation with physician-reported scores and survival","volume":"55","author":"Popovic","year":"2018","journal-title":"J Pain Symptom Manage"},{"key":"ref1281","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1016\/S0277-9536(01)00043-0","article-title":"Sleep disturbance in cancer patients","volume":"54","author":"Davidson","year":"2002","journal-title":"Soc Sci Med"},{"key":"ref221","doi-asserted-by":"crossref","first-page":"2737","DOI":"10.1200\/JCO.1995.13.11.2737","article-title":"Prevalence of menopausal symptoms among women with a history of breast cancer and attitudes toward estrogen replacement therapy","volume":"13","author":"Couzi","year":"1995","journal-title":"J Clin Oncol"},{"key":"ref871","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1200\/JCO.2001.19.3.895","article-title":"Insomnia in the context of cancer: a review of a neglected problem","volume":"19","author":"Savard","year":"2001","journal-title":"J Clin Oncol"},{"key":"ref331","first-page":"784","article-title":"NCCN Guidelines Insights Version To view the most recent version of these guidelines visitNCCN org","volume":"17","author":"SanftT","year":"2019","journal-title":"Natl"},{"key":"ref721","first-page":"355","article-title":"Insomnia in cancer patients","volume":"116","author":"Beszterczey","year":"1977","journal-title":"Can Med Assoc J"},{"key":"ref901","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/0885-3924(91)90027-2","article-title":"Symptoms of pancreatic cancer","volume":"6","author":"Krech","year":"1991","journal-title":"J Pain Symptom Manage"},{"key":"ref761","first-page":"3038","article-title":"Marked 24-h rest\/activity rhythms are associated with better quality of life, better response, and longer survival in patients with metastatic colorectal cancer and good performance status","volume":"6","author":"Mormont","year":"2000","journal-title":"Clin Cancer Res"},{"key":"ref781","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1093\/sleep\/30.12.1659","article-title":"A prospective study of change in sleep duration: associations with mortality in the Whitehall II cohort","volume":"30","author":"Ferrie","year":"2007","journal-title":"Sleep"},{"key":"ref741","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0885-3924(02)00682-6","article-title":"Fatigue and sleep disturbance in patients with cancer, patients with clinical depression, and community-dwelling adults","volume":"25","author":"Anderson","year":"2003","journal-title":"J Pain Symptom Manage"},{"key":"ref771","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1093\/sleep\/33.9.1159","article-title":"Insomnia with short sleep duration and mortality: the Penn State cohort","volume":"33","author":"Vgontzas","year":"2010","journal-title":"Sleep"},{"key":"ref971","doi-asserted-by":"crossref","first-page":"23\u2013","DOI":"10.1016\/S0147-9563(97)90006-6","article-title":"Dimensions of symptom distress in women with advanced lung cancer: a factor analysis","volume":"26","author":"Sarna","year":"1997","journal-title":"Heart Lung"},{"key":"ref1181","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1007\/s00520-007-0314-z","article-title":"The relationship between insomnia and patient satisfaction with quality of life in cancer","volume":"16","author":"Lis","year":"2008","journal-title":"Support Care Cancer"},{"key":"ref1291","doi-asserted-by":"crossref","first-page":"E98","DOI":"10.1188\/05.ONF.E98-E126","article-title":"Sleep\/Wake disturbances in people with cancer and their caregivers: state of the science","volume":"32","author":"Berger","year":"2005","journal-title":"Oncol Nurs Forum"},{"key":"ref401","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1136\/jnnp.23.1.56","article-title":"A rating scale for depression","volume":"23","author":"Hamilton","year":"1960","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"ref931","doi-asserted-by":"crossref","first-page":"2737","DOI":"10.1200\/JCO.1995.13.11.2737","article-title":"Prevalence of menopausal symptoms among women with a history of breast cancer and attitudes toward estrogen replacement therapy","volume":"13","author":"Couzi","year":"1995","journal-title":"J Clin Oncol"},{"key":"ref1321","doi-asserted-by":"crossref","first-page":"6033","DOI":"10.1200\/JCO.2008.20.8306","article-title":"One-year outcomes of a behavioral therapy intervention trial on sleep quality and cancer-related fatigue","volume":"27","author":"Berger","year":"2009","journal-title":"J Clin Oncol"},{"key":"ref631","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s10926-005-1217-9","article-title":"Cognitive-behavioral group therapy as an early intervention for insomnia: a randomized controlled trial","volume":"15","author":"Jansson","year":"2005","journal-title":"J Occup Rehabil"},{"key":"ref131","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.psyneuen.2015.02.010","article-title":"Improved sleep quality in older adults with insomnia reduces biomarkers of disease risk: pilot results from a randomized controlled comparative efficacy trial","volume":"55","author":"Carroll","year":"2015","journal-title":"Psychoneuroendocrinology"},{"key":"ref551","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s00520-005-0861-0","article-title":"Fatigue, sleep, and circadian rhythms prior to chemotherapy for breast cancer","volume":"14","author":"Ancoli-Israel","year":"2006","journal-title":"Support Care Cancer"},{"key":"ref1001","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.jpainsymman.2009.04.025","article-title":"Sleep-wake disturbances in patients with advanced cancer and their family carers","volume":"38","author":"Gibbins","year":"2009","journal-title":"J Pain Symptom Manage"},{"key":"ref1211","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1002\/pon.1412","article-title":"Pre-treatment symptom cluster in breast cancer patients is associated with worse sleep, fatigue and depression during chemotherapy","volume":"18","author":"Liu","year":"2009","journal-title":"Psychooncology"},{"key":"ref251","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1200\/JCO.1998.16.4.1380","article-title":"Quality of life and preferences for treatment following systemic adjuvant therapy for early-stage breast cancer","volume":"16","author":"Lindley","year":"1998","journal-title":"J Clin Oncol"},{"key":"ref851","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1016\/j.annepidem.2013.09.002","article-title":"The risk of cancer among patients with sleep disturbance: a nationwide retrospective study in Taiwan","volume":"23","author":"Hu","year":"2013","journal-title":"Ann Epidemiol"},{"key":"ref1381","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1037\/0022-006X.67.4.511","article-title":"Self-help treatment for insomnia: bibliotherapy with and without professional guidance","volume":"67","author":"Mimeault","year":"1999","journal-title":"J Consult Clin Psychol"},{"key":"ref691","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1002\/pon.1818","article-title":"Feasibility of a self-help treatment for insomnia comorbid with cancer","volume":"20","author":"Savard","year":"2011","journal-title":"Psychooncology"},{"key":"ref1021","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.1002\/1097-0142(197911)44:5<1919::AID-CNCR2820440555>3.0.CO;2-T","article-title":"A survey of psychotropic drug prescriptions in an oncology population","volume":"44","author":"Derogatis","year":"1979","journal-title":"Cancer"},{"key":"ref991","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/j.lungcan.2007.07.011","article-title":"Sleep and quality of life in long-term lung cancer survivors","volume":"58","author":"Gooneratne","year":"2007","journal-title":"Lung Cancer"},{"key":"ref341","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.1177\/026988119901304S04","article-title":"Evaluation of severe insomnia in the general population: results of a European multinational survey","volume":"13","author":"Chevalier","year":"1999","journal-title":"J Psychopharmacol"},{"key":"ref1141","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1038\/sj.bjc.6604952","article-title":"Hospital anxiety and depression scale cutoff scores for cancer patients in acute care","volume":"100","author":"Singer","year":"2009","journal-title":"Br J Cancer"},{"key":"ref1261","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s00520-005-0861-0","article-title":"Fatigue, sleep, and circadian rhythms prior to chemotherapy for breast cancer","volume":"14","author":"Ancoli-Israel","year":"2006","journal-title":"Support Care Cancer"},{"key":"ref521","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1007\/s00520-009-0595-5","article-title":"Changes in symptom clusters in patients undergoing radiation therapy","volume":"17","author":"Kim","year":"2009","journal-title":"Support Care Cancer"},{"key":"ref941","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/00002820-199904000-00006","article-title":"Sleep alterations in cancer patients","volume":"22","author":"Engstrom","year":"1999","journal-title":"Cancer Nurs"},{"key":"ref981","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1080\/0284186X.2016.1266089","article-title":"Quality of life in long-term and very long-term cancer survivors versus population controls in Germany","volume":"56","author":"Arndt","year":"2017","journal-title":"Acta Oncol"},{"key":"ref1121","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1038\/sj.ejcn.1601412","article-title":"Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer","volume":"56","author":"Bauer","year":"2002","journal-title":"Eur J Clin Nutr"},{"key":"ref1391","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1002\/pon.1969","article-title":"Initial evaluation of an Internet intervention to improve the sleep of cancer survivors with insomnia","volume":"21","author":"Ritterband","year":"2012","journal-title":"Psychooncology"},{"key":"ref1351","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1207\/s15402010bsm0403_1","article-title":"Cognitive behavioral treatment in clinically referred chronic insomniacs: group versus individual treatment","volume":"4","author":"Verbeek","year":"2006","journal-title":"Behav Sleep Med"},{"key":"ref1071","first-page":"1","article-title":"Global PG SGA Accessed Available at http pt global org page id","volume":"13","author":"August","year":"2019"},{"key":"ref541","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/00002820-199906000-00001","article-title":"Pretreatment symptom distress in women newly diagnosed with breast cancer","volume":"22","author":"Cimprich","year":"1999","journal-title":"Cancer Nurs"},{"key":"ref301","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/j.jpainsymman.2010.07.015","article-title":"Association between self-reported sleep disturbance and other symptoms in patients with advanced cancer","volume":"41","author":"Delgado-Guay","year":"2011","journal-title":"J Pain Symptom Manage"},{"key":"ref1371","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1037\/0022-006X.72.4.653","article-title":"Cognitive-behavioral therapy for insomnia: comparison of individual therapy, group therapy, and telephone consultations","volume":"72","author":"Bastien","year":"2004","journal-title":"J Consult Clin Psychol"},{"key":"ref1331","first-page":"1","article-title":"Individual cognitive behavioral therapy for insomnia in breast cancer survivors: a randomized controlled crossover pilot study","volume":"2","author":"Fiorentino","year":"2010","journal-title":"Nat Sci Sleep"},{"key":"ref1401","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1002\/pon.1818","article-title":"Feasibility of a self-help treatment for insomnia comorbid with cancer","volume":"20","author":"Savard","year":"2011","journal-title":"Psychooncology"},{"key":"ref1111","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1136\/jnnp.23.1.56","article-title":"A rating scale for depression","volume":"23","author":"Hamilton","year":"1960","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"ref291","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.jpainsymman.2009.04.025","article-title":"Sleep-wake disturbances in patients with advanced cancer and their family carers","volume":"38","author":"Gibbins","year":"2009","journal-title":"J Pain Symptom Manage"},{"key":"ref191","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/0885-3924(91)90027-2","article-title":"Symptoms of pancreatic 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insomnia","volume":"32","author":"Vincent","year":"2009","journal-title":"Sleep"},{"key":"ref111","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.ijcard.2016.04.080","article-title":"Insomnia predicts long-term all-cause mortality after acute myocardial infarction: a prospective cohort study","volume":"215","author":"Cond\u00e9n","year":"2016","journal-title":"Int J Cardiol"},{"key":"ref1041","first-page":"784","article-title":"NCCN Guidelines Insights Version To view the most recent version of these guidelines visitNCCN org","volume":"17","author":"SanftT","year":"2019","journal-title":"Natl"},{"key":"ref611","doi-asserted-by":"crossref","first-page":"6033","DOI":"10.1200\/JCO.2008.20.8306","article-title":"One-year outcomes of a behavioral therapy intervention trial on sleep quality and cancer-related fatigue","volume":"27","author":"Berger","year":"2009","journal-title":"J Clin Oncol"},{"key":"ref1341","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s10926-005-1217-9","article-title":"Cognitive-behavioral group therapy as an early intervention for insomnia: a randomized controlled trial","volume":"15","author":"Jansson","year":"2005","journal-title":"J Occup Rehabil"},{"key":"ref201","first-page":"275","article-title":"Loss of physical functioning among patients with cancer: a longitudinal view","volume":"1","author":"Kurtz","year":"1993","journal-title":"Cancer Pract"},{"key":"ref621","first-page":"1","article-title":"Individual cognitive behavioral therapy for insomnia in breast cancer survivors: a randomized controlled crossover pilot study","volume":"2","author":"Fiorentino","year":"2010","journal-title":"Nat Sci Sleep"},{"key":"ref71","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1093\/sleep\/30.12.1659","article-title":"A prospective study of change in sleep duration: associations with mortality in the Whitehall II cohort","volume":"30","author":"Ferrie","year":"2007","journal-title":"Sleep"},{"key":"ref1311","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1111\/j.1365-2648.2007.04560.x","article-title":"Efficacy of an insomnia intervention on fatigue, mood and quality of life in breast cancer survivors","volume":"61","author":"Dirksen","year":"2008","journal-title":"J Adv Nurs"},{"key":"ref831","doi-asserted-by":"crossref","first-page":"49","DOI":"10.5664\/jcsm.6386","article-title":"Increased mortality in relation to insomnia and obstructive sleep apnea in Korean patients studied with nocturnal polysomnography","volume":"13","author":"Choi","year":"2017","journal-title":"J Clin Sleep Med"},{"key":"ref841","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.psyneuen.2015.02.010","article-title":"Improved sleep quality in older adults with insomnia reduces biomarkers of disease risk: pilot results from a randomized controlled comparative efficacy trial","volume":"55","author":"Carroll","year":"2015","journal-title":"Psychoneuroendocrinology"},{"key":"ref501","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1002\/pon.1412","article-title":"Pre-treatment symptom cluster in breast cancer patients is associated with worse sleep, fatigue and depression during chemotherapy","volume":"18","author":"Liu","year":"2009","journal-title":"Psychooncology"},{"key":"ref1171","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1053\/smrv.2001.0246","article-title":"Use of sleep hygiene in the treatment of insomnia","volume":"7","author":"Stepanski","year":"2003","journal-title":"Sleep Med Rev"},{"key":"ref231","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/00002820-199904000-00006","article-title":"Sleep alterations in cancer patients","volume":"22","author":"Engstrom","year":"1999","journal-title":"Cancer Nurs"},{"key":"ref1191","doi-asserted-by":"crossref","first-page":"4651","DOI":"10.1200\/JCO.2007.13.9006","article-title":"Randomized controlled clinical effectiveness trial of cognitive behavior therapy compared with treatment as usual for persistent insomnia in patients with cancer","volume":"26","author":"Espie","year":"2008","journal-title":"J Clin Oncol"},{"key":"ref1051","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.1177\/026988119901304S04","article-title":"Evaluation of severe insomnia in the general population: results of a European multinational survey","volume":"13","author":"Chevalier","year":"1999","journal-title":"J Psychopharmacol"},{"key":"ref281","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/j.lungcan.2007.07.011","article-title":"Sleep and quality of life in long-term lung cancer survivors","volume":"58","author":"Gooneratne","year":"2007","journal-title":"Lung Cancer"},{"key":"ref1411","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.5665\/sleep.3918","article-title":"Is a video-based cognitive behavioral therapy for insomnia as efficacious as a professionally administered treatment in breast cancer? Results of a randomized controlled trial","volume":"37","author":"Savard","year":"2014","journal-title":"Sleep (Basel)"},{"key":"ref161","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1200\/JCO.2001.19.3.895","article-title":"Insomnia in the context of cancer: a review of a neglected problem","volume":"19","author":"Savard","year":"2001","journal-title":"J Clin Oncol"},{"key":"ref661","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1037\/0022-006X.72.4.653","article-title":"Cognitive-behavioral therapy for insomnia: comparison of individual therapy, group therapy, and telephone consultations","volume":"72","author":"Bastien","year":"2004","journal-title":"J Consult Clin Psychol"},{"key":"ref1221","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1002\/pon.3468","article-title":"Does cognitive behaviour therapy for insomnia reduce clinical levels of fatigue, anxiety and depression in cancer patients?","volume":"23","author":"Fleming","year":"2014","journal-title":"Psychooncology"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1634\/theoncologist.12-S1-35","article-title":"Cancer-related fatigue and sleep disorders","volume":"12","author":"Roscoe","year":"2007","journal-title":"Oncologist"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0885-3924(02)00682-6","article-title":"Fatigue and sleep disturbance in patients with cancer, patients with clinical depression, and community-dwelling adults","volume":"25","author":"Anderson","year":"2003","journal-title":"J Pain Symptom Manage"},{"key":"ref121","doi-asserted-by":"crossref","first-page":"49","DOI":"10.5664\/jcsm.6386","article-title":"Increased mortality in relation to insomnia and obstructive sleep apnea in Korean patients studied with nocturnal polysomnography","volume":"13","author":"Choi","year":"2017","journal-title":"J Clin Sleep Med"},{"key":"ref181","first-page":"701","article-title":"Psychiatric illness and psychosocial concerns of patients with newly diagnosed lung cancer","volume":"152","author":"Ginsburg","year":"1995","journal-title":"CMAJ"},{"key":"ref701","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.5665\/sleep.3918","article-title":"Is a video-based cognitive behavioral therapy for insomnia as efficacious as a professionally administered treatment in breast cancer? Results of a randomized controlled trial","volume":"37","author":"Savard","year":"2014","journal-title":"Sleep (Basel)"},{"key":"ref1301","doi-asserted-by":"crossref","first-page":"6083","DOI":"10.1200\/JCO.2005.09.548","article-title":"Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part I: sleep and psychological effects","volume":"23","author":"Savard","year":"2005","journal-title":"J Clin Oncol"},{"key":"ref61","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1093\/sleep\/33.9.1159","article-title":"Insomnia with short sleep duration and mortality: the Penn State cohort","volume":"33","author":"Vgontzas","year":"2010","journal-title":"Sleep"},{"key":"ref101","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1093\/sleep\/33.5.585","article-title":"Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies","volume":"33","author":"Cappuccio","year":"2010","journal-title":"Sleep"},{"key":"ref1081","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"ref1271","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1200\/JCO.1993.11.5.997","article-title":"Assessment of sleep in patients with lung cancer and breast cancer","volume":"11","author":"Silberfarb","year":"1993","journal-title":"J Clin Oncol"},{"key":"ref91","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/S1389-9457(02)00016-3","article-title":"Sleep duration and mortality: the effect of short or long sleep duration on cardiovascular and all-cause mortality in working men and women","volume":"3","author":"Heslop","year":"2002","journal-title":"Sleep Med"},{"key":"ref351","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1016\/j.jpainsymman.2018.02.015","article-title":"Patient-reported functional status in outpatients with advanced cancer: correlation with physician-reported scores and survival","volume":"55","author":"Popovic","year":"2018","journal-title":"J Pain Symptom Manage"},{"key":"ref711","doi-asserted-by":"crossref","first-page":"e442","DOI":"10.1371\/journal.pmed.0030442","article-title":"Projections of global mortality and burden of disease from 2002 to 2030","volume":"3","author":"Mathers","year":"2006","journal-title":"PLoS Med"},{"key":"ref511","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1002\/pon.3468","article-title":"Does cognitive behaviour therapy for insomnia reduce clinical levels of fatigue, anxiety and depression in cancer patients?","volume":"23","author":"Fleming","year":"2014","journal-title":"Psychooncology"},{"key":"ref481","doi-asserted-by":"crossref","first-page":"4651","DOI":"10.1200\/JCO.2007.13.9006","article-title":"Randomized controlled clinical effectiveness trial of cognitive behavior therapy compared with treatment as usual for persistent insomnia in patients with cancer","volume":"26","author":"Espie","year":"2008","journal-title":"J Clin Oncol"},{"key":"ref861","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1634\/theoncologist.12-S1-35","article-title":"Cancer-related fatigue and sleep disorders","volume":"12","author":"Roscoe","year":"2007","journal-title":"Oncologist"},{"key":"ref801","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/S1389-9457(02)00016-3","article-title":"Sleep duration and mortality: the effect of short or long sleep duration on cardiovascular and all-cause mortality in working men and women","volume":"3","author":"Heslop","year":"2002","journal-title":"Sleep Med"},{"key":"ref1201","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1200\/JCO.2009.22.5011","article-title":"Prevalence, demographics, and psychological associations of sleep disruption in patients with cancer: University of Rochester Cancer Center-Community Clinical Oncology Program","volume":"28","author":"Palesh","year":"2010","journal-title":"J Clin Oncol"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1097\/00006199-200107000-00006","article-title":"Physical functioning of elderly cancer patients prior to diagnosis and following initial treatment","volume":"50","author":"Given","year":"2001","journal-title":"Nurs Res"},{"key":"ref681","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1002\/pon.1969","article-title":"Initial evaluation of an Internet intervention to improve the sleep of cancer survivors with insomnia","volume":"21","author":"Ritterband","year":"2012","journal-title":"Psychooncology"},{"key":"ref951","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1002\/(SICI)1097-0347(199705)19:3<169::AID-HED1>3.0.CO;2-0","article-title":"Detailed quality of life assessment in patients treated with primary radiotherapy for squamous cell cancer of the base of the tongue","volume":"19","author":"Harrison","year":"1997","journal-title":"Head Neck"},{"key":"ref731","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1136\/bmj.2.5708.509","article-title":"Sleep habits and symptoms in male medical and surgical patients","volume":"2","author":"Johns","year":"1970","journal-title":"BMJ"},{"key":"ref51","first-page":"3038","article-title":"Marked 24-h rest\/activity rhythms are associated with better quality of life, better response, and longer survival in patients with metastatic colorectal cancer and good performance status","volume":"6","author":"Mormont","year":"2000","journal-title":"Clin Cancer Res"},{"key":"ref671","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1037\/0022-006X.67.4.511","article-title":"Self-help treatment for insomnia: bibliotherapy with and without professional guidance","volume":"67","author":"Mimeault","year":"1999","journal-title":"J Consult Clin Psychol"},{"key":"ref531","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.ddmod.2011.05.001","article-title":"The symptom cluster of sleep, fatigue and depressive symptoms in breast cancer patients: severity of the problem and treatment options","volume":"8","author":"Fiorentino","year":"2011","journal-title":"Drug Discov Today Dis Models"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1111\/j.1365-2869.2008.00732.x","article-title":"Sleep duration and mortality: a systematic review and meta-analysis","volume":"18","author":"Gallicchio","year":"2009","journal-title":"J Sleep 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Manage"},{"key":"ref451","doi-asserted-by":"crossref","first-page":"2330","DOI":"10.1093\/annonc\/mdq750","article-title":"Defining Hospital Anxiety and Depression Scale (HADS) structure by confirmatory factor analysis: a contribution to validation for oncological settings","volume":"22","author":"Annunziata","year":"2011","journal-title":"Ann Oncol"},{"key":"ref1031","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1002\/1097-0142(19900215)65:4<1048::AID-CNCR2820650434>3.0.CO;2-N","article-title":"Changes in the prescription patterns of psychotropic drugs for cancer patients during a 10-year period","volume":"65","author":"Stiefel","year":"1990","journal-title":"Cancer"},{"key":"ref1231","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1007\/s00520-009-0595-5","article-title":"Changes in symptom clusters in patients undergoing radiation therapy","volume":"17","author":"Kim","year":"2009","journal-title":"Support Care Cancer"},{"key":"ref421","doi-asserted-by":"crossref","first-page":"4376","DOI":"10.1200\/JCO.2009.27.1916","article-title":"Prognostic factors in patients with advanced cancer: use of the patient-generated subjective global assessment in survival prediction","volume":"28","author":"Martin","year":"2010","journal-title":"J Clin Oncol"},{"key":"ref1011","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/j.jpainsymman.2010.07.015","article-title":"Association between self-reported sleep disturbance and other symptoms in patients with advanced cancer","volume":"41","author":"Delgado-Guay","year":"2011","journal-title":"J Pain Symptom Manage"},{"key":"ref921","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1177\/014107689408700705","article-title":"Assessment of the impact of cancer on work, recreation, home management and sleep using a general health status measure","volume":"87","author":"Malone","year":"1994","journal-title":"J R Soc 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