Approaches to measure sleep-wake disturbances in adolescents with cancer.
Approaches to measure sleep-wake disturbances in adolescents with cancer.
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DOI：
10.1016/j.pedn.2008.03.004
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发表时间：
2009-08
期刊：
影响因子：
--
通讯作者：
Erickson JM
中科院分区：
文献类型：
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作者：
Erickson JM
睡眠-觉醒障碍通常发生在健康的青少年中。虽然睡眠减少和嗜睡对于健康的青少年来说似乎是正常的，但患有慢性疾病的青少年由于疾病过程，持续治疗和相关症状而面临睡眠数量和质量的额外中断。关于青少年的睡眠如何受到癌症、癌症治疗和并发症状的影响，或者关于这些患者睡眠中断的后果，我们知之甚少。虽然有有限的证据来指导青少年癌症患者的睡眠测量，但研究人员可以从对其他青少年的睡眠研究中学习有效的策略。这篇系统性综述探讨了研究人员如何使用体动记录仪、日记和/或自我报告问卷在不同的健康和患病青少年样本中测量睡眠。心理测量学特性报告9自我报告的睡眠问卷中使用的研究，大多是健康的青少年样本。19项研究提供的证据表明，体动计可以成功可靠地用作测量青少年睡眠的有效客观方法，包括慢性疾病患者。每天的睡眠日记很少被用来收集青少年的数据。这些技术的适用性研究癌症相关的睡眠-觉醒障碍的青少年以及策略，以提高这些措施的可靠性，有效性和可行性进行了讨论。未来受癌症影响的青少年的睡眠研究可以通过持续使用睡眠术语，测量关键的睡眠参数以及努力开发和使用心理测量仪器来加强。肿瘤临床医生应该准备好将睡眠研究的新证据添加到他们对青少年癌症患者的护理中。
Sleep-wake disturbances commonly occur in healthy adolescents. While diminished sleep and sleepiness seem normal for healthy adolescents, adolescents with chronic illnesses face additional disruption in the quantity and quality of their sleep as a result of the disease process, ongoing treatment, and associated symptoms. Little is known about how sleep in adolescents is affected by cancer, cancer treatment, and concurrent symptoms or about the consequences of sleep disruption for these patients. Although there is limited evidence to guide sleep measurement in adolescents with cancer, researchers may learn effective strategies from sleep studies completed with adolescents with other conditions. This systematic review examines how researchers have measured sleep using actigraphy, diary, and/or self-report questionnaires in diverse samples of healthy and ill adolescents. Psychometric properties are reported for nine self-report sleep questionnaires that were used in studies with mostly healthy adolescent samples. Nineteen studies provide evidence that actigraphy can be successfully and reliably used as an effective objective method to measure sleep in adolescents, including those with chronic illness. Daily sleep diaries were used less frequently to collect data from adolescents. The suitability of these techniques for the study of cancer-related sleep-wake disturbances in adolescents as well as strategies to enhance the reliability, validity, and feasibility of these measures will be discussed. Future sleep research in adolescents affected by cancer can be strengthened by the consistent use of sleep terminology, measurement of key sleep parameters, and efforts to develop and use psychometrically sound instruments. Oncology clinicians should be ready to add emerging evidence from sleep research to their care of adolescents with cancer.