Fear of Cancer Recurrence and Sleep in Couples Coping With Early-Stage Breast Cancer.
Fear of Cancer Recurrence and Sleep in Couples Coping With Early-Stage Breast Cancer.
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应对早期乳腺癌的夫妇对癌症复发和睡眠的恐惧。
DOI：
10.1093/abm/kaac018
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Laurenceau,Jean-Philippe
中科院分区：
文献类型：
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作者：
Perndorfer,Christine;Soriano,EmilyC;Siegel,ScottD;Spencer,RebeccaMC;Otto,AmyK;Laurenceau,Jean-Philippe
背景对癌症复发（FCR）的恐惧和睡眠障碍在癌症幸存者中很常见。然而，很少有研究探讨它们之间的关系，更不知道癌症幸存者的亲密伴侣之间这些变量之间可能存在什么联系。目的本研究探讨了乳腺癌幸存者及其伴侣的 FCR 与睡眠障碍之间的关系。使用在幸存者早期两个不同时期（完成辅助治疗和第一次治疗后乳房X光检查）收集的每日睡眠数据，假设幸存者和伴侣FCR较高可以预测更大的睡眠障碍。方法乳腺癌幸存者和亲密伴侣（N = 76对夫妇；152人）各自报告了诊断后第一年期间两次21天睡眠日记的每天早上的睡眠持续时间、睡眠质量、入睡潜伏期和入睡后醒来。三个经过验证的措施形成了幸存者和伴侣的潜在 FCR 因素，用于预测平均每日睡眠。结果在两次睡眠日记爆发中，幸存者 FCR 与他们自己的睡眠时间缩短、睡眠质量下降和入睡潜伏期延长有关。幸存者 FCR 还与其伴侣的睡眠质量下降和入睡潜伏期较长有关。伴侣 FCR 与他们自己的睡眠时间缩短、睡眠质量下降和入睡潜伏期延长有关。伴侣 FCR 也与幸存者睡眠质量下降有关。结论研究结果揭示了 FCR 与睡眠障碍之间的个人内部和人际关联，解决了关于 FCR 的知识差距以及对健康和死亡率具有已知短期和长期影响的结果。
BackgroundFear of cancer recurrence (FCR) and sleep disturbance are common in cancer survivors. Yet, little research has examined their relationship, and even less is known about what links may exist between these variables among the intimate partners of cancer survivors.PurposeThis study examines the relationship between FCR and sleep disturbance in breast cancer survivors and their partners. Using daily sleep data collected at two distinct periods early in survivorship—the completion of adjuvant treatment and the first post-treatment mammogram—higher survivor and partner FCR was hypothesized to predict greater sleep disturbance.MethodsBreast cancer survivors and intimate partners (N= 76 couples; 152 individuals) each reported sleep duration, sleep quality, sleep onset latency, and wake after sleep onset each morning of two 21-day sleep diary bursts during the first year post-diagnosis. Three validated measures formed latent FCR factors for survivors and partners, which were used to predict average daily sleep.ResultsAcross both sleep diary bursts, survivor FCR was associated with their own reduced sleep duration, reduced sleep quality, and greater sleep onset latency. Survivor FCR was also associated with their partners’ reduced sleep quality and greater sleep onset latency. Partner FCR was associated with their own reduced sleep duration, reduced sleep quality, and greater sleep onset latency. Partner FCR was also associated with survivors’ reduced sleep quality.ConclusionsFindings revealed intrapersonal and interpersonal associations between FCR and sleep disturbance, addressing gaps in knowledge on FCR and an outcome with known short- and long-term implications for health and mortality.