Minority Breast Cancer Survivors: The Association between Race/Ethnicity, Objective Sleep Disturbances, and Physical and Psychological Symptoms.
Minority Breast Cancer Survivors: The Association between Race/Ethnicity, Objective Sleep Disturbances, and Physical and Psychological Symptoms.
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DOI：
10.1155/2014/858403
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发表时间：
2014
影响因子：
1.9
通讯作者：
Jim H
中科院分区：
文献类型：
--
作者：
Budhrani PH;Lengacher CA;Kip KE;Tofthagen C;Jim H
背景关于种族/民族对乳腺癌幸存者（BCS）客观睡眠障碍的调节作用的研究有限。Objective.探讨BCS患者客观睡眠障碍的种族/民族差异及其与自我报告症状的关系。干预/方法。在79名BCS中，分别使用活动记录仪和自我报告问卷测量睡眠障碍和症状。采用协方差分析、Pearson相关分析和多元回归分析。结果60名（75.9%）参与者将其种族列为白色、非西班牙裔，19名（24.1%）为少数民族。白色BCS的总睡眠时间为395.9分钟，而少数BCS为330.4分钟。在少数民族BCS中，睡眠起始潜伏期（SOL）与抑郁、SOL与疲劳、睡眠效率（SE）与疲劳之间存在显著相关性。在白色BCS中，SE和疼痛以及睡眠发作后觉醒（WASO）和疼痛之间存在显著相关性。抑郁和SOL之间的关联和疲劳和SOL之间的关联在少数民族BCS中似乎比白色BCS更强。结论.结果表明，白色BCS睡眠时间比少数BCS，和种族/民族修改的影响，抑郁和疲劳的SOL，分别。对实践的影响。作为生存护理的一部分，种族/民族应作为综合症状评估的重要组成部分。
Background. Limited research has been conducted on the moderating effect of race/ethnicity on objective sleep disturbances in breast cancer survivors (BCSs). Objective. To explore racial/ethnic differences in objective sleep disturbances among BCSs and their relationship with self-reported symptoms. Intervention/Methods. Sleep disturbance and symptoms were measured using actigraphy for 72 hours and self-reported questionnaires, respectively, among 79 BCSs. Analysis of covariance, Pearson's correlation, and multivariate regression were used to analyze data. Results. Sixty (75.9%) participants listed their ethnicity as white, non-Hispanic and 19 (24.1%) as minority. Total sleep time was 395.9 minutes for white BCSs compared to 330.4 minutes for minority BCSs. Significant correlations were seen between sleep onset latency (SOL) and depression, SOL and fatigue, and sleep efficiency (SE) and fatigue among minority BCSs. Among white BCSs, significant correlations were seen between SE and pain and wake after sleep onset (WASO) and pain. The association between depression and SOL and fatigue and SOL appeared to be stronger in minority BCSs than white BCSs. Conclusions. Results indicate that white BCSs slept longer than minority BCSs, and race/ethnicity modified the effect of depression and fatigue on SOL, respectively. Implications for Practice. As part of survivorship care, race/ethnicity should be included as an essential component of comprehensive symptom assessments.