Management of Insomnia in Cancer Patients

描述（由申请人提供）：概述和公共卫生相关性：Oxana Palesh，Ph.D.，临床心理学家，正在申请职业发展奖，以扩大她的研究技能，并成为一个独立的调查员在癌症控制。她的长期研究目标是减少癌症患者和癌症幸存者的失眠和失眠症状，这些问题的患病率很高。事实上，在帕莱什博士最近的一项研究中，330名乳腺癌患者中有70%报告了睡眠问题。Palesh博士的职业发展计划建立在斯坦福大学和罗切斯特大学获得的强大研究背景之上，通过增强四个领域的具体可衡量的知识和技能：1）癌症治疗和控制，2）多中心试验的进行，3）失眠评估和治疗，以及4）过渡到独立的研究生涯。她的主要导师，加里莫罗博士，30年来一直是癌症控制领域的领导者。他将在癌症和副作用管理以及临床试验设计和分析方面提供专业知识。Palesh博士的共同导师在培训研究人员方面也有出色的经验。约瑟夫·罗斯科博士，将贡献行为研究和癌症方面的专业知识。托马斯罗斯博士，国际公认的专家，将提供睡眠研究和治疗失眠的深入培训。他们得到了癌症治疗、失眠研究、精神药理学和生物统计学专家咨询委员会的协助。研究计划：拟议的随机对照试验，基于完善的理论原则，扩大了有希望的初步数据表明，药理学和行为干预可以改善失眠。将在一项4组（药物：是/否;行为治疗：是/否）随机临床试验中对60例接受化疗的乳腺癌患者的两种方法与标准治疗进行比较。主要目标是为R 01应用提供初步数据和效应量估计，以确认结果。这些结果将阐明失眠在接受治疗的癌症患者的经历中的作用，为这些患者的干预措施提供潜在的策略，并将Palesh博士与该奖项提供的培训相结合，成功地过渡到癌症控制科学的独立研究者和领导者的职业生涯。

DESCRIPTION (provided by applicant): Overview and Public Health Relevance: Oxana Palesh, Ph.D., a clinical psychologist, is applying for a career development award to expand her research skills and become an independent investigator in cancer control. Her long-term research objective is to reduce insomnia and insomnia symptoms in cancer patients and cancer survivors, groups with a high prevalence of these problems. In fact, sleep problems were reported by 70% of 330 breast cancer patients in a recent study by Dr. Palesh. Dr. Palesh's Career Development Plan builds upon a strong research background obtained at Stanford and the U of Rochester by enhancing specific measurable knowledge and skills in four areas: 1) cancer treatment and control, 2) the conduct of multi-center trials, 3) insomnia assessment and treatment, and 4) transitioning to an independent research career. Her primary mentor, Gary Morrow, Ph.D., has been a leader in cancer control for 30 years. He will contribute expertise in cancer and side effect management and in clinical trial design and analysis. Dr. Palesh's co-mentors also have outstanding experience in training researchers. Joseph Roscoe, Ph.D., will contribute expertise in behavioral research and cancer. Thomas Roth, Ph.D., an internationally recognized expert, will provide in-depth training in sleep research and treatment of insomnia. They are assisted by an Advisory Board of experts in cancer treatment, insomnia research, psychopharmacology and biostatistics. Research Plan: The proposed RCT, based on well established theoretical principles, expands promising preliminary data showing that both pharmacologic and behavioral interventions can improve insomnia. The two approaches will be compared with standard care in a 4 arm (Drug: yes/no; Behavioral Treatment: yes/no) randomized clinical trial of 60 breast cancer patients receiving chemotherapy. The primary goal is to provide preliminary data and effect size estimates for an R01 application to confirm results. These results will clarify the role of insomnia in the experiences of cancer patients undergoing treatment, inform potential strategies for interventions in these patients, and position Dr. Palesh, in combination with the training provided by this award, to successfully transition to a career as an independent investigator and leader in cancer control science.