TY - JOUR
T1 - Predisposing, Precipitating, and Perpetuating Factors of Insomnia in Cancer Survivors
AU - Kwon, Misol
AU - McPhillips, Miranda V.
AU - Dong, Fanghong
AU - Zhu, Jingtao
AU - Wilding, Gregory E.
AU - Dickerson, Suzanne S.
N1 - Publisher Copyright:
© 2024, Oncology Nursing Society. All rights reserved.
PY - 2024/5
Y1 - 2024/5
N2 - OBJECTIVES: To explore and characterize predisposing, precipitating, and perpetuating factors of subthreshold, moderate, and severe insomnia in cancer survivors. SAMPLE & SETTING: 135 cancer survivors who selfreported symptom severity on the Insomnia Severity Index during the baseline phase of a randomized clinical trial on insomnia treatment. METHODS & VARIABLES: Participants completed measures assessing predisposing factors (age, sex, race and ethnicity, body mass index), precipitating factors (number of years since cancer diagnosis, depression and anxiety symptoms, health-related quality of life), and perpetuating factors (frequency of consuming alcoholic and caffeinated beverages, napping behavior, dysfunctional beliefs about sleep). RESULTS: In the multivariate model, being female was protective against insomnia, and being a person of color, having higher anxiety, having more depression symptoms, and having stronger dysfunctional beliefs about sleep were significantly associated with greater insomnia severity. IMPLICATIONS FOR NURSING: By fostering interprofessional collaboration and implementing evidence-based interventions, nurses can contribute to the well-being of cancer survivors and address their sleep-related challenges. This study underscores the importance of regular insomnia screenings for cancer survivors, with nurses as essential facilitators.
AB - OBJECTIVES: To explore and characterize predisposing, precipitating, and perpetuating factors of subthreshold, moderate, and severe insomnia in cancer survivors. SAMPLE & SETTING: 135 cancer survivors who selfreported symptom severity on the Insomnia Severity Index during the baseline phase of a randomized clinical trial on insomnia treatment. METHODS & VARIABLES: Participants completed measures assessing predisposing factors (age, sex, race and ethnicity, body mass index), precipitating factors (number of years since cancer diagnosis, depression and anxiety symptoms, health-related quality of life), and perpetuating factors (frequency of consuming alcoholic and caffeinated beverages, napping behavior, dysfunctional beliefs about sleep). RESULTS: In the multivariate model, being female was protective against insomnia, and being a person of color, having higher anxiety, having more depression symptoms, and having stronger dysfunctional beliefs about sleep were significantly associated with greater insomnia severity. IMPLICATIONS FOR NURSING: By fostering interprofessional collaboration and implementing evidence-based interventions, nurses can contribute to the well-being of cancer survivors and address their sleep-related challenges. This study underscores the importance of regular insomnia screenings for cancer survivors, with nurses as essential facilitators.
KW - 3P model
KW - Spielman model
KW - assessment
KW - cancer
KW - insomnia
KW - oncology
KW - sleep
KW - survivors
UR - http://www.scopus.com/inward/record.url?scp=85191512346&partnerID=8YFLogxK
U2 - 10.1188/24.ONF.210-222
DO - 10.1188/24.ONF.210-222
M3 - Article
C2 - 38668908
AN - SCOPUS:85191512346
SN - 0190-535X
VL - 51
SP - 210
EP - 222
JO - Oncology Nursing Forum
JF - Oncology Nursing Forum
IS - 3
ER -