scholarly journals 0866 Help-Seeking Interest and Preferences for Sleep Problems in a Large Sample of Cancer Patients

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A322-A322
Author(s):  
E S Zhou ◽  
K Clark ◽  
R Obenchain ◽  
C J Recklitis ◽  
M Loscalzo
Keyword(s):  
Cancer Patients ◽  
Help Seeking ◽  
Sleep Problems ◽  
Large Sample

scholarly journals P014 Shift work disorder and the prevalence of help seeking behaviours for sleep concerns in Australia

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A26-A26
Author(s):  
B Brown ◽  
M Crowther ◽  
S Appleton ◽  
Y Melaku ◽  
R Adams ◽  
...  
Keyword(s):  
Shift Work ◽  
Help Seeking ◽  
Management Strategy ◽  
Sleep Problems ◽  
Caffeine Consumption ◽  
Shift Workers ◽  
Standard Work ◽  
Shift Work Disorder ◽  
Help Seeking Behaviour ◽  
Seeking Help

Abstract Introduction Shift work disorder is a circadian rhythm sleep-wake disorder, defined by symptoms of insomnia and excessive levels of sleepiness resulting from work that occurs during non-standard hours. Sleep problems are common in shift workers, yet our understanding of help-seeking behaviours for sleep in shift workers is limited. Methods As a part of a national sleep health survey, data were collected on the help-seeking behaviours for sleep problems in an online sample of Australian individuals on non-standard work schedules (n=448). Of the sample of non-standard workers, 10.5% (n=41) met the criteria for probable shift work disorder (pSWD). Results Non-standard workers with pSWD did not seek help for sleep problems at higher rates than workers without SWD (p = .979). General practitioners were the most reported healthcare professional sought out for sleep problems of individuals with pSWD. Self-management was common in workers with pSWD, with a high self-reported prevalence of alcohol use (31.7%) as a sleep management strategy, and caffeine consumption (76.9%) as a sleepiness management strategy. The majority of individuals with pSWD reported the mentality of ‘accept it and keep going’ as a sleepiness management strategy, highlighting a potential barrier to help-seeking behaviour in workers with pSWD. Discussion These findings provide novel insight into the help-seeking behaviours of individuals with pSWD. There is a need for further research to understand why individuals at risk for shift work disorder are not actively seeking help, and to develop health promotion and intervention strategies to improve engagement with healthcare professionals.

scholarly journals Predictors of Varenicline Adherence Among Cancer Patients Treated for Tobacco Dependence and its Association With Smoking Cessation

2018 ◽  
Vol 21 (8) ◽  
pp. 1135-1139 ◽  
Author(s):  
Grace Crawford ◽  
Jessica Weisbrot ◽  
Joseph Bastian ◽  
Alex Flitter ◽  
Nancy C Jao ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cancer Patients ◽  
Depressed Mood ◽  
Sleep Problems ◽  
Treatment Success ◽  
Tobacco Dependence ◽  
Open Label ◽  
Quit Smoking ◽  
Reinforcing Effects ◽  
The Relationship

Abstract Introduction The degree to which smokers adhere to pharmacotherapy predicts treatment success. The development of interventions to increase adherence requires identification of predictors of treatment adherence, particularly among specific clinical populations. Methods Using data from a 12-week open-label phase of a clinical trial of varenicline for tobacco dependence among cancer patients (N = 207), we examined: (1) the relationship between self-reported varenicline adherence and verified smoking cessation and (2) demographic and disease-related variables, and early changes in cognition, affect, withdrawal, the reinforcing effects of smoking, and medication side effects, as correlates of varenicline adherence. Results At the end of 12 weeks, 35% of the sample had quit smoking and 52% reported taking ≥80% of varenicline. Varenicline adherence was associated with cessation (p < .001): 58% of participants who were adherent had quit smoking versus 11% of those who were not. Participants who experienced early reductions in depressed mood and satisfaction from smoking and experienced an increase in the toxic effects of smoking, showed greater varenicline adherence (p < .05); the relationship between greater adherence and improved cognition, reduced craving, and reduced sleep problems and vomiting approached significance (p < .10). Conclusions Among cancer patients treated for tobacco dependence with varenicline, adherence is associated with smoking cessation. Initial changes in depressed mood and the reinforcing effects of smoking are predictive of adherence. Implications The benefits of varenicline for treating tobacco dependence among cancer patients may depend upon boosting adherence by addressing early signs of depression and reducing the reinforcing dimensions of cigarettes.

Attributions, causal beliefs, and help-seeking behavior of parents of children with autism spectrum disorder and sleep problems

Autism ◽  
2020 ◽  
Vol 24 (7) ◽  
pp. 1829-1840 ◽  
Author(s):  
Laurie McLay ◽  
Sarah G Hansen ◽  
Amarie Carnett ◽  
Karyn G France ◽  
Neville M Blampied
Keyword(s):  
Autism Spectrum Disorder ◽  
Sleep Disturbance ◽  
Help Seeking ◽  
Parental Education ◽  
Online Survey ◽  
Sleep Problems ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Sources Of Information

Sleep problems in children with autism spectrum disorder are prevalent and persistent but also treatable. Little is known about how and why parents of such children seek help for sleep disturbance. Via an online survey ( n = 244 respondents), we gathered information about parents’ attributions about children’s sleep problems and beliefs about causes and on sources of information about, and their decisions regarding, help-seeking. Eighty-two percent of parents reported seeking some kind of help for their child’s sleep disturbance, and the average parent had tried six different treatment strategies, most commonly medical. Alignment of parents’ treatment choices with empirical evidence about treatment efficacy was poor, but belief in effectiveness was closely related to frequency of use of a treatment. In a Principal Components Analysis, parental attributions loaded on two factors: one which suggests the sleep problems are viewed as intrinsic to autism and stable (factor one) and the other as located within the child, stable, and treatment resistant (factor two). These findings have important implications for parental education and clinical practice in the treatment of sleep problems in children with autism spectrum disorder. Lay abstract Sleep problems are commonly reported among parents of children with autism spectrum disorder (ASD). Without effective treatment, such problems are unlikely to resolve. To date, we know very little about how and why parents of children with ASD seek help for sleep disturbance. Via an online survey, we gathered information about how parents make sense of their children’s sleep problems, beliefs about their causes, sources of information, and help-seeking behavior. The analysis of responses from 244 parents revealed that parents commonly view sleep problems (a) as a consequence of their child’s ASD, and unlikely to change over time (stable), and (b) as located within the child (intrinsic), stable over time, and difficult to treat. Despite this, parents also rated sleep problems as being important to treat. Eighty-two percent of parents surveyed reported seeking some kind of help for their child’s sleep disturbance, and the average parent had tried six different treatment strategies, most commonly medical approaches (e.g. melatonin). The alignment between parents’ treatment choices and those strategies that are supported by research was poor, but belief in the effectiveness of treatments was closely related to how often the treatment was used. These findings have important implications for parental education and clinical practice in the treatment of sleep problems in children with ASD.

scholarly journals How does pain experience relate to the need for pain relief? A secondary exploratory analysis in a large sample of cancer patients

2016 ◽  
Vol 24 (10) ◽  
pp. 4187-4195 ◽  
Author(s):  
Anna Thit Johnsen ◽  
Morten A. Petersen ◽  
Claire F. Snyder ◽  
Lise Pedersen ◽  
Mogens Groenvold
Keyword(s):  
Pain Relief ◽  
Cancer Patients ◽  
Exploratory Analysis ◽  
Pain Experience ◽  
Large Sample

scholarly journals Quality of life, fatigue, and sleep problems in pancreatic cancer patients

2019 ◽  
Author(s):  
Karen Steindorf ◽  
Dorothea Clauss ◽  
Christine Tjaden ◽  
Thilo Hackert ◽  
Florian Herbolsheimer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pancreatic Cancer ◽  
Cancer Patients ◽  
Sleep Problems

scholarly journals Variations in Genes Related to Sleep Patterns in Children With Autism Spectrum Disorder

2019 ◽  
Vol 21 (3) ◽  
pp. 335-342 ◽  
Author(s):  
Ann E. E. Johansson ◽  
Janice S. Dorman ◽  
Eileen R. Chasens ◽  
Christine A. Feeley ◽  
Bernie Devlin
Keyword(s):  
Autism Spectrum Disorder ◽  
Suprachiasmatic Nucleus ◽  
Sleep Problems ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Sleep Patterns ◽  
Large Sample ◽  
Melatonin Synthesis ◽  
Children With Asd

Background: Sleep disturbance is a frequent comorbidity in children with autism spectrum disorder (ASD), affecting an estimated 40–80% of cases. Previous reports have shown relationships between several circadian rhythm–related genes and sleep problems in ASD. The purpose of the present study was to relate variation in and around melatonin synthesis and suprachiasmatic nucleus genes to sleep problems in a large sample of children with ASD. Method: This secondary analysis used existing genotypic and phenotypic data for 2,065 children, aged 4–18 years, from the Simons Simplex Collection (SSC). Sleep problems were measured with the SSC Sleep Interview. Expression quantitative trait loci and single nucleotide polymorphisms in 25 circadian genes were chosen primarily for their impact on expression levels of target genes in the brain. Associations between variants and composite sleep problems, nighttime problems, daytime problems, and sleep duration problems were calculated using logistic regression analysis. Age, sex, nonverbal IQ, ASD severity, gastrointestinal distress, seizures, and ancestry were included as covariates. Transmission disequilibrium tests were performed to test for overtransmission of alleles in the same variants. Results: No significant associations or transmission disequilibrium were found between gene variants and sleep problems in this sample of children with ASD. Conclusion: Variation in expression of investigated genes in the melatonin synthesis and suprachiasmatic nucleus pathways did not have notable impacts on sleep problems in this large sample of children with ASD. Future research could explore translational and posttranslational effects of these genes or the effects of genes in other sleep-homeostasis pathways on sleep patterns.

An App-Based Cognitive Behavioral Therapy Program for Cancer Patients with Sleep Problems: A Pilot Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Kyong-Mee Chung ◽  
Yung Jae Suh ◽  
Siyung Chin ◽  
Eun-Seung Yu ◽  
Hyun Jeong Lee ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Cancer Patients ◽  
Attentional Bias ◽  
Relaxation Training ◽  
Sleep Problems ◽  
Behavioral Therapy ◽  
Self Report ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Therapy Program

UNSTRUCTURED Objective: To develop and evaluate an app-based cognitive behavioral therapy program for cancer patients with sleep problems. Method: Sixty participants who met the inclusion criteria were randomly assigned to the app-based cognitive behavioral therapy program (HARUToday Sleep) (N = 15), an app-based attentional control program (HARUCard Sleep) (N = 15), or a waitlist control group (N = 15). HARUToday Sleep consists of 48 sessions separated into five zones (psycho-education, behavioral activation, relaxation training, cognitive restructuring, and problem solving). Each participant was required to complete one 10- to 15-minute session per day on weekdays for 10 weeks. In the HARUCard Sleep, participants received one card per day, which provided information about cancer, hobbies, and activities. Participants were evaluated before and after the completion of the program using self-report questionnaires and a dot-probe computer task that measured attentional bias. Results: The intensity of sleep problems decreased significantly after the intervention for the HARUToday Sleep group compared to the other two groups, whereas there were no significant changes in the quality of life score and the attentional bias scores of the patients. Conclusion: The HARUToday Sleep app may be an effective intervention for reducing sleep problems in cancer patients.

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