Group CBT-I is the preferred choice based on post intervention and short-term effects,” they concluded. “CBT-I is effective for the management of insomnia in cancer patients post intervention, with diminished effects in short-term follow-up. However, when compared with the inactive control, the CBT-I group demonstrated an increase in sleep efficiency (10.61%), total sleep time (21.98 minutes), a reduction of sleep onset latency (14.65 minutes), as well as a reduction in wake after sleep onset (24.30 minutes) at post intervention, with sustained effects during the short-term follow up.
“Most of the results were rated as “moderate” to “low” certainty of evidence.” “These effects diminished in short-term follow-up and almost disappeared in long-term follow-up,” investigators reported. Insomnia severity was significantly impacted when compared to the active control, with wake after sleep onset being reduced post intervention as well. When evaluating the impact of the targeted intervention alongside the inactive control, CBT-I significantly reduced insomnia severity and increased sleep efficiency post intervention. Investigators identified 16 unique trials, including 1523 patients, that met inclusion criteria. Strongest Effects Observed Post Intervention Primary outcomes included insomnia severity, sleep efficiency, sleep onset latency (SOL), wake after sleep onset (WASO), and total sleep time (TST). The team reviewed 5 databases to gather data from randomized clinical trials that compared CBT-I with inactive or active controls for insomnia among patients with cancer. The multimodal intervention of CBT-I integrates various cognitive and behavioral treatment elements consisting of cognitive restructuring, sleep hygiene education, stimulus control strategies, sleep restriction, and relaxation training. Ya Gao, Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, and investigators performed a systematic review to examine which delivery format of cognitive behavioral therapy for insomnia (CBT-I) would be most effective in this patient population.Ĭognitive behavioral therapy has been shown to be effective at improving insomnia when implemented by reputable methods such as under the direction of a trained therapist, self-help automated programs, or delivered in individual, group, telephone, or computerized formats. Examining Insomnia Severity in Patients with Cancer Additionally, insomnia brings with it a higher risk of cancer-related fatigue, depression, pain, memory problems, cardiovascular and mental disorders, immune function impairment, decreased quality of life, all-cause mortality, and cancer recurrence.
Therefore, these patients are 2-3 times more likely to experience disordered sleep as a consequence of the discomfort that accompanies their treatment. According to the study, 30%-60% of this population experiences insomnia, which is likely attributable to adverse events associated with cancer treatments like chemotherapy and radiotherapy. While insomnia is pervasive in the general population (10%-20%), it’s especially prevalent among oncology patients. However, investigators acknowledged that more high-quality, large-scale trials are needed to provide long-term follow-up data. You will be sorry- if you order from them- fake operation and very cold.New research indicated that cognitive behavioral therapy (CBT) is an effective management approach for insomnia experienced by patients with cancer. Worst place- and terrible customer service - below rating- negative 10- they just want your money and don’t care about the customer or the people they are sending the cookies- money making racket- very very poor customer service- so very sorry I ordered from them. Sad my cousin- has no idea who the gift was from.
So sad- I should never ever order from such an unprofessional place- beware- they tell you they will fix it but completely ignore it- after spending 45 minutes trying to fix it-no fault of mine but there website that is not an easy place when you are busy. I called and they refused to let my cousin know - and give me 10 dollars which I refused. The cookies were delivered today - on my email receipt our names were missing- so my cousin who is going through a lot has no idea who they are from. I immediately called customer service- it took 45 minutes they said they would add the message. After the order went in it totally cut off the message and our names. I ordered insomnia cookies for my cousin who just lost her husband- I wrote a short note with our names to my cousin.