Two behavioral interventions help cancer patients struggling with sleep issues

January 10, 2014
Science Daily/Perelman School of Medicine at the University of Pennsylvania
Cancer patients who are struggling with sleep troubles, due in part to pain or side effects of treatment, can count on two behavioral interventions for relief – cognitive behavioral therapy for insomnia (CBT-I) and mindfulness-based stress reduction (MBSR), researchers report in a new study published. While CBT-I is the gold standard of care, MBSR is an additional treatment approach that can also help improve sleep for cancer patients, the study found.

"Insomnia and disturbed sleep are significant problems that can affect approximately half of all cancer patients," said lead study author Sheila Garland, PhD, a Clinical Psychology Post-Doctoral Fellow at Penn's Abramson Cancer Center in Integrative Oncology and Behavioral Sleep Medicine. "If not properly addressed, sleep disturbances can negatively influence therapeutic and supportive care measures for these patients, so it's critical that clinicians can offer patients reliable, effective, and tailored interventions."

When assessed three months after completing an eight-week treatment protocol, the researchers found that both CBT-I and MBSR reduced insomnia severity across each group. However, the effects in the CBT-I group occurred more rapidly whereas the MBSR group tended to show more gradual improvement over time. Both groups significantly increased their total sleep time and reduced the amount of time it took them to fall asleep or return to sleep during the night. Both groups also experienced improvements in mood and stress-related symptoms following the interventions.

"That MBSR can produce similar improvements to CBT-I and that both groups can effectively reduce stress and mood disturbance expands the available treatment options for insomnia in cancer patients," said Dr. Garland. "This study suggests that we should not apply a 'one size fits all model' to the treatment of insomnia and emphasizes the need to individualize treatment based on patient characteristics and preferences."
Science Daily/SOURCE :http://www.sciencedaily.com/releases/2014/01/140110130952.htm