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Sleep and Cancer

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The MASCC Textbook of Cancer Supportive Care and Survivorship

Abstract

Sleep disturbances are reported in up to 60% of patients with cancers of many types and stages. Impaired sleep has an array of detrimental effects on the health of individuals with cancer and their family caregivers, with significant societal costs. Cancer-related sleep disturbances can also affect health-related quality of life by way of persistent fatigue and altered mood. Chronic sleep loss may lead to poor adherence to cancer treatments and higher morbidity and mortality. Sleep disturbances can range from perceived or actual alterations in usual sleep patterns to diagnosed sleep disorders meeting precise diagnostic criteria. New onset or worsening of sleep disturbances are common and disabling problems for those with cancer before treatment, during treatments such as chemotherapy and radiation therapy, and after completion of treatments. Cancer pathology, treatments, and symptoms such as pain and hot flashes, disruption of daily activity and circadian rhythms, and unhealthy sleep habits contribute to acute and chronic sleep disturbances. In this chapter, we describe the prevalence of common sleep problems in adults with cancer and define key terms. This chapter also provides information about biological and behavioral conceptual models of sleep and guidelines for the assessment and management of sleep disturbances. Emphasis is given to the latest non-pharmacological evidence-based treatments. We discuss the importance of provider awareness of sleep problems and patient education. Finally, we identify barriers to behavioral change and strategies to assist the cancer patient and family to self-manage sleep problems.

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Acknowledgment

The authors thank Dilorom M. Djalilova, BA, BSN, for her valuable assistance in preparing this chapter.

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Authors and Affiliations

  1. University of Nebraska Medical Center, Omaha, NE, USA

    Ann M. Berger

  2. University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Ellyn E. Matthews

  3. National Jewish Health, Denver, CO, USA

    Mark S. Aloia

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Correspondence to Ann M. Berger .

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  1. University of South Australia, Adelaide, SA, Australia

    Ian Olver

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Berger, A.M., Matthews, E.E., Aloia, M.S. (2018). Sleep and Cancer. In: Olver, I. (eds) The MASCC Textbook of Cancer Supportive Care and Survivorship. Springer, Cham. https://doi.org/10.1007/978-3-319-90990-5_4

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