Sleep disruption and its contributing factors in Chinese survivors of childhood cancer: A cross-sectional study.
Psychooncology
; 31(6): 960-969, 2022 06.
Article
em En
| MEDLINE
| ID: mdl-35072308
ABSTRACT
OBJECTIVES:
This study provided information about sleep disruption, particularly its prevalence and severity among Hong Kong Chinese childhood cancer survivors. Additionally, we identified the factors influencing sleep disruption and explored how fatigue, depressive symptoms and physical activity (PA) affect sleep disruption.METHODS:
Four hundred two survivors 6-18 years old and 50 age- and gender-matched healthy counterparts were assessed for depressive symptoms, fatigue, PA and subjective sleep quality. Demographic and clinical information were collected. Multiple logistic regression analyses were conducted to identify any factors contributing to poor sleep.RESULTS:
Mean scores of depressive symptoms, fatigue for children and that for adolescents, and PA in survivors were 16.1 (SD = 11.1), 24.6 (SD = 10.3), 27.7 (SD = 7.8), and 3.08 (SD = 2.9), respectively. 44.8% of the survivors were poor sleepers, which was more that in healthy counterparts. The three most common sleep problem were prolonged sleep latency (31.9%), daytime dysfunction (23.4%), and sleep disturbance (22.9%). The time since last treatment (children AOR = 0.54, 95% CI = 0.30-0.96, p = 0.04; adolescents AOR = 0.80, 95% CI = 0.70-0.92, p < 0.01) and PA levels (children AOR = 0.46, 95% CI = 0.260-0.82, p = 0.01; adolescents AOR = 0.70, 95% CI = 0.49-0.98, p = 0.04) were negatively associated with sleep disruption, while depressive symptoms (children AOR = 1.31, 95% CI = 1.04-1.64, p = 0.02; adolescents AOR = 1.07, 95% CI = 1.01-1.13, p = 0.03), fatigue (children AOR = 1.15, 95% CI = 1.00-1.31, p = 0.04; adolescents AOR = 1.08, 95% CI = 1.02-1.15, p = 0.01), number of treatment received (children AOR = 16.56, 95% CI = 1.27-216.82, p = 0.03; adolescents AOR = 7.30, 95% CI = 2.36-22.56, p < 0.01), and co-sleeping (children AOR = 29.19, 95% CI = 1.65-511.57, p = 0.02; adolescents AOR = 4.63, 95% CI = 1.22-17.61, p = 0.02) were positively associated with sleep disruption.CONCLUSION:
Physical activity made the largest contribution to reduce sleep disruption. It is crucial to advocate for the adoption and maintenance of PA in survivorship.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sobreviventes de Câncer
/
Neoplasias
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Humans
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article