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Insomnia Prevalence and Correlates in Cancer Patients Undergoing Treatment
Jessica M Page1,2, Alicia K Morgans3, Michael J Hassett3,4
1Department of Psychiatry, Boston Children's Hospital, Boston, Massachusetts, USA.
Psycho-Oncology
|January 12, 2025
Summary
Over 1 in 5 cancer patients experience insomnia during treatment. Routine screening for sleep disturbance in oncology settings is crucial for patient well-being.
Area of Science:
- Oncology
- Sleep Medicine
- Patient-Reported Outcomes
Background:
- Insomnia is a common sleep disturbance in cancer patients undergoing active treatment.
- Untreated insomnia leads to significant physical and psychological health issues.
- Previous studies on insomnia prevalence in cancer patients were limited by clinical trial populations and excluded subgroups, potentially biasing results.
Purpose of the Study:
- To determine the prevalence and correlates of insomnia in a large, real-world sample of cancer patients.
- To address limitations of prior research, including research participation effects and restricted patient groups.
Main Methods:
- Utilized electronic patient-reported outcomes (PRO) questionnaires based on the National Cancer Institute's PRO-CTCAE.
- Collected data from 9,350 patients between 2018 and 2021.
- Abstracted medical records for demographics and cancer diagnosis/treatment information.
Main Results:
- 21% of cancer patients reported insomnia symptoms during treatment.
- Insomnia prevalence was higher in females, patients younger than 60, non-White patients, and those on public insurance.
- Patients undergoing palliative treatment and those with gastrointestinal cancers reported higher insomnia rates.
Conclusions:
- More than 20% of cancer patients experience insomnia symptoms.
- Oncologists and cancer centers should routinely assess insomnia severity.
- Integrating existing patient-reported outcomes can aid in identifying insomnia symptoms.
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