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Assessment of sleep in patients with lung cancer and breast cancer
P M Silberfarb1, P J Hauri, T E Oxman
1Department of Psychiatry, Dartmouth Medical School, Lebanon, NH.
Purpose And Methods:
We studied the sleep architecture and psychologic state of 32 patients with breast or lung cancer compared with 32 age- and sex-matched, normal-sleeping volunteers and 32 otherwise healthy insomniacs.
Results:
Research findings indicate that lung cancer patients slept as poorly as did insomniacs, but underreported their sleep difficulties. Breast cancer patients slept similarly to normal-sleeping volunteers. No psychiatric disorders were detected in the cancer patients, and there were no significant differences in mood between lung and breast cancer patients.
Conclusion:
Lung cancer patients appear to be unique in underestimating an objectively verified sleep difficulty. The adaptive mechanism of denial in these patients is discussed.
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