Effects of Cognitive Behavioral Therapy for Depression on Improving Insomnia and Quality of Life in Chinese Women with Breast Cancer: Results of a Randomized, Controlled, Multicenter Trial

Overview

Journal Neuropsychiatr Dis Treat

Publisher Dove Medical Press

Specialty Psychiatry

Date 2018 Oct 24

PMID 30349264

Citations 15

Authors

Huihua Qiu

Wenwei Ren

Yanjie Yang

Xiongzhao Zhu

Guangyun Mao

Shanping Mao

Yan Lin

Shanshan Shen

Changjin Li

Hongying Shi

Suo Jiang

Jingjing He

Ke Zhao

Ye Fu

Xiaoqu Hu

Yingying Gu

Kai Wang

Xiuchan Guo

Jincai He

Affiliations

Soon will be listed here.

Abstract

Purpose: Cognitive behavioral therapy (CBT) for depression had been found to be effective in reducing depressive and anxiety symptoms in breast cancer survivors. It is not known whether CBT for depression would also improve insomnia and quality of life (QOL). The aim of this study was to investigate whether CBT for depression would improve insomnia and QOL in a randomized controlled multicenter trial.

Patients And Methods: In this study, breast cancer survivors (n=392) were randomly allocated to the following three groups: CBT (n=98), self-care management (SCM, n=98), and usual care (UC, n=196) in a ratio of 1:1:2. CBT and SCM received a series of nine sessions for 12 weeks, whereas UC received UC only. Insomnia and QOL were evaluated using Athens Insomnia Scale (AIS) and Functional Assessment of Cancer Therapy-Breast (FACT-B) questionnaire at baseline, 4, 12, and 24 weeks.

Results: There was a significant intergroup difference in AIS and FACT-B scores (both <0.01). CBT showed less insomnia problems and better overall QOL compared with those in SCM and UC (both <0.01). No significant differences were found between SCM and UC in insomnia problems and overall QOL. Moreover, the effects of CBT on insomnia and QOL were maintained during the follow-up period.

Conclusion: CBT for depression can be effective in improving insomnia problems and QOL in the Chinese breast cancer survivors.

Citing Articles

The Effectiveness of Cognitive Behavioral Therapy on Depression and Anxiety Symptoms in Breast Cancer Patients and Survivors: A Systematic Review of Interventional Studies.

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Trajectories of depression and predictors in lung cancer patients undergoing chemotherapy: growth mixture model.

Luo Y, Mao D, Zhang L, Zhu B, Yang Z, Miao J BMC Psychiatry. 2024; 24(1):578.

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A randomized, controlled trial to investigate cognitive behavioral therapy in prevention and treatment of acute oral mucositis in patients with locoregional advanced nasopharyngeal carcinoma undergoing chemoradiotherapy.

He L, Xiao S, Jiang C, Wu X, Liu W, Fan C Front Oncol. 2023; 13:1143401.

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Tackling Insomnia Symptoms through Vestibular Stimulation in Patients with Breast Cancer: A Perspective Paper.

Perrier J, Galin M, Denise P, Giffard B, Quarck G Cancers (Basel). 2023; 15(11).

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Psychological interventions for women with non-metastatic breast cancer.

Jassim G, Doherty S, Whitford D, Khashan A Cochrane Database Syst Rev. 2023; 1:CD008729.

PMID: 36628983 PMC: 9832339. DOI: 10.1002/14651858.CD008729.pub3.

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