Social & behavioral sciences, psychology: Multidisciplinary, general & others
Author, co-author :
Grégoire, Charlotte ; Université de Liège - ULiège > GIGA > GIGA Consciousness - Sensation & Perception Research Group
FAYMONVILLE, Marie-Elisabeth ; Université de Liège - ULiège > Département des sciences cliniques ; Centre Hospitalier Universitaire de Liège - CHU > > Centre d'oncologie
JERUSALEM, Guy ; Université de Liège - ULiège > Département des sciences cliniques > Oncologie ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'oncologie médicale
Gosseries, Olivia ; Université de Liège - ULiège > GIGA > GIGA Consciousness - Coma Science Group
VANHAUDENHUYSE, Audrey ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'algologie - soins palliatifs ; Université de Liège - ULiège > GIGA > GIGA Consciousness - Sensation & Perception Research Group
Language :
English
Title :
Psycho-oncology interventions focusing on fatigue and sleep disturbances
Publication date :
23 June 2022
Journal title :
Current Opinion in Oncology
ISSN :
1040-8746
eISSN :
1531-703X
Publisher :
Lippincott Williams & Wilkins, United States - Pennsylvania
Koh W-J, Abu-Rustum NR, Bean S,. Cervical Cancer, Version 3.2019, NCCN Clinical practice guidelines in oncology. J Natl Compr Cancer Netw 2019; 17: 64-84.
Ma Y, He B, Jiang M,. Prevalence and risk factors of cancer-related fatigue: a systematic review and meta-analysis. Int J Nurs Stud 2020; 111: 103707. This recent systematic review and meta-analysis included 84 studies and estimated the current prevalence of CRF and the associated risk factors. Results showed a high rate of CRF (52%). Insomnia was clearly identified as a risk factor for CRF, which is in line with other older studies showing that both symptoms are part of a larger symptom cluster, and are generally linked.
Abrahams H, Gielissen M, Verhagen C, Knoop H,. The relationship of fatigue in breast cancer survivors with quality of life and factors to address in psychological interventions: a systematic review. Clin Psychol Rev 2018; 63: 1-11.
Castelli L, Elter T, Wolf F,. Sleep problems and their interaction with physical activity and fatigue in hematological cancer patients during onset of high dose chemotherapy. Support Care Cancer 2022; 30: 167-176.
Santoso AMM, Jansen F, de Vries R,. Prevalence of sleep disturbances among head and neck cancer patients: a systematic review and meta-analysis. Sleep Med Rev 2019; 47: 62-73.
PDQ® Supportive and Palliative Care Editorial Board. PDQ sleep disorders. Bethesda, MD: National Cancer Institute; 2021. https://www.cancer.gov/about-cancer/treatment/side-effects/sleep-disorders-hp-pdq. Accessed 18 August 2021.
Gonzalez BD, Eisel SL, Qin B,. Prevalence, risk factors, and trajectories of sleep disturbance in a cohort of African-American breast cancer survivors. Support Care Cancer 2021; 29: 2761-2770. This study focused on the trajectories of sleep disturbances during the cancer journey, on a large sample (n = 637) of breast cancer survivors (not treated for sleep disturbances). Sleep disturbances were clinically significant before diagnosis, as well as 10-and 24-months postdiagnosis. This confirms the fact that sleep disturbances do not end with treatment completion and can persist for years after diagnosis.
Hoang HTX, Molassiotis A, Chan CW,. New-onset insomnia among cancer patients undergoing chemotherapy: prevalence, risk factors, and its correlation with other symptoms. Sleep Breath 2020; 24: 241-251. This study showed a prevalence rate of insomnia of 42.8% (in 213 patients), which is similar to that of other studies. This study also confirmed that emotional distress is a risk factor for insomnia. Insomnia, depression, and anxiety were also shown to form a symptom cluster, which is in line with older studies showing the links between these symptoms and their concomitant presence among cancer patients.
Schieber K, Niecke A, Geiser F,. The course of cancer-related insomnia: don't expect it to disappear after cancer treatment. Sleep Med 2019; 58: 107-113.
Kwak A, Jacobs J, Haggett D,. Evaluation and management of insomnia in women with breast cancer. Breast Cancer Res Treat 2020; 181: 269-277. This manuscript reviewed the available nonpharmacological therapeutic options to manage insomnia in breast cancer. It confirmed the benefits of CBT, especially if designed specifically for insomnia (CBT-I), yoga, and other mind-body interventions. It also identified the lack of routine assessment of insomnia.
Loh KP, Zittel J, Kadambi S,. Elucidating the associations between sleep disturbance and depression, fatigue, and pain in older adults with cancer. J Geriatr Oncol 2018; 9: 464-468.
Thong MSY, van Noorden CJF, Steindorf K, Arndt V,. Cancer-related fatigue: causes and current treatment options. Curr Treat Options Oncol 2020; 21: 17. This manuscript reviewed the available therapeutic options to manage CRF. It asserted that defining a gold standard for the treatment of this symptom remains elusive, as most studies showed, at most, moderate effects of interventions. It recommended that interventions be proposed based on the patients' needs.
Fox RS, Ancoli-Israel S, Roesch SC,. Sleep disturbance and cancer-related fatigue symptom cluster in breast cancer patients undergoing chemotherapy. Support Care Cancer 2020; 28: 845-855.
de Rooij BH, Oerlemans S, van Deun K,. Symptom clusters in 1330 survivors of 7 cancer types from the PROFILES registry: A network analysis. Cancer 2021; 127: 4665-4674. This recent study investigated the presence of symptom clusters in survivors of 7 different cancers (colorectal, breast, ovarian, thyroid, chronic lymphocytic leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma, N = 1330). It confirmed the cluster of fatigue, insomnia, and depression, and its consistent association with pain and cognitive symptoms. Interestingly, this study also suggested a mutual reinforcement of these symptoms, and the centrality of fatigue in the cluster, among different cancer types and treatment regimens. This led to important suggestions for future research and clinical applications.
Mustian KM, Alfano CM, Heckler C,. Comparison of pharmaceutical, psychological, and exercise treatments for cancer-related fatigue: A meta-analysis. JAMA Oncol 2017; 3: 961-968.
National Comprehensive Cancer Network (NCCN). NCCN clinical practice guidelines in oncology-Survivorship. USA; 2021. https://www.nccn.org/professionals/physician_gls/pdf/survivorship.pdf. Accessed 24 August 2021.
National Comprehensive Cancer Network (NCCN). NCCN clinical practice guidelines in oncology-Cancer-related fatigue. USA; 2021. https://www.nccn.org/professionals/physician_gls/pdf/fatigue.pdf. Accessed 24 August 2021.
Stavinoha PL, Olsthoorn IM, Swartz MC,. Nonpharmacological sleep interventions for pediatric cancer patients and survivors: a systematic review protocol. Syst Rev 2021; 10: 166.
van Roekel EH, Duchâteau J, Bours MJL,. Longitudinal associations of light-intensity physical activity with quality of life, functioning and fatigue after colorectal cancer. Qual Life Res 2020; 29: 2987-2998. This study showed a longitudinal association between light-intensity physical activity and less CRF over time, in 325 colorectal cancer survivors. This association persisted up to two years after cancer treatments, suggesting the long-term effects of interventions based on physical activity on CRF.
Jones TL, Sandler CX, Spence RR, Hayes SC,. Physical activity and exercise in women with ovarian cancer: a systematic review. Gynecol Oncol 2020; 158: 803-811. This systematic review was based on 34 studies. It showed that women with ovarian cancer who had a higher level of physical activity also had lower CRF. This paper confirmed the relevance and feasibility of interventions based on physical activity for women with ovarian cancer.
Belloni S, Arrigoni C, Caruso R,. Effects from physical exercise on reduced cancer-related fatigue: a systematic review of systematic reviews and meta-analysis. Acta Oncol 2021; 60: 1678-1687. This systematic review and meta-analysis included 10 studies focusing on different cancer populations (breast, prostate, colorectal, and 'various' (unspecified) according to the studies). It showed the positive effects of physical exercise interventions on CRF across all populations and suggested a higher effect of such interventions on women with breast cancer and men with prostate cancer, during or after treatment. This is particularly interesting as few studies have assessed the difference in the efficacy of interventions according to the diagnosis or treatment status.
Forbes CC, Swan F, Greenley SL,. Physical activity and nutrition interventions for older adults with cancer: a systematic review. J Cancer Surviv 2020; 14: 689-711.
Mostafaei F, Azizi M, Jalali A,. Effect of exercise on depression and fatigue in breast cancer women undergoing chemotherapy: a randomized controlled trial. Heliyon 2021; 7: e07657.
Yang H, Yang Z, Pan H, Zhou Q,. Effects of physical activity on sleep problems in breast cancer survivors: a meta-analysis. Support Care Cancer 2021; 29: 4023-4032. This recent meta-analysis of 6 randomized controlled trials showed that interventions based on physical activity (e.g., aerobic, resistance training, walking, or a combination of the above) are effective in improving sleep quality in breast cancer survivors.
Rastogi S, Tevaarwerk AJ, Sesto M,. Effect of a technology-supported physical activity intervention on health-related quality of life, sleep, and processes of behavior change in cancer survivors: A randomized controlled trial. Psycho-Oncology 2020; 29: 1917-1926. This study showed a decrease of sleep disturbances in 45 breast and 5 colorectal cancer survivors after a 12-week intervention combining a survivorship care plan and a multicomponent physical activity module, including a Fitbit tracker and E-Mail feedback, in comparison with a control group (survivorship care plan only). Technology-supported physical activity is starting to be investigated in oncology and this recent study confirms its interest and relevance.
Nguyen NH, Vallance JK, Buman MP,. Effects of a wearable technology-based physical activity intervention on sleep quality in breast cancer survivors: The ACTIVATE Trial. J Cancer Surviv 2021; 15: 273-280. This randomized controlled trial showed the benefit of a technology-supported physical activity intervention to improve sleep in 83 breast cancer survivors. Participants had to wear a wrist actigraph, which was used to measure sleep disturbances as well as to give feedback to the participants about their physical activity. This study suggested that wearable technologies are a promising therapeutic option in oncology.
Beck Institute for Cognitive Behavior Therapy. What is cognitive behavior therapy (CBT)? 2016. https://www.beckinstitute.org/get-informed/what-is-cognitive-therapy/. Accessed 26 June 2017.
Poort H, Peters MEWJ, van der Graaf WTA,. Cognitive behavioral therapy or graded exercise therapy compared with usual care for severe fatigue in patients with advanced cancer during treatment: a randomized controlled trial. Ann Oncol 2020; 31: 115-122.
Ma Y, Hall DL, Ngo LH,. Efficacy of cognitive behavioral therapy for insomnia in breast cancer: a meta-analysis. Sleep Med Rev 2021; 55: 101376. This meta-analysis included 14 randomized controlled trials and investigated the effect of CBT interventions specifically designed to address insomnia in oncology (CBT-I). CBT is often recognized as the gold standard treatment to address insomnia, but there is a lack of consensus regarding its content. This study described the most common components of these interventions and confirmed their medium-to-large effects on insomnia and sleep quality. It also underlined that these effects persisted up to one year after the end of the intervention, which is particularly relevant in oncology where adverse effects of treatments often last for years.
Wang Y, Lin Y, Chen J,. Effects of Internet-based psycho-educational interventions on mental health and quality of life among cancer patients: a systematic review and meta-analysis. Support Care Cancer 2020; 28: 2541-2552. This manuscript analysed 7 randomized controlled trials that proposed various Internet-based psychoeducational interventions (i.e., website programs, e-mail counselling, or a psychoeducational session). The authors concluded that these interventions may be effective to decrease CRF in patients with different cancers, and could be used to complement usual care. This is the first review to assess the effect of such Internet-based interventions on cancer patients' CRF.
Bandani-Susan B, Montazeri A, Haghighizadeh MH, Araban M,. The effect of mobile health educational intervention on body image and fatigue in breast cancer survivors: a randomized controlled trial. Ir J Med Sci 2021.
Nguyen LT, Alexander K, Yates P,. Psychoeducational intervention for symptom management of fatigue, pain, and sleep disturbance cluster among cancer patients: a pilot quasi-experimental study. J Pain Symptom Manag 2018; 55: 1459-1472.
Bridges L, Sharma M,. The efficacy of yoga as a form of treatment for depression. J Evid Based Complement Altern Med 2017; 22: 1017-1028.
Yi L-J, Tian X, Jin Y-F,. Effects of yoga on health-related quality, physical health and psychological health in women with breast cancer receiving chemotherapy: a systematic review and meta-analysis. Ann Palliat Med 2021; 10: 1961-1975. This systematic review and meta-analysis included 7 randomized controlled trials and focused on women with breast cancer during their chemotherapy. It showed that various interventions based on yoga allowed short-term improvements in fatigue and sleep disturbances but failed to show a medium-or long-term maintenance of these effects, highlighting the need for future research to continue assessing the long-term effects of such interventions.
Song J, Wang T, Wang Y,. The effectiveness of yoga on cancer-related fatigue: a systematic review and meta-analysis. Oncol Nurs Forum 2021; 48: 207-228. This systematic review and meta-analysis included 16 randomized controlled trials and showed positive effects of interventions based on yoga on CRF in patients undergoing chemotherapy or radiation therapy. This article suggested that interventions combining mixed types of yoga with supervised and self-practicing strategies increased patient adherence and the impact on CRF. This is in line with other studies showing the interest of multicomponent interventions.
Zetzl T, Renner A, Pittig A,. Yoga effectively reduces fatigue and symptoms of depression in patients with different types of cancer. Support Care Cancer 2021; 29: 2973-2982. This randomized controlled trial (N = 173) showed the efficacy of an intervention based on yoga to decrease CRF in patients with different cancer diagnoses. Interestingly, this article distinguished the different dimensions of fatigue, and physical fatigue was the most impacted by the intervention. It also suggested that the benefits of the intervention were higher for women with breast cancer than with other types of cancer, which is rarely assessed in oncology studies.
Carpenter JK, Conroy K, Gomez AF,. The relationship between trait mindfulness and affective symptoms: a meta-analysis of the Five Facet Mindfulness Questionnaire (FFMQ). Clin Psychol Rev 2019; 74: 101785.
Johns SA, Tarver WL, Secinti E,. Effects of mindfulness-based interventions on fatigue in cancer survivors: a systematic review and meta-analysis of randomized controlled trials. Crit Rev Oncol Hematol 2021; 160: 103290. This recent systematic review and meta-analysis included 23 studies on different cancer populations, and showed the positive impact of various mindfulness-based interventions on CRF, with large effect size. This positive impact was maintained at the first follow-up (varying between 0.9-and 6-months postintervention, depending on the studies).
Xunlin NG, Lau Y, Klainin-Yobas P,. The effectiveness of mindfulness-based interventions among cancer patients and survivors: a systematic review and meta-analysis. Support Care Cancer 2020; 28: 1563-1578. This systematic review and meta-analysis included 29 studies on different cancer populations. It showed that mindfulness-based interventions, especially mindfulness-based art therapy, were effective in decreasing CRF in patients with different cancer types.
Suh H-W, Jeong HY, Hong S,. The mindfulness-based stress reduction program for improving sleep quality in cancer survivors: a systematic review and meta-analysis. Complement Ther Med 2021; 57: 102667. This systematic review and meta-analysis included 9 randomized controlled trials focusing on the impact of mindfulness-based interventions on sleep disturbances in oncology. Results suggested that these interventions can help to decrease sleep disturbances in cancer survivors. The manuscript underlined the inconsistent methodological quality of the studies included, calling for other high methodological quality studies to confirm the results.
Park S, Sato Y, Takita Y,. Mindfulness-based cognitive therapy for psychological distress, fear of cancer recurrence, fatigue, spiritual well being, and quality of life in patients with breast cancer: A randomized controlled trial. J Pain Symptom Manag 2020; 60: 381-389.
Cohen J, Rogers WA, Petruzzello S,. Acute effects of aerobic exercise and relaxation training on fatigue in breast cancer survivors: a feasibility trial. Psycho-Oncology 2021; 30: 252-259. This randomized-controlled trial (N = 40) assessed the feasibility and effects of an intervention combining physical exercise and technology-guided mindfulness training on CRF, in comparison with physical exercise only and relaxation only. More favourable evaluations from the participants were reported for the multicomponent intervention, as well as a higher decrease of CRF. This study underlined the relevance of multicomponent and technology-supported interventions, as well as their acceptability and feasibility among breast cancer survivors.
Zhao Y, Liu J-E, Lewis FM,. Effects of mindfulness-based cognitive therapy on breast cancer survivors with insomnia: A randomised controlled trial. Eur J Cancer Care 2020; 29: e13259.
Elkins GR, Barabasz AF, Council JR, Spiegel D,. Advancing research and practice: the revised APA Division 30 definition of hypnosis. Int J Clin Exp Hypn 2015; 63: 1-9.
Bicego A, Monseur J, Collinet A,. Complementary treatment comparison for chronic pain management: a randomized longitudinal study. PLoS One 2021; 16: e0256001.
Grégoire C, Faymonville M-E, Vanhaudenhuyse A,. Effects of an intervention combining self-care and self-hypnosis on fatigue and associated symptoms in posttreatment cancer patients: a randomized-controlled trial. Psycho-Oncology 2020; 29: 1165-1173. This randomized controlled trial (N = 95) attested the benefits of a group intervention combining self-care and self-hypnosis on CRF and sleep disturbances in a mixed cancer population. Few recent studies have investigated the effects of hypnosis on CRF and sleep, except for this one.
Grégoire C, Faymonville M-E, Vanhaudenhuyse A,. Randomized-controlled trial of an intervention combining self-care and self-hypnosis on fatigue, sleep and emotional distress in posttreatment cancer patients: 1-year follow up. Int J Clin Exp Hyp 2022; 70: 136-155. This paper (accepted, not yet published) follows the previous one: it assessed the long-term effects of a group intervention combining self-care and self-hypnosis on patients' CRF and sleep difficulties. This is particularly relevant as long-term effects of mind-body interventions, especially hypnosis, are not routinely assessed in oncology studies. The study suggested long-term effects of the intervention, but further research is needed to confirm these results.
Grégoire C, Bragard I, Jerusalem G,. Group interventions to reduce emotional distress and fatigue in breast cancer patients: a 9-month follow-up pragmatic trial. Brit J Cancer 2017; 117: 1442-1449.
Mendoza ME, Capafons A, Gralow JR,. Randomized controlled trial of the Valencia model of waking hypnosis plus CBT for pain, fatigue, and sleep management in patients with cancer and cancer survivors: Valencia model of waking hypnosis for managing cancer-related symptoms. Psycho-Oncology 2017; 26: 1832-1838.
Grégoire C, Marie N, Sombrun C,. Hypnosis, meditation and self-induced cognitive trance to improve posttreatment oncological patients' quality of life: study protocol. Front Psychol 2022; 13: 807741.