Insomnia and circadian sleep disorders in ovarian cancer: Evaluation and management of underestimated modifiable factors potentially contributing to morbidity.


Journal

Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441

Informations de publication

Date de publication:
06 2022
Historique:
revised: 13 09 2021
received: 10 05 2021
accepted: 26 09 2021
pubmed: 31 10 2021
medline: 6 5 2022
entrez: 30 10 2021
Statut: ppublish

Résumé

Ovarian cancer is the leading cause of gynaecological cancer deaths and the seventh most commonly diagnosed cancer among women worldwide, so that, as it is related to substantial and increasing disease burden, the management of ovarian cancer survivors should be a priority. Such issues involve prevention and management of emotional distress, anxiety/depressive symptoms, and maintenance of quality of life from initial diagnosis to post-treatment. Within this framework, sleep disturbances, in particular insomnia, are emerging as modifiable determinants of mental health, also contributing to substantial morbidity among cancer, including ovarian cancer. To this aim we conducted a systematic review according to PRISMA guidelines on prevalence and management of insomnia and circadian sleep disorders in ovarian cancer, while selecting 22 papers. Insomnia was evaluated in ovarian cancer and, while circadian sleep disturbances were poorly assessed in ovarian cancer, insomnia increased from 14% to 60% of patients. Insomnia was associated with cancer-related comorbid conditions such as emotional distress, anxiety/depressive symptoms and low quality of life. Despite this evidence, no studies have been conducted about insomnia treatment in ovarian cancer. The burden of insomnia and circadian sleep disorders in patients with ovarian cancer still needs to be addressed, and requires a call to action for the evaluation and management of these potential modifiable factors that might contribute to ovarian cancer morbidity.

Identifiants

pubmed: 34716629
doi: 10.1111/jsr.13510
doi:

Types de publication

Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13510

Informations de copyright

© 2021 European Sleep Research Society.

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Auteurs

Laura Palagini (L)

Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.
Department of Clinical and Experimental Medicine, Psychiatric Clinic, University of Pisa, Pisa, Italy.

Mario Miniati (M)

Department of Clinical and Experimental Medicine, Psychiatric Clinic, University of Pisa, Pisa, Italy.

Lucia Massa (L)

Department of Clinical and Experimental Medicine, Psychiatric Clinic, University of Pisa, Pisa, Italy.

Federica Folesani (F)

Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.

Donatella Marazziti (D)

Department of Clinical and Experimental Medicine, Psychiatric Clinic, University of Pisa, Pisa, Italy.
UniCamillus - Saint Camillus University of Health Sciences, Rome, Italy.

Luigi Grassi (L)

Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.

Dieter Riemann (D)

Department of Psychiatry and Psychotherapy, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

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