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Sleep Issues and Insomnia

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Common Issues in Breast Cancer Survivors

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Abstract

Sleep disturbances are described as one of the most distressing symptoms associated with breast cancer diagnosis and treatment. Approximately half of patients continue to report sleep disturbances up to 5 years after treatment, when many other effects of the cancer and its treatment have subsided. Factors that exacerbate sleep disturbances and that are associated with increased risk of insomnia disorder for patients with breast cancer are reviewed in the current chapter, along with assessment and treatment considerations. It is important to conduct thorough screening for the presence of sleep disorders in patients with breast cancer at various time points to identify appropriate treatments. Depending on time and resources available to providers, several screening options are discussed. Providers should not only manage treatment side effects, which exacerbate sleep disturbances, but should provide referrals for non-pharmacological treatment of sleep disturbance symptoms, such as Cognitive Behavioral Therapy for Insomnia. Pharmacological and complementary non-pharmacological treatment options may also be considered for management of sleep-related symptoms.

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Authors and Affiliations

  1. Gastroenterology, Hepatology, and Nutrition, Boston Children’s Hospital, Boston, MA, USA

    Ryan D. Davidson

  2. Division of Psychiatry, Harvard Medical School, Boston, MA, USA

    Ryan D. Davidson

  3. Perini Family Survivor’s Center, Dana-Farber Cancer Institute, Boston, MA, USA

    Eric S. Zhou

  4. Neurology, Boston Children’s Hospital, Boston, MA, USA

    Eric S. Zhou

  5. Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA

    Eric S. Zhou

Authors
  1. Ryan D. Davidson
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  2. Eric S. Zhou
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Correspondence to Ryan D. Davidson .

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Editors and Affiliations

  1. Medical Oncology, Duke University School of Medicine/Duke Cancer Institute, Durham, NC, USA

    Gretchen G. Kimmick

  2. Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA

    Rebecca A. Shelby

  3. Duke University School of Medicine Duke Cancer Network, Durham, NC, USA

    Linda M. Sutton

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Davidson, R.D., Zhou, E.S. (2021). Sleep Issues and Insomnia. In: Kimmick, G.G., Shelby, R.A., Sutton, L.M. (eds) Common Issues in Breast Cancer Survivors. Springer, Cham. https://doi.org/10.1007/978-3-030-75377-1_11

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