Supportive Care in Cancer

, Volume 27, Issue 4, pp 1365–1373 | Cite as

Breast Cancer Collaborative Registry informs understanding of factors predicting sleep quality

  • Ann M. BergerEmail author
  • Kevin A. Kupzyk
  • Dilorom M. Djalilova
  • Kenneth H. Cowan
Original Article



Poor sleep quality is a common and persistent problem reported by women with breast cancer (BC). Empirical evidence identifies many risk factors for self-reported sleep deficiency, but inconsistencies limit translation to practice.


To increase understanding of risk factors predicting self-reported poor sleep quality in women with BC who completed the Breast Cancer Collaborative Registry (BCCR) questionnaire.


This cross-sectional study recruited women with a first diagnosis of BC (n = 1302) at five sites in Nebraska and South Dakota. Women completed the BCCR that includes numerous variables as well as the Pittsburgh Sleep Quality Index (PSQI) and SF36v2 (n = 1260). Descriptive statistics and non-parametric correlations were used to determine associations and create predictive models of sleep quality with BCCR variables and SF36v2 subscales.


Most women were white (93.7%) and married (71.5%); mean age was 60.1 (21–90) years. Poor sleep was self-reported by 53% of women. Seven variables were highly associated with sleep quality (p ≤ 0.001). The first model found younger age, lower physical activity, and higher fatigue were the strongest combined and independent variables predicting poor sleep quality (F = 23.0 (p < .001), R2 = 0.103). Participants self-reported lower health status on most SF36v2 subscales [Z = 44.9 (11.6) to 49.1 (10.1)]. A second model found that all subscales were predictors of poor sleep; vitality, mental health, bodily pain, and general health were the strongest predictors (F = 101.3 (p < .001), R2 = 0.26).


Results confirm previously identified risk factors and reveal inconsistencies in other variables. Clinicians need to routinely screen for the identified risk factors of self-reported poor sleep quality.


Sleep quality Sleep deficiency Symptoms Physical health Mental health Quality of life 



We acknowledge Alice Kueh, MS, Oleg Shats, PhD, and Simon Sherman, PhD for their assistance on this project.


This project was supported by a pilot project award from the Fred & Pamela Buffett Cancer Center which is funded by a National Cancer Institute Cancer Center Support Grant under award number P30 CA036727. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Compliance with ethical standards

The Institutional Review Board (IRB) of the University of Nebraska Medical Center approved the study. At enrollment, patients provided informed consent for use of the data in clinical studies.

Conflict of interest

The authors declare they have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.College of NursingUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.University of Nebraska Medical CenterOmahaUSA
  3. 3.Eppley Institute, Fred & Pamela Buffett Cancer CenterUniversity of Nebraska Medical CenterOmahaUSA

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