Acta Scientific Cancer Biology (ASCB)

Research Article Volume 4 Issue 12

Insomnia in Patients with Breast Cancer: Prevalence and Associated Factors

Daldoul Amira1, Ammar Nouha2, Krir Mohamed Wassim3*, Khechine Wiem1, Ghazouani Nada3, Migaou Houda4, Bargaoui Hayfa5, Korbi Asma5, Zoukar Olfa5 and Zaied Sonia1

1Department of Medical Oncology, Fattouma Bourguiba University Hospital of Monastir, Tunisia
2Department of Medical Oncology, Farhat Hached University Hospital of Sousse, Tunisia
3Department of Psychiatry, Military Hospital of Tunis, Tunisia
4Department of Physical Medicine, Fattouma Bourguiba University Hospital of Monastir, Tunisia
5Department of Gynecology, El Omrane University Hospital of Monastir, Tunisia

*Corresponding Author: Krir Mohamed Wassim, Department of Psychiatry, Military Hospital of Tunis, Tunisia.

Received: January 06, 2020; Published: November 30, 2020



Objective: Insomnia affects around 30% to 60% of cancer patients and is common in most cancers especially in breast cancer. This study aims at evaluating the quality of sleep and determining the predisposing factors of insomnia in breast cancer patients.

Methods: It was a cross sectional study including breast cancer patients consulting at the departments of medical oncology in the university hospitals of Monastir and Sousse in Tunisia. Eligible patients were invited to complete one questionnaire and four scales: the insomnia severity index; the hospital anxiety and depression scale; the brief fatigue inventory and the short form-36 health survey.

Results: Seventy breast cancer patients were included in the study. Forty percent of them had clinically significant insomnia, all of them had mild level of fatigue, 12.9% had depressive symptoms and 21.4% had anxiety symptoms. The alteration of the quality of life was observed in all domains. The physical role functioning was the most affected dimension, whereas social functioning was the least altered dimension.

Insomnia was significantly associated with a longer time since cancer diagnosis (p = 0.01) ; hot flushes (p = 0.015) ; depressive (p < 0.001) and anxiety symptoms (p < 0.001) ; fatigue (p = 0.007) ; poor physical functioning (p < 0.001) ; less ability to function generally (p = 0.015) ; less vitality in daily life (p < 0.001) ; more bodily pain (p = 0.045) ; more mental health issues (p < 0.001) and lower ability to function socially (p = 0.002).

Conclusions: Information concerning the prevalence and predisposing factors of insomnia in breast cancer patients will be of great help in developing future interventions to manage insomnia in this population.

Keywords: Breast; Cancer; Insomnia; Oncology; Quality of Life



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Citation: Krir Mohamed Wassim., et al. “Insomnia in Patients with Breast Cancer: Prevalence and Associated Factors". Acta Scientific Cancer Biology 4.12 (2020): 20-27.


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