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Can improving quality of sleep reduce the symptoms of cancer‐related fatigue in adults? : a systematic review
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Dean, Rogan (2022) Can improving quality of sleep reduce the symptoms of cancer‐related fatigue in adults? : a systematic review. European Journal of Cancer Care, 31 (4). e13597. doi:10.1111/ecc.13597 ISSN 0961-5423.
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Official URL: https://doi.org/10.1111/ecc.13597
Abstract
Purpose:
Cancer‐related fatigue (CRF) results in reduced quality of life for cancer patients. The relationship between tiredness and fatigue has been established in cancer patients and has been shown to be reciprocal, meaning the relationship is somewhat ‘chicken or the egg’ with tiredness influencing fatigue and vice versa. The aim of this study is to determine whether an improvement in sleep quality can ease the symptoms of CRF and whether this can support the theory that CRF symptoms stem from the effect of tiredness.
Method:
Three databases were searched producing 259 papers. The papers were filtered using several inclusion criteria, resulting in a final list of 20 papers for analysis. The remaining papers (20) were critically appraised using the Critical Appraisals Skills Programme (CASP) randomised control trial checklist and assessed for bias using the Cochrane Collaboration's tool for assessing risk of bias in randomised trials.
Results:
Fourteen papers showed an increase in sleep quality that also resulted in an improvement in fatigue symptoms. Cognitive behavioural therapy was shown to be the most effective intervention with a statistically significant decrease in fatigue alongside significant improvement in sleep quality shown in six of the papers (p < 0.05). Sleep education also had a positive impact on both sleep and fatigue scores with three papers showing significant improvements. Three papers focusing on exercise interventions produced a significant improvement in fatigue symptoms and quality of sleep.
Conclusion:
Improving quality of sleep does ease the symptoms of CRF; however, the ‘chicken or the egg’ question regarding CRF and tiredness cannot be answered at this stage.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RB Pathology R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer) |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
SWORD Depositor: | Library Publications Router | ||||||||
Library of Congress Subject Headings (LCSH): | Fatigue -- Physiological aspects, Cancer -- Patients, Cancer -- Treatment -- Complications, Sleep | ||||||||
Journal or Publication Title: | European Journal of Cancer Care | ||||||||
Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
ISSN: | 0961-5423 | ||||||||
Official Date: | July 2022 | ||||||||
Dates: |
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Volume: | 31 | ||||||||
Number: | 4 | ||||||||
Article Number: | e13597 | ||||||||
DOI: | 10.1111/ecc.13597 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 10 November 2022 | ||||||||
Date of first compliant Open Access: | 10 November 2022 | ||||||||
RIOXX Funder/Project Grant: |
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