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. 2023 Sep:172:111413.
doi: 10.1016/j.jpsychores.2023.111413. Epub 2023 Jun 14.

Sleep health behaviors in pediatric patients with newly diagnosed cancer

Pippa Tucker  1 , Megan Loew  2 , Kathryn Russell  3 , Brooklee L Tynes  4 , Belinda N Mandrell  5 , Sara M Witcraft  6 , Laura E Schwartz  7 , Valerie McLaughlin Crabtree  8
Affiliations

Sleep health behaviors in pediatric patients with newly diagnosed cancer

Pippa Tucker et al. J Psychosom Res. 2023 Sep.

Abstract

Objective: Disrupted sleep and fatigue are common symptoms in children with cancer, but little is known about this population's sleep health behaviors and how they may impact nighttime sleep. We aimed to describe the sleep health behaviors of children with newly diagnosed cancer and to determine if they changed over the next 8 weeks.

Methods: Our sample included 169 children with cancer (86 males) who were aged 2-18 years (mean [SD] = 8.14 [4.4] y), with parent proxy report for 140 children (71 male) aged 2-12 years (mean [SD] = 6.67 [3.2] y) and self-report for 78 children (39 male) aged 8-18 years (mean [SD] = 12.0 [2.9] y). Parents and patients completed sleep hygiene questionnaires within 30 days of oncology diagnosis (T1); follow-up questionnaires were collected 8 weeks later (T2). Descriptive analyses characterized the sample by sociodemographic characteristics, cancer diagnosis, treatments received, and prescribed medications.

Results: Age-related differences were found in sleep health behaviors, with adolescents reporting better overall sleep health behaviors than younger children at both time points. No differences in sleep health behaviors were found at T1 related to diagnosis, treatment, or medications. Some differences in sleep health behaviors were found at T2 related to gender, diagnosis, treatment, and medications. Sleep health behaviors and sleep problems remained relatively stable over 8 weeks. Fatigue was significantly associated with more pre-bedtime worries, insomnia, and lower rates of daytime sleepiness.

Conclusions: These findings offer novel descriptive characteristics of sleep health behaviors in a pediatric oncology sample and show relatively stable yet somewhat poor sleep health behaviors across 8 weeks. Better understanding of sleep health behaviors as modifiable factors will help inform targeted interventions.

Keywords: Fatigue; Pediatric oncology; Sleep health behaviors; Treatment outcomes.

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Conflict of interest statement

Declaration of Competing Interest The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Means of CRSP at Time 1 and 2 by Sex, Diagnosis, and Treatment
See this image and copyright information in PMC

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