Insomnia in the Context of Cancer: A Review of a Neglected Problem

摘要: ABSTRACT: This article reviews the evidence on diagnosis, epidemiology, etiology, and treatment of insomnia in context cancer proposes several areas for future research. Clinical diagnostic features are described prevalence estimates complaints patients summarized. Then, potential etiologic factors (ie, predisposing, precipitating, perpetuating factors) consequences psychologic, behavioral, health impact) discussed. Finally, pharmacologic psychologic treatments previously shown effective to treat healthy individuals discussed as valuable options well. Because long-term use hypnotic medications is associated with some risks (eg, dependence), it argued that interventions stimulus control, sleep restriction, cognitive therapy) choice disturbances cancer, especially whe...