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A randomized controlled trial of mindfulness-based stress reduction for insomnia secondary to cervical cancer: Sleep effects.

Applied nursing research : ANR
August 1, 2019
Huashuang Zhang et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

To evaluate the efficacy of mindfulness-based stress reduction on sleep parameters and hypnotic medication use in cervical cancer patients with insomnia.

Results Summary

Mindfulness-based stress reduction improved subjective sleep parameters (total wake time, sleep efficacy, total sleep time) post-intervention but showed no significant improvement in objective sleep parameters or long-term effects.

Population

Patients with insomnia caused or worsened by cervical cancer.

Effective Dosage

8-week mindfulness-based stress reduction program (specific frequency not detailed).

Duration

8 weeks.

Interactions

None mentioned.

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based stress reduction
increase
subjective sleep parameters
patients with insomnia secondary to cervical cancer
Total wake time: ∆ = 45.32, P < 0.05; Sleep efficacy: ∆ = 6.87, P < 0.05; Total sleep time: ∆ = 22.22, P < 0.01
had a positive effect on
#1
mindfulness-based stress reduction
no change
polysomnography data
patients with insomnia secondary to cervical cancer
-
were not improved significantly
#2
mindfulness-based stress reduction
increase
patients with insomnia that was secondary to cervical cancer
patients with insomnia secondary to cervical cancer
-
had a definite impact on
#3
mindfulness-based stress reduction
no change
patients with insomnia that was secondary to cervical cancer
patients with insomnia secondary to cervical cancer
-
no long-term influences
#4
Abstract

AIM: To evaluate the efficacy of mindfulness-based stress reduction on objective and subjective sleep parameters and hypnotic medication use of patients with insomnia secondary to cervical cancer. METHODS: This was a randomized controlled trial enrolled insomnia patient who were caused or worsened by cervical cancer. Seventy patients with insomnia caused or aggravated by cervical cancer were at random divided into either a usual care group or an 8-week mindfulness-based stress reduction group. Subjective sleep parameters, objective sleep parameters and hypnotic medication consumption were assessed at baseline, after the program, 6- and 12-month after finishing the interventions. RESULTS: The results showed that mindfulness-based stress reduction had a positive effect on subjective sleep parameters (Total wake time: ∆ = 45.32, P < 0.05; Sleep efficacy: ∆ = 6.87, P < 0.05; Total sleep time: ∆ = 22.22, P < 0.01). Compared with control group, polysomnography data in mindfulness-based stress reduction group were not improved significantly. There were no associations between subjective sleep parameters and objective sleep parameters. CONCLUSION: Mindfulness-based stress reduction had a definite impact on patients with insomnia that was secondary to cervical cancer just after the intervention, but no long-term influences. TRIAL REGISTRATION: ChiCTR1800018571; 9/25/2018; retrospectively registered.

Medical Subject Headings (MeSH)
FemaleHumansMiddle AgedMindfulnessSleep Initiation and Maintenance DisordersStress, PsychologicalUterine Cervical Neoplasms
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations17
Citations/Year2.8
Relative Citation Ratio0.95
NIH Percentile48.4%
Research Impact Scores
APT Score0.75
Weight Score2.16
Normalized Score0.61
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