1041 Sleep Quality Mediates The Relationship Between Fear Of Cancer Recurrence And Psychological Distress In Young Adults With Cancer
Abstract Introduction Fear of cancer recurrence is common in young adults with cancer and also related to poorer psychological outcomes. Sleep may be disrupted by anxious thoughts about cancer, causing long-term psychological distress. Thus, the current study tests sleep as a putative mediator of th...
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Online Access: | http://dx.doi.org/10.1093/sleep/zsaa056.1037 http://academic.oup.com/sleep/article-pdf/43/Supplement_1/A395/33305702/zsaa056.1037.pdf |
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croxfordunivpr:10.1093/sleep/zsaa056.1037 2023-05-15T17:23:00+02:00 1041 Sleep Quality Mediates The Relationship Between Fear Of Cancer Recurrence And Psychological Distress In Young Adults With Cancer Daniel, L C Garland, S Zhou, E Chalifour, K Eaton, G Dunmyer, L 2020 http://dx.doi.org/10.1093/sleep/zsaa056.1037 http://academic.oup.com/sleep/article-pdf/43/Supplement_1/A395/33305702/zsaa056.1037.pdf en eng Oxford University Press (OUP) https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model Sleep volume 43, issue Supplement_1, page A395-A396 ISSN 0161-8105 1550-9109 Physiology (medical) Neurology (clinical) journal-article 2020 croxfordunivpr https://doi.org/10.1093/sleep/zsaa056.1037 2022-04-15T06:20:48Z Abstract Introduction Fear of cancer recurrence is common in young adults with cancer and also related to poorer psychological outcomes. Sleep may be disrupted by anxious thoughts about cancer, causing long-term psychological distress. Thus, the current study tests sleep as a putative mediator of the association between fear of cancer recurrence and overall psychological distress in young adult cancer survivors. Methods In a national cross-sectional survey of Canadians, 436 young adults diagnosed with cancer between the ages of 15-39 (current age range 20-39, m=32.39, SD=4.70; 88% female) completed the Pittsburgh Sleep Quality Index, the Fear of Cancer Recurrence Inventory—Short Form, and the Kessler 10 Distress Inventory. Mediation was estimated using PROCESS. Age, sex, and on/off treatment status were entered into models as covariates. Results In the current sample, average fear of cancer recurrence was above the clinical cut-point (m=22.92, SD=6.84), psychological distress was high (m=25.18, SD=7.81), and sleep quality was poor (m=9.11, SD=3.95). Females reported significantly higher fear of cancer recurrence than males [F(1, 435)=15.49, p <.001]. Patients on treatment reported significantly higher fear of cancer recurrence [F(1,435)=11.43, p=.001], poorer sleep quality [F(1,435)=6.48, p=.011], and greater psychological distress [F(1,435)=4.73, p <.001] than patients off treatment. Using a bootstrapping model with covariates, higher fear of cancer recurrence was related to poorer sleep quality and, in turn, higher psychological distress as indicated by the indirect effect’s confidence interval not containing 0 (indirect effect=.13; 95%CI=0.081, 0.189). Conclusion Sleep quality may play an important role in connecting the common experience of fear of cancer recurrence to psychological distress in young adult cancer survivors. Future longitudinal research is needed to examine this possible mediator of young adult cancer patients’ psychological distress outcomes over time. Support This research was supported by a grant from the Newfoundland and Labrador Support for People and Patient-Oriented Research and Trials (NL-SUPPORT) Unit. Sheila Garland is supported by a Scotiabank New Investigator Award from the Beatrice Hunter Cancer Research Institute (BHCRI). Article in Journal/Newspaper Newfoundland Oxford University Press (via Crossref) Newfoundland Sheila ENVELOPE(-44.766,-44.766,-60.716,-60.716) Sleep 43 Supplement_1 A395 A396 |
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Oxford University Press (via Crossref) |
op_collection_id |
croxfordunivpr |
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English |
topic |
Physiology (medical) Neurology (clinical) |
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Physiology (medical) Neurology (clinical) Daniel, L C Garland, S Zhou, E Chalifour, K Eaton, G Dunmyer, L 1041 Sleep Quality Mediates The Relationship Between Fear Of Cancer Recurrence And Psychological Distress In Young Adults With Cancer |
topic_facet |
Physiology (medical) Neurology (clinical) |
description |
Abstract Introduction Fear of cancer recurrence is common in young adults with cancer and also related to poorer psychological outcomes. Sleep may be disrupted by anxious thoughts about cancer, causing long-term psychological distress. Thus, the current study tests sleep as a putative mediator of the association between fear of cancer recurrence and overall psychological distress in young adult cancer survivors. Methods In a national cross-sectional survey of Canadians, 436 young adults diagnosed with cancer between the ages of 15-39 (current age range 20-39, m=32.39, SD=4.70; 88% female) completed the Pittsburgh Sleep Quality Index, the Fear of Cancer Recurrence Inventory—Short Form, and the Kessler 10 Distress Inventory. Mediation was estimated using PROCESS. Age, sex, and on/off treatment status were entered into models as covariates. Results In the current sample, average fear of cancer recurrence was above the clinical cut-point (m=22.92, SD=6.84), psychological distress was high (m=25.18, SD=7.81), and sleep quality was poor (m=9.11, SD=3.95). Females reported significantly higher fear of cancer recurrence than males [F(1, 435)=15.49, p <.001]. Patients on treatment reported significantly higher fear of cancer recurrence [F(1,435)=11.43, p=.001], poorer sleep quality [F(1,435)=6.48, p=.011], and greater psychological distress [F(1,435)=4.73, p <.001] than patients off treatment. Using a bootstrapping model with covariates, higher fear of cancer recurrence was related to poorer sleep quality and, in turn, higher psychological distress as indicated by the indirect effect’s confidence interval not containing 0 (indirect effect=.13; 95%CI=0.081, 0.189). Conclusion Sleep quality may play an important role in connecting the common experience of fear of cancer recurrence to psychological distress in young adult cancer survivors. Future longitudinal research is needed to examine this possible mediator of young adult cancer patients’ psychological distress outcomes over time. Support This research was supported by a grant from the Newfoundland and Labrador Support for People and Patient-Oriented Research and Trials (NL-SUPPORT) Unit. Sheila Garland is supported by a Scotiabank New Investigator Award from the Beatrice Hunter Cancer Research Institute (BHCRI). |
format |
Article in Journal/Newspaper |
author |
Daniel, L C Garland, S Zhou, E Chalifour, K Eaton, G Dunmyer, L |
author_facet |
Daniel, L C Garland, S Zhou, E Chalifour, K Eaton, G Dunmyer, L |
author_sort |
Daniel, L C |
title |
1041 Sleep Quality Mediates The Relationship Between Fear Of Cancer Recurrence And Psychological Distress In Young Adults With Cancer |
title_short |
1041 Sleep Quality Mediates The Relationship Between Fear Of Cancer Recurrence And Psychological Distress In Young Adults With Cancer |
title_full |
1041 Sleep Quality Mediates The Relationship Between Fear Of Cancer Recurrence And Psychological Distress In Young Adults With Cancer |
title_fullStr |
1041 Sleep Quality Mediates The Relationship Between Fear Of Cancer Recurrence And Psychological Distress In Young Adults With Cancer |
title_full_unstemmed |
1041 Sleep Quality Mediates The Relationship Between Fear Of Cancer Recurrence And Psychological Distress In Young Adults With Cancer |
title_sort |
1041 sleep quality mediates the relationship between fear of cancer recurrence and psychological distress in young adults with cancer |
publisher |
Oxford University Press (OUP) |
publishDate |
2020 |
url |
http://dx.doi.org/10.1093/sleep/zsaa056.1037 http://academic.oup.com/sleep/article-pdf/43/Supplement_1/A395/33305702/zsaa056.1037.pdf |
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ENVELOPE(-44.766,-44.766,-60.716,-60.716) |
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Newfoundland Sheila |
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Newfoundland Sheila |
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Newfoundland |
genre_facet |
Newfoundland |
op_source |
Sleep volume 43, issue Supplement_1, page A395-A396 ISSN 0161-8105 1550-9109 |
op_rights |
https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model |
op_doi |
https://doi.org/10.1093/sleep/zsaa056.1037 |
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Sleep |
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43 |
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Supplement_1 |
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A395 |
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A396 |
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