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Clinical evaluation and treatment of insomnia in patients with cancer
Accelerated Community Oncology Research Network, Memphis, TN
Insomnia is a common symptom among patients treated for cancer. Chronic insomnia has been linked to increased levels of pain, depression, and fatigue and is therefore an appropriate target for evaluation and treatment. Assessment should establish the severity of insomnia and detect common comorbidities to optimize treatment. Several trials have shown that cognitive-behavioral treatment of insomnia is effective for patients with cancer. Pharmacologic treatment trials have not been conducted in patients with cancer, but this approach may be appropriate based on clinical goals and patient preference.
| Commun Oncol 2007;4:245–250 | full text |  208 kb |