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Sense of Coherence and Defense Style Predict Sleep Difficulties in Early Non-metastatic Colorectal Cancer

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Sense of Coherence and Defense Style Predict Sleep Difficulties in Early Non-metastatic Colorectal Cancer. / Hyphantis, Thomas; Goulia, Panagiota; Zerdes, Ioannis; Solomou, Solomis; Andreoulakis, Elias; Carvalho, André F; Pavlidis, Nicholas.

In: Journal of Biosocial Science, Vol. 61, No. 1, 01.01.2016, p. 273-282.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Hyphantis, T, Goulia, P, Zerdes, I, Solomou, S, Andreoulakis, E, Carvalho, AF & Pavlidis, N 2016, 'Sense of Coherence and Defense Style Predict Sleep Difficulties in Early Non-metastatic Colorectal Cancer', Journal of Biosocial Science, vol. 61, no. 1, pp. 273-282. https://doi.org/10.1007/s10620-015-3843-1

APA

Hyphantis, T., Goulia, P., Zerdes, I., Solomou, S., Andreoulakis, E., Carvalho, A. F., & Pavlidis, N. (2016). Sense of Coherence and Defense Style Predict Sleep Difficulties in Early Non-metastatic Colorectal Cancer. Journal of Biosocial Science, 61(1), 273-282. https://doi.org/10.1007/s10620-015-3843-1

Vancouver

Hyphantis T, Goulia P, Zerdes I, Solomou S, Andreoulakis E, Carvalho AF et al. Sense of Coherence and Defense Style Predict Sleep Difficulties in Early Non-metastatic Colorectal Cancer. Journal of Biosocial Science. 2016 Jan 1;61(1):273-282. https://doi.org/10.1007/s10620-015-3843-1

Author

Hyphantis, Thomas ; Goulia, Panagiota ; Zerdes, Ioannis ; Solomou, Solomis ; Andreoulakis, Elias ; Carvalho, André F ; Pavlidis, Nicholas. / Sense of Coherence and Defense Style Predict Sleep Difficulties in Early Non-metastatic Colorectal Cancer. In: Journal of Biosocial Science. 2016 ; Vol. 61, No. 1. pp. 273-282.

Bibtex

@article{ab28126c43a84367bee7889b24340c06,
title = "Sense of Coherence and Defense Style Predict Sleep Difficulties in Early Non-metastatic Colorectal Cancer",
abstract = "BACKGROUND: Sleep disturbances are common in cancer patients, but little is known about the complex interplay between the background psychological profile, coping with health stressors capacities and psychological distress in the formation of sleep difficulties in colorectal cancer.AIMS: To study the course and to identify psychological predictors of sleep difficulties in early non-metastatic colorectal cancer patients over a one-year period.METHODS: In this 1-year prospective study, we assessed in 84 early non-metastatic colorectal cancer patients the association of psychological distress (SCL-90-R), sense of coherence (SOC-29), and defense styles (Defense Style Questionnaire) with sleep difficulties (SCL-90-R) in multiple regression models. Eighty-two patients with breast cancer and 50 patients with cancer of unknown primary site served as disease controls, and 84 matched for age and sex alleged healthy individuals served as healthy controls.RESULTS: Colorectal cancer patients presented more sleep difficulties compared to healthy participants but fewer than patients with breast cancer and cancer of unknown primary site. Colorectal cancer patients' trouble falling asleep (p = 0.033) and wakening up early in the morning (p < 0.001) deteriorated over time. Sleep that was restless or disturbed was independently associated with low SOC (p = 0.046) and maladaptive defenses (p = 0.008). Anxiety symptoms (p < 0.001) predicted deterioration in trouble falling asleep, while depressive symptoms (p = 0.022) and self-sacrificing defense style (p = 0.049) predicted deterioration in wakening up early in the morning.CONCLUSIONS: Psychological parameters and coping with health stressors capacities are independently associated with sleep difficulties in colorectal cancer patients, indicating the need for psychological interventions aiming at improving adjustment to the disease.",
keywords = "Aged, Case-Control Studies, Colorectal Neoplasms/complications, Defense Mechanisms, Female, Health Status, Humans, Male, Mental Health, Middle Aged, Prospective Studies, Quality of Life, Risk Assessment, Risk Factors, Sense of Coherence, Sleep, Sleep Wake Disorders/diagnosis, Stress, Psychological/diagnosis, Surveys and Questionnaires, Time Factors",
author = "Thomas Hyphantis and Panagiota Goulia and Ioannis Zerdes and Solomis Solomou and Elias Andreoulakis and Carvalho, {Andr{\'e} F} and Nicholas Pavlidis",
year = "2016",
month = jan,
day = "1",
doi = "10.1007/s10620-015-3843-1",
language = "English",
volume = "61",
pages = "273--282",
journal = "Journal of Biosocial Science",
issn = "0021-9320",
publisher = "Cambridge University Press",
number = "1",

}

RIS

TY - JOUR

T1 - Sense of Coherence and Defense Style Predict Sleep Difficulties in Early Non-metastatic Colorectal Cancer

AU - Hyphantis, Thomas

AU - Goulia, Panagiota

AU - Zerdes, Ioannis

AU - Solomou, Solomis

AU - Andreoulakis, Elias

AU - Carvalho, André F

AU - Pavlidis, Nicholas

PY - 2016/1/1

Y1 - 2016/1/1

N2 - BACKGROUND: Sleep disturbances are common in cancer patients, but little is known about the complex interplay between the background psychological profile, coping with health stressors capacities and psychological distress in the formation of sleep difficulties in colorectal cancer.AIMS: To study the course and to identify psychological predictors of sleep difficulties in early non-metastatic colorectal cancer patients over a one-year period.METHODS: In this 1-year prospective study, we assessed in 84 early non-metastatic colorectal cancer patients the association of psychological distress (SCL-90-R), sense of coherence (SOC-29), and defense styles (Defense Style Questionnaire) with sleep difficulties (SCL-90-R) in multiple regression models. Eighty-two patients with breast cancer and 50 patients with cancer of unknown primary site served as disease controls, and 84 matched for age and sex alleged healthy individuals served as healthy controls.RESULTS: Colorectal cancer patients presented more sleep difficulties compared to healthy participants but fewer than patients with breast cancer and cancer of unknown primary site. Colorectal cancer patients' trouble falling asleep (p = 0.033) and wakening up early in the morning (p < 0.001) deteriorated over time. Sleep that was restless or disturbed was independently associated with low SOC (p = 0.046) and maladaptive defenses (p = 0.008). Anxiety symptoms (p < 0.001) predicted deterioration in trouble falling asleep, while depressive symptoms (p = 0.022) and self-sacrificing defense style (p = 0.049) predicted deterioration in wakening up early in the morning.CONCLUSIONS: Psychological parameters and coping with health stressors capacities are independently associated with sleep difficulties in colorectal cancer patients, indicating the need for psychological interventions aiming at improving adjustment to the disease.

AB - BACKGROUND: Sleep disturbances are common in cancer patients, but little is known about the complex interplay between the background psychological profile, coping with health stressors capacities and psychological distress in the formation of sleep difficulties in colorectal cancer.AIMS: To study the course and to identify psychological predictors of sleep difficulties in early non-metastatic colorectal cancer patients over a one-year period.METHODS: In this 1-year prospective study, we assessed in 84 early non-metastatic colorectal cancer patients the association of psychological distress (SCL-90-R), sense of coherence (SOC-29), and defense styles (Defense Style Questionnaire) with sleep difficulties (SCL-90-R) in multiple regression models. Eighty-two patients with breast cancer and 50 patients with cancer of unknown primary site served as disease controls, and 84 matched for age and sex alleged healthy individuals served as healthy controls.RESULTS: Colorectal cancer patients presented more sleep difficulties compared to healthy participants but fewer than patients with breast cancer and cancer of unknown primary site. Colorectal cancer patients' trouble falling asleep (p = 0.033) and wakening up early in the morning (p < 0.001) deteriorated over time. Sleep that was restless or disturbed was independently associated with low SOC (p = 0.046) and maladaptive defenses (p = 0.008). Anxiety symptoms (p < 0.001) predicted deterioration in trouble falling asleep, while depressive symptoms (p = 0.022) and self-sacrificing defense style (p = 0.049) predicted deterioration in wakening up early in the morning.CONCLUSIONS: Psychological parameters and coping with health stressors capacities are independently associated with sleep difficulties in colorectal cancer patients, indicating the need for psychological interventions aiming at improving adjustment to the disease.

KW - Aged

KW - Case-Control Studies

KW - Colorectal Neoplasms/complications

KW - Defense Mechanisms

KW - Female

KW - Health Status

KW - Humans

KW - Male

KW - Mental Health

KW - Middle Aged

KW - Prospective Studies

KW - Quality of Life

KW - Risk Assessment

KW - Risk Factors

KW - Sense of Coherence

KW - Sleep

KW - Sleep Wake Disorders/diagnosis

KW - Stress, Psychological/diagnosis

KW - Surveys and Questionnaires

KW - Time Factors

U2 - 10.1007/s10620-015-3843-1

DO - 10.1007/s10620-015-3843-1

M3 - Journal article

C2 - 26289259

VL - 61

SP - 273

EP - 282

JO - Journal of Biosocial Science

JF - Journal of Biosocial Science

SN - 0021-9320

IS - 1

ER -