FATIGUE, SLEEP DISTURBANCES AND DEPRESSIVE SYMPTOMS IN OLDER WOMEN WITH BREAST CANCER: AN INTERVENTION STUDY

2.50
Hdl Handle:
http://hdl.handle.net/10755/165149
Category:
Abstract
Type:
Presentation
Title:
FATIGUE, SLEEP DISTURBANCES AND DEPRESSIVE SYMPTOMS IN OLDER WOMEN WITH BREAST CANCER: AN INTERVENTION STUDY
Author(s):
Payne, Judith; Held, Joanne
Author Details:
Judith Payne, PhD, RN, AOCN, Assistant Professor, Duke University Medical Center, Durham, North Carolina, USA, email: payne031@mc.duke.edu; Joanne Held
Abstract:
Topic: Significance and Background. Breast cancer is a major problem in our growing geriatric population. The disease is more common in older women. Older women with breast cancer are likely to require additional treatment following surgery, such as hormonal therapy, and to experience treatment-related side effects. Research suggests that exercise may be beneficial in reducing fatigue, and improving sleep and depressive symptoms. Purpose: Evaluate the effectiveness of an exercise intervention in reducing fatigue and improving sleep and depressive symptoms in older women with breast cancer receiving hormonal therapy. The study also examined associations that may exist between cortisol and these symptoms. Framework: Conceptual Model. The conceptual model guiding this study includes biobehavioral components related to the symptoms of fatigue, sleep disturbances, and depression. Methods & Analysis: Older women receiving hormonal therapy for breast cancer and experiencing fatigue were randomized to either a home-based walking exercise group or to a usual care comparison group (n = 20). Instruments included a demographic questionnaire, Piper's Fatigue Scale (PFS), Profile of Mood States (POMS), Center for Epidemiological Studies of Depression Scale (CES-D), and the Pittsburgh Sleep Quality Index (PSQI. Cortisol levels were drawn at one and three months. Findings: Subjects experienced fatigue levels and sleep disturbances similar to or above levels experienced by women receiving chemotherapy. Results indicate that the exercise intervention significantly decreased scores on the PSQI (z = -3.10; p = 0.002). Whereas the mean PSQI did not significantly change in the control group (b = 1.5; p = 0.30), the mean PSQI score decreased by 4.4 points for those in the intervention group (b = 4.3, p = < 0.01). Although cortisol levels were not significant (p = 0.19), there was a suggestive downward trend in the intervention group. Implications: findings suggest that older women with breast cancer receiving hormonal therapy experience fatigue, sleep disturbances, and depressive symptoms. Exercise is a feasible intervention that may improve sleep disturbances in older women with breast cancer. Clinicians need to include these symptoms in their assessment, and develop interventions tailored to older adults.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
31st Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Boston, Massachusetts, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFATIGUE, SLEEP DISTURBANCES AND DEPRESSIVE SYMPTOMS IN OLDER WOMEN WITH BREAST CANCER: AN INTERVENTION STUDYen_GB
dc.contributor.authorPayne, Judithen_US
dc.contributor.authorHeld, Joanneen_US
dc.author.detailsJudith Payne, PhD, RN, AOCN, Assistant Professor, Duke University Medical Center, Durham, North Carolina, USA, email: payne031@mc.duke.edu; Joanne Helden_US
dc.identifier.urihttp://hdl.handle.net/10755/165149-
dc.description.abstractTopic: Significance and Background. Breast cancer is a major problem in our growing geriatric population. The disease is more common in older women. Older women with breast cancer are likely to require additional treatment following surgery, such as hormonal therapy, and to experience treatment-related side effects. Research suggests that exercise may be beneficial in reducing fatigue, and improving sleep and depressive symptoms. Purpose: Evaluate the effectiveness of an exercise intervention in reducing fatigue and improving sleep and depressive symptoms in older women with breast cancer receiving hormonal therapy. The study also examined associations that may exist between cortisol and these symptoms. Framework: Conceptual Model. The conceptual model guiding this study includes biobehavioral components related to the symptoms of fatigue, sleep disturbances, and depression. Methods &amp; Analysis: Older women receiving hormonal therapy for breast cancer and experiencing fatigue were randomized to either a home-based walking exercise group or to a usual care comparison group (n = 20). Instruments included a demographic questionnaire, Piper's Fatigue Scale (PFS), Profile of Mood States (POMS), Center for Epidemiological Studies of Depression Scale (CES-D), and the Pittsburgh Sleep Quality Index (PSQI. Cortisol levels were drawn at one and three months. Findings: Subjects experienced fatigue levels and sleep disturbances similar to or above levels experienced by women receiving chemotherapy. Results indicate that the exercise intervention significantly decreased scores on the PSQI (z = -3.10; p = 0.002). Whereas the mean PSQI did not significantly change in the control group (b = 1.5; p = 0.30), the mean PSQI score decreased by 4.4 points for those in the intervention group (b = 4.3, p = &lt; 0.01). Although cortisol levels were not significant (p = 0.19), there was a suggestive downward trend in the intervention group. Implications: findings suggest that older women with breast cancer receiving hormonal therapy experience fatigue, sleep disturbances, and depressive symptoms. Exercise is a feasible intervention that may improve sleep disturbances in older women with breast cancer. Clinicians need to include these symptoms in their assessment, and develop interventions tailored to older adults.en_GB
dc.date.available2011-10-27T12:13:24Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:13:24Z-
dc.conference.date2006en_US
dc.conference.name31st Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationBoston, Massachusetts, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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