TY - JOUR
T1 - Deterioration in Sleep Quality Affects Cognitive Depression in Prostate Cancer Patients
AU - Sharpley, Christopher F.
AU - Christie, David R.H.
AU - Bitsika, Vicki
N1 - Publisher Copyright:
© The Author(s) 2021.
PY - 2021
Y1 - 2021
N2 - Men who suffer from prostate cancer (PCa) need to make important decisions regarding their treatment options. There is some evidence that these men may suffer from sleep difficulties due to their cancer or its diagnosis and treatment. Although sleep difficulties have been associated with cognitive depression in other samples of men, they have not been examined in PCa patients, despite the importance of decision-making for these men. This study was designed to investigate the association between sleep difficulties and cognitive depression in PCa patients. A sample of 96 PCa patients completed a background questionnaire, the Zung Self-Rating Depression Scale, and the Insomnia Severity Index. Comparison was made between sleep difficulty scores from before the patients received their diagnosis of PCa to the time of survey, allowing use of a “retrospective pretest” methodology. Just over 61% of the sample reported a deterioration in sleep quality, and this was significantly associated with cognitive depression (r =.346, p =.007). At the specific symptom level, having a clear mind significantly contributed to the variance in difficulty falling asleep (R2 change =.140, F for change = 9.298, p =.003). Sleeping difficulties, particularly falling asleep, are common and associated with depression-related to ability to think clearly in PCa patients. This has potentially adverse effects upon the ability of men with PCa to understand their treatment options and make decisions about them.
AB - Men who suffer from prostate cancer (PCa) need to make important decisions regarding their treatment options. There is some evidence that these men may suffer from sleep difficulties due to their cancer or its diagnosis and treatment. Although sleep difficulties have been associated with cognitive depression in other samples of men, they have not been examined in PCa patients, despite the importance of decision-making for these men. This study was designed to investigate the association between sleep difficulties and cognitive depression in PCa patients. A sample of 96 PCa patients completed a background questionnaire, the Zung Self-Rating Depression Scale, and the Insomnia Severity Index. Comparison was made between sleep difficulty scores from before the patients received their diagnosis of PCa to the time of survey, allowing use of a “retrospective pretest” methodology. Just over 61% of the sample reported a deterioration in sleep quality, and this was significantly associated with cognitive depression (r =.346, p =.007). At the specific symptom level, having a clear mind significantly contributed to the variance in difficulty falling asleep (R2 change =.140, F for change = 9.298, p =.003). Sleeping difficulties, particularly falling asleep, are common and associated with depression-related to ability to think clearly in PCa patients. This has potentially adverse effects upon the ability of men with PCa to understand their treatment options and make decisions about them.
UR - http://www.scopus.com/inward/record.url?scp=85102764263&partnerID=8YFLogxK
U2 - 10.1177/15579883211001201
DO - 10.1177/15579883211001201
M3 - Article
C2 - 33724082
AN - SCOPUS:85102764263
SN - 1557-9883
VL - 15
JO - American Journal of Men's Health
JF - American Journal of Men's Health
IS - 2
ER -