Associations between longitudinal changes in sleep disturbance and depressive and anxiety symptoms during the COVID‐19 virus pandemic among older women with and without breast cancer in the thinking and living with breast cancer study
Abstract Purpose Several studies have reported sleep disturbances during the COVID‐19 virus pandemic. Little data exist about the impact of the pandemic on sleep and mental health among older women with breast cancer. We sought to examine whether women with and without breast cancer who experienced...
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| Format: | Article |
| Language: | English |
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Wiley
2022-09-01
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| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.4682 |
| _version_ | 1811211327083905024 |
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| author | Traci N. Bethea Wanting Zhai Xingtao Zhou Tim A. Ahles Jaeil Ahn Harvey J. Cohen Asma A. Dilawari Deena M. A. Graham Heather S. L. Jim Brenna C. McDonald Zev M. Nakamura Sunita K. Patel Kelly E. Rentscher James Root Andrew J. Saykin Brent J. Small Kathleen M. Van Dyk Jeanne S. Mandelblatt Judith E. Carroll |
| author_facet | Traci N. Bethea Wanting Zhai Xingtao Zhou Tim A. Ahles Jaeil Ahn Harvey J. Cohen Asma A. Dilawari Deena M. A. Graham Heather S. L. Jim Brenna C. McDonald Zev M. Nakamura Sunita K. Patel Kelly E. Rentscher James Root Andrew J. Saykin Brent J. Small Kathleen M. Van Dyk Jeanne S. Mandelblatt Judith E. Carroll |
| author_sort | Traci N. Bethea |
| collection | DOAJ |
| description | Abstract Purpose Several studies have reported sleep disturbances during the COVID‐19 virus pandemic. Little data exist about the impact of the pandemic on sleep and mental health among older women with breast cancer. We sought to examine whether women with and without breast cancer who experienced new sleep problems during the pandemic had worsening depression and anxiety. Methods Breast cancer survivors aged ≥60 years with a history of nonmetastatic breast cancer (n = 242) and frequency‐matched noncancer controls (n = 158) active in a longitudinal cohort study completed a COVID‐19 virus pandemic survey from May to September 2020 (response rate 83%). Incident sleep disturbance was measured using the restless sleep item from the Center for Epidemiological Studies‐Depression Scale (CES‐D). CES‐D score (minus the sleep item) captured depressive symptoms; the State‐Anxiety subscale of the State Trait Anxiety Inventory measured anxiety symptoms. Multivariable linear regression models examined how the development of sleep disturbance affected changes in depressive or anxiety symptoms from the most recent prepandemic survey to the pandemic survey, controlling for covariates. Results The prevalence of sleep disturbance during the pandemic was 22.3%, with incident sleep disturbance in 10% and 13.5% of survivors and controls, respectively. Depressive and anxiety symptoms significantly increased during the pandemic among women with incident sleep disturbance (vs. no disturbance) (β = 8.16, p < 0.01 and β = 6.14, p < 0.01, respectively), but there were no survivor‐control differences in the effect. Conclusion Development of sleep disturbances during the COVID‐19 virus pandemic may negatively affect older women's mental health, but breast cancer survivors diagnosed with the nonmetastatic disease had similar experiences as women without cancer. |
| first_indexed | 2024-04-12T05:11:08Z |
| format | Article |
| id | doaj.art-f8c56af35d6f4fc69f18980318bda249 |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-04-12T05:11:08Z |
| publishDate | 2022-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-f8c56af35d6f4fc69f18980318bda2492022-12-22T03:46:45ZengWileyCancer Medicine2045-76342022-09-0111173352336310.1002/cam4.4682Associations between longitudinal changes in sleep disturbance and depressive and anxiety symptoms during the COVID‐19 virus pandemic among older women with and without breast cancer in the thinking and living with breast cancer studyTraci N. Bethea0Wanting Zhai1Xingtao Zhou2Tim A. Ahles3Jaeil Ahn4Harvey J. Cohen5Asma A. Dilawari6Deena M. A. Graham7Heather S. L. Jim8Brenna C. McDonald9Zev M. Nakamura10Sunita K. Patel11Kelly E. Rentscher12James Root13Andrew J. Saykin14Brent J. Small15Kathleen M. Van Dyk16Jeanne S. Mandelblatt17Judith E. Carroll18Office of Minority Health and Health Disparities Research Georgetown Lombardi Comprehensive Cancer Center Washington District of Columbia USACancer Prevention and Control Program Georgetown Lombardi Comprehensive Cancer Center Washington District of Columbia USACancer Prevention and Control Program Georgetown Lombardi Comprehensive Cancer Center Washington District of Columbia USADepartment of Psychiatry and Behavioral Sciences Memorial Sloan Kettering Cancer Center New York New York City USADepartment of Biostatistics, Bioinformatics, and Biomathematics Georgetown University Washington District of Columbia USACenter for the Study of Aging and Human Development Duke University Medical Center Durham North Carolina USACancer Prevention and Control Program Georgetown Lombardi Comprehensive Cancer Center Washington District of Columbia USAJohn Theurer Cancer Center Hackensack University Medical Center Hackensack New Jersey USAMoffitt Cancer Center Tampa Florida USADepartment of Radiology and Imaging Sciences Indiana University School of Medicine and Indiana University Melvin and Bren Simon Comprehensive Cancer Center Indianapolis Indiana USADepartment of Psychiatry University of North Carolina‐Chapel Hill Chapel Hill North Carolina USACity of Hope National Medical Center Los Angeles California USACousins Center for Psychoneuroimmunology University of California, Los Angeles Los Angeles California USADepartment of Psychiatry and Behavioral Sciences Memorial Sloan Kettering Cancer Center New York New York City USADepartment of Radiology and Imaging Sciences Indiana University School of Medicine and Indiana University Melvin and Bren Simon Comprehensive Cancer Center Indianapolis Indiana USACollege of Behavioral and Community Sciences, School of Aging Studies University of South Florida Tampa Florida USASemel Institute for Neuroscience and Human Behavior, Department of Psychiatry & Biobehavioral Sciences University of California, Los Angeles Los Angeles California USACancer Prevention and Control Program Georgetown Lombardi Comprehensive Cancer Center Washington District of Columbia USACousins Center for Psychoneuroimmunology University of California, Los Angeles Los Angeles California USAAbstract Purpose Several studies have reported sleep disturbances during the COVID‐19 virus pandemic. Little data exist about the impact of the pandemic on sleep and mental health among older women with breast cancer. We sought to examine whether women with and without breast cancer who experienced new sleep problems during the pandemic had worsening depression and anxiety. Methods Breast cancer survivors aged ≥60 years with a history of nonmetastatic breast cancer (n = 242) and frequency‐matched noncancer controls (n = 158) active in a longitudinal cohort study completed a COVID‐19 virus pandemic survey from May to September 2020 (response rate 83%). Incident sleep disturbance was measured using the restless sleep item from the Center for Epidemiological Studies‐Depression Scale (CES‐D). CES‐D score (minus the sleep item) captured depressive symptoms; the State‐Anxiety subscale of the State Trait Anxiety Inventory measured anxiety symptoms. Multivariable linear regression models examined how the development of sleep disturbance affected changes in depressive or anxiety symptoms from the most recent prepandemic survey to the pandemic survey, controlling for covariates. Results The prevalence of sleep disturbance during the pandemic was 22.3%, with incident sleep disturbance in 10% and 13.5% of survivors and controls, respectively. Depressive and anxiety symptoms significantly increased during the pandemic among women with incident sleep disturbance (vs. no disturbance) (β = 8.16, p < 0.01 and β = 6.14, p < 0.01, respectively), but there were no survivor‐control differences in the effect. Conclusion Development of sleep disturbances during the COVID‐19 virus pandemic may negatively affect older women's mental health, but breast cancer survivors diagnosed with the nonmetastatic disease had similar experiences as women without cancer.https://doi.org/10.1002/cam4.4682behavioral sciencebreast cancerepidemiologypsychosocial studies |
| spellingShingle | Traci N. Bethea Wanting Zhai Xingtao Zhou Tim A. Ahles Jaeil Ahn Harvey J. Cohen Asma A. Dilawari Deena M. A. Graham Heather S. L. Jim Brenna C. McDonald Zev M. Nakamura Sunita K. Patel Kelly E. Rentscher James Root Andrew J. Saykin Brent J. Small Kathleen M. Van Dyk Jeanne S. Mandelblatt Judith E. Carroll Associations between longitudinal changes in sleep disturbance and depressive and anxiety symptoms during the COVID‐19 virus pandemic among older women with and without breast cancer in the thinking and living with breast cancer study Cancer Medicine behavioral science breast cancer epidemiology psychosocial studies |
| title | Associations between longitudinal changes in sleep disturbance and depressive and anxiety symptoms during the COVID‐19 virus pandemic among older women with and without breast cancer in the thinking and living with breast cancer study |
| title_full | Associations between longitudinal changes in sleep disturbance and depressive and anxiety symptoms during the COVID‐19 virus pandemic among older women with and without breast cancer in the thinking and living with breast cancer study |
| title_fullStr | Associations between longitudinal changes in sleep disturbance and depressive and anxiety symptoms during the COVID‐19 virus pandemic among older women with and without breast cancer in the thinking and living with breast cancer study |
| title_full_unstemmed | Associations between longitudinal changes in sleep disturbance and depressive and anxiety symptoms during the COVID‐19 virus pandemic among older women with and without breast cancer in the thinking and living with breast cancer study |
| title_short | Associations between longitudinal changes in sleep disturbance and depressive and anxiety symptoms during the COVID‐19 virus pandemic among older women with and without breast cancer in the thinking and living with breast cancer study |
| title_sort | associations between longitudinal changes in sleep disturbance and depressive and anxiety symptoms during the covid 19 virus pandemic among older women with and without breast cancer in the thinking and living with breast cancer study |
| topic | behavioral science breast cancer epidemiology psychosocial studies |
| url | https://doi.org/10.1002/cam4.4682 |
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