The need for comprehensive sleep disturbances assessment and management in breast cancer care

Abstract Breast cancer is the most common neoplasm among women, and sleep disturbances are prevalent symptoms that affect their quality of life. Despite evidence suggesting that sleep problems are common in this population, there is a lack of research that comprehensively analyses these aspects. Thi...

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Main Authors: Noelia Durán-Gómez, Miguel Ángel Martín-Parrilla, Casimiro Fermín López-Jurado, Jesús Montanero-Fernández, Marta Nadal-Delgado, Macarena C. Cáceres
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-05315-3
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author Noelia Durán-Gómez
Miguel Ángel Martín-Parrilla
Casimiro Fermín López-Jurado
Jesús Montanero-Fernández
Marta Nadal-Delgado
Macarena C. Cáceres
author_facet Noelia Durán-Gómez
Miguel Ángel Martín-Parrilla
Casimiro Fermín López-Jurado
Jesús Montanero-Fernández
Marta Nadal-Delgado
Macarena C. Cáceres
author_sort Noelia Durán-Gómez
collection DOAJ
description Abstract Breast cancer is the most common neoplasm among women, and sleep disturbances are prevalent symptoms that affect their quality of life. Despite evidence suggesting that sleep problems are common in this population, there is a lack of research that comprehensively analyses these aspects. This study focuses on assessing sleep quality, insomnia severity and its impact on several variables, including health-related quality of life, in women diagnosed with breast cancer. To assess sleep quality, insomnia severity and its impact on several variables, including health-related quality of life, in women diagnosed with breast cancer. An observational study was conducted with 245 women diagnosed with breast cancer. Participants with conditions that could interfere with sleep were excluded. Standardised questionnaires, such as the Pittsburgh Sleep Quality Index and the Insomnia Severity Index, were used. In addition, the European Organization for the Research and Treatment of Cancer Quality of Life and Breast Cancer Questionnaires were administered and sociodemographic, clinical and treatment-related variables were recorded. Almost 66% of the participants reported poor sleep quality. Sleep disturbances were associated with a significant deterioration in participants’ quality of life, affecting both their daily functioning and intensity of the symptoms experienced. Women in chemotherapy treatment showed greater severity of insomnia (8.30 ± 6.36; p < 0.001) and significantly worse sleep quality (8.80 ± 4.91; p < 0.001). A greater number of chemotherapy cycles was also associated with an increase in insomnia symptoms (p = 0.015). Women with breast cancer experience a high prevalence of sleep disturbances, which negatively impacts their quality of life. The need to systematically identify and address sleep problems throughout treatment and recovery is emphasised, as these disturbances can affect patients’ overall well-being and functional ability.
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spelling doaj-art-b5a00a8c35ab4d7fa48e2bb2b08905a82025-08-20T03:45:28ZengNature PortfolioScientific Reports2045-23222025-07-0115111810.1038/s41598-025-05315-3The need for comprehensive sleep disturbances assessment and management in breast cancer careNoelia Durán-Gómez0Miguel Ángel Martín-Parrilla1Casimiro Fermín López-Jurado2Jesús Montanero-Fernández3Marta Nadal-Delgado4Macarena C. Cáceres5Departamento de Enfermería, Facultad de Medicina y Ciencias de la Salud, Universidad de ExtremaduraDepartamento de Enfermería, Centro Universitario de Plasencia, Universidad de ExtremaduraDepartamento de Enfermería, Facultad de Medicina y Ciencias de la Salud, Universidad de ExtremaduraDepartamento de Matemáticas, Facultad de Medicina y Ciencias de la Salud, Universidad de ExtremaduraAsociación Oncológica Extremeña (AOEX), Hospital Universitario de Badajoz, Servicio Extremeño de SaludDepartamento de Enfermería, Facultad de Medicina y Ciencias de la Salud, Universidad de ExtremaduraAbstract Breast cancer is the most common neoplasm among women, and sleep disturbances are prevalent symptoms that affect their quality of life. Despite evidence suggesting that sleep problems are common in this population, there is a lack of research that comprehensively analyses these aspects. This study focuses on assessing sleep quality, insomnia severity and its impact on several variables, including health-related quality of life, in women diagnosed with breast cancer. To assess sleep quality, insomnia severity and its impact on several variables, including health-related quality of life, in women diagnosed with breast cancer. An observational study was conducted with 245 women diagnosed with breast cancer. Participants with conditions that could interfere with sleep were excluded. Standardised questionnaires, such as the Pittsburgh Sleep Quality Index and the Insomnia Severity Index, were used. In addition, the European Organization for the Research and Treatment of Cancer Quality of Life and Breast Cancer Questionnaires were administered and sociodemographic, clinical and treatment-related variables were recorded. Almost 66% of the participants reported poor sleep quality. Sleep disturbances were associated with a significant deterioration in participants’ quality of life, affecting both their daily functioning and intensity of the symptoms experienced. Women in chemotherapy treatment showed greater severity of insomnia (8.30 ± 6.36; p < 0.001) and significantly worse sleep quality (8.80 ± 4.91; p < 0.001). A greater number of chemotherapy cycles was also associated with an increase in insomnia symptoms (p = 0.015). Women with breast cancer experience a high prevalence of sleep disturbances, which negatively impacts their quality of life. The need to systematically identify and address sleep problems throughout treatment and recovery is emphasised, as these disturbances can affect patients’ overall well-being and functional ability.https://doi.org/10.1038/s41598-025-05315-3Breast cancerSleep disturbancesQuality of lifeFunctional impactComprehensive oncological care
spellingShingle Noelia Durán-Gómez
Miguel Ángel Martín-Parrilla
Casimiro Fermín López-Jurado
Jesús Montanero-Fernández
Marta Nadal-Delgado
Macarena C. Cáceres
The need for comprehensive sleep disturbances assessment and management in breast cancer care
Scientific Reports
Breast cancer
Sleep disturbances
Quality of life
Functional impact
Comprehensive oncological care
title The need for comprehensive sleep disturbances assessment and management in breast cancer care
title_full The need for comprehensive sleep disturbances assessment and management in breast cancer care
title_fullStr The need for comprehensive sleep disturbances assessment and management in breast cancer care
title_full_unstemmed The need for comprehensive sleep disturbances assessment and management in breast cancer care
title_short The need for comprehensive sleep disturbances assessment and management in breast cancer care
title_sort need for comprehensive sleep disturbances assessment and management in breast cancer care
topic Breast cancer
Sleep disturbances
Quality of life
Functional impact
Comprehensive oncological care
url https://doi.org/10.1038/s41598-025-05315-3
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