Mind-body treatments for the pain-fatigue-sleep disturbance symptom cluster in persons with cancer

Kristine L Kwekkeboom; Catherine H Cherwin; Jun W Lee; Britt Wanta

doi:10.1016/j.jpainsymman.2009.05.022

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Mind-body treatments for the pain-fatigue-sleep disturbance symptom cluster in persons with cancer

Journal article

Open access

Peer reviewed

Mind-body treatments for the pain-fatigue-sleep disturbance symptom cluster in persons with cancer

Kristine L Kwekkeboom, Catherine H Cherwin, Jun W Lee and Britt Wanta

Journal of pain and symptom management, Vol.39(1), pp.126-138

01/2010

DOI: 10.1016/j.jpainsymman.2009.05.022

PMCID: PMC3084527

PMID: 19900778

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Abstract

Co-occurring pain, fatigue, and sleep disturbance comprise a common symptom cluster in patients with cancer. Treatment approaches that target the cluster of symptoms rather than just a single symptom need to be identified and tested. To synthesize evidence regarding mind-body interventions that have shown efficacy in treating two or more symptoms in the pain-fatigue-sleep disturbance cancer symptom cluster. A literature search was conducted using CINAHL, Medline, and PsychInfo databases through March 2009. Studies were categorized based on the type of mind-body intervention (relaxation, imagery/hypnosis, cognitive-behavioral therapy/coping skills training [CBT/CST], meditation, music, and virtual reality), and a preliminary review was conducted with respect to efficacy for pain, fatigue, and sleep disturbance. Mind-body interventions were selected for review if there was evidence of efficacy for at least two of the three symptoms. Forty-three studies addressing five types of mind-body interventions met criteria and are summarized in this review. Imagery/hypnosis and CBT/CST interventions have produced improvement in all the three cancer-related symptoms individually: pain, fatigue, and sleep disturbance. Relaxation has resulted in improvements in pain and sleep disturbance. Meditation interventions have demonstrated beneficial effects on fatigue and sleep disturbance. Music interventions have demonstrated efficacy for pain and fatigue. No trials were found that tested the mind-body interventions specifically for the pain-fatigue-sleep disturbance symptom cluster. Efficacy studies are needed to test the impact of relaxation, imagery/hypnosis, CBT/CST, meditation, and music interventions in persons with cancer experiencing concurrent pain, fatigue, and sleep disturbance. These mind-body interventions could help patients manage all the symptoms in the cluster with a single treatment strategy.

Neoplasms - complications

Fatigue - therapy

Humans

Pain Management

Fatigue - etiology

Pain - etiology

Sleep Wake Disorders - therapy

Mind-Body Therapies

Sleep Wake Disorders - etiology

Details

Title: Subtitle: Mind-body treatments for the pain-fatigue-sleep disturbance symptom cluster in persons with cancer
Creators: Kristine L Kwekkeboom - School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin 53792, USA. kwekkeboom@wisc.edu
Catherine H Cherwin
Jun W Lee
Britt Wanta
Resource Type: Journal article
Publication Details: Journal of pain and symptom management, Vol.39(1), pp.126-138
DOI: 10.1016/j.jpainsymman.2009.05.022
PMID: 19900778
PMCID: PMC3084527
NLM abbreviation: J Pain Symptom Manage
ISSN: 0885-3924
eISSN: 1873-6513
Publisher: United States
Grant note: P20 NR008987-02 / NINR NIH HHS P20 NR008987-03 / NINR NIH HHS P20 NR008987-05 / NINR NIH HHS P20 NR008987 / NINR NIH HHS P20 NR008987-04 / NINR NIH HHS P20 NR008987-01 / NINR NIH HHS
Language: English
Date published: 01/2010
Academic Unit: Nursing
Record Identifier: 9984063104302771

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