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Feasibility and acceptability of cognitive behavioral therapy for insomnia (CBT-I) or acupuncture for insomnia and related distress among cancer caregivers

Published online by Cambridge University Press:  22 December 2020

Allison J. Applebaum Open the ORCID record for Allison J. Applebaum [Opens in a new window] ,
Kara Buda ,
Michael A. Hoyt ,
Kelly Shaffer ,
Sheila Garland  and
Jun J. Mao
Allison J. Applebaum*
Affiliation:
Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY
Kara Buda
Affiliation:
Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY
Michael A. Hoyt
Affiliation:
Department of Population Health and Disease Prevention and the Chao Family Comprehensive Cancer Center, University of California, Irvine, CA
Kelly Shaffer
Affiliation:
Center for Behavioral Health and Technology, University of Virginia School of Medicine, Charlottesville, VA
Sheila Garland
Affiliation:
Department of Psychology, Memorial University, St. John's, Newfoundland, Canada
Jun J. Mao
Affiliation:
Integrative Medicine Service, Memorial Sloan Kettering Cancer Center, New York, NY
*
Author for correspondence: Allison J. Applebaum, Assistant Attending Psychologist, Director, Caregivers Clinic, Department of Psychiatry and Behavioral Science, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY10022, USA. E-mail: applebaa@mskcc.org
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Abstract

Objective

Insomnia is a common, distressing, and impairing psychological outcome experienced by informal caregivers (ICs) of patients with cancer. Cognitive behavioral therapy for insomnia (CBT-I) and acupuncture both have known benefits for patients with cancer, but such benefits have yet to be evaluated among ICs. The purpose of the present study was to evaluate the feasibility, acceptability and preliminary effects of CBT-I and acupuncture among ICs with moderate or greater levels of insomnia.

Method

Participants were randomized to eight sessions of CBT-I or ten sessions of acupuncture.

Results

Results highlighted challenges of identifying interested and eligible ICs and the impact of perception of intervention on retention and likely ultimately outcome.

Significance of the results

Findings suggest preliminary support for non-pharmacological interventions to treat insomnia in ICs and emphasize the importance of matching treatment modality to the preferences and needs of ICs.

Keywords

AcupunctureCancer caregiversCognitive Behavioral Therapy for Insomnia (CBT-I)Insomnia
Type
Original Article
Information
Palliative & Supportive Care , Volume 18 , Issue 6 , December 2020 , pp. 644 - 647
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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