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dc.contributor.authorHyphantis, T.en
dc.contributor.authorGoulia, P.en
dc.contributor.authorZerdes, I.en
dc.contributor.authorSolomou, S.en
dc.contributor.authorAndreoulakis, E.en
dc.contributor.authorCarvalho, A. F.en
dc.contributor.authorPavlidis, Nicholasen
dc.creatorHyphantis, T.en
dc.creatorGoulia, P.en
dc.creatorZerdes, I.en
dc.creatorSolomou, S.en
dc.creatorAndreoulakis, E.en
dc.creatorCarvalho, A. F.en
dc.creatorPavlidis, Nicholasen
dc.date.accessioned2018-06-22T09:53:38Z
dc.date.available2018-06-22T09:53:38Z
dc.date.issued2016
dc.identifier.urihttps://gnosis.library.ucy.ac.cy/handle/7/41951
dc.description.abstractBackground: Sleep disturbances are common in cancer patients, but little is known about the complex interplay between the background psychological profile, coping with health stressors capacities and psychological distress in the formation of sleep difficulties in colorectal cancer. Aims: To study the course and to identify psychological predictors of sleep difficulties in early non-metastatic colorectal cancer patients over a one-year period. Methods: In this 1-year prospective study, we assessed in 84 early non-metastatic colorectal cancer patients the association of psychological distress (SCL-90-R), sense of coherence (SOC-29), and defense styles (Defense Style Questionnaire) with sleep difficulties (SCL-90-R) in multiple regression models. Eighty-two patients with breast cancer and 50 patients with cancer of unknown primary site served as disease controls, and 84 matched for age and sex alleged healthy individuals served as healthy controls. Results: Colorectal cancer patients presented more sleep difficulties compared to healthy participants but fewer than patients with breast cancer and cancer of unknown primary site. Colorectal cancer patients’ trouble falling asleep (p = 0.033) and wakening up early in the morning (p < 0.001) deteriorated over time. Sleep that was restless or disturbed was independently associated with low SOC (p = 0.046) and maladaptive defenses (p = 0.008). Anxiety symptoms (p < 0.001) predicted deterioration in trouble falling asleep, while depressive symptoms (p = 0.022) and self-sacrificing defense style (p = 0.049) predicted deterioration in wakening up early in the morning. Conclusions: Psychological parameters and coping with health stressors capacities are independently associated with sleep difficulties in colorectal cancer patients, indicating the need for psychological interventions aiming at improving adjustment to the disease. © 2015, Springer Science+Business Media New York.en
dc.language.isoengen
dc.sourceDigestive diseases and sciencesen
dc.subjectPersonalityen
dc.subjectPsychologicalen
dc.subjectHumanen
dc.subjectHumansen
dc.subjectAgeden
dc.subjectFemaleen
dc.subjectProspective studiesen
dc.subjectProspective studyen
dc.subjectTime factorsen
dc.subjectCase-control studiesen
dc.subjectMaleen
dc.subjectCase control studyen
dc.subjectRisk assessmenten
dc.subjectRisk factorsen
dc.subjectColorectal canceren
dc.subjectColorectal neoplasmsen
dc.subjectComplicationen
dc.subjectRisk factoren
dc.subjectPsychologyen
dc.subjectStressen
dc.subjectMiddle ageden
dc.subjectQuality of lifeen
dc.subjectPathophysiologyen
dc.subjectMental stressen
dc.subjectQuestionnaireen
dc.subjectSurveys and questionnairesen
dc.subjectMental healthen
dc.subjectDefense mechanismen
dc.subjectDefense mechanismsen
dc.subjectEgo mechanisms of defenseen
dc.subjectHealth statusen
dc.subjectPsychological distressen
dc.subjectSense of coherenceen
dc.subjectSleepen
dc.subjectSleep wake disordersen
dc.subjectTime factoren
dc.titleSense of Coherence and Defense Style Predict Sleep Difficulties in Early Non-metastatic Colorectal Canceren
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1007/s10620-015-3843-1
dc.description.volume61
dc.description.issue1
dc.description.startingpage273
dc.description.endingpage282
dc.author.facultyΙατρική Σχολή / Medical School
dc.author.departmentΙατρική Σχολή / Medical School
dc.type.uhtypeArticleen
dc.contributor.orcidPavlidis, Nicholas [0000-0002-2195-9961]
dc.contributor.orcidHyphantis, T. [0000-0002-7647-4312]
dc.gnosis.orcid0000-0002-2195-9961
dc.gnosis.orcid0000-0002-7647-4312


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