The effects of mind-body interventions on sleep in cancer patients: a meta-analysis of randomized controlled trials

H Y Chiu, P C Chiang, Nae-Fang Miao, E Y Lin, P S Tsai

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

OBJECTIVE: To examine the effect of mind-body interventions (MBIs) on sleep quality among cancer patients, the moderating effects of the intervention components, subject characteristics, and methodological features of the relationship between MBIs and sleep. DATA SOURCES: Electronic databases, including PubMed, Cochrane Library, PsycINFO, and CINAHL, containing data with English-language restriction recorded up to September 15, 2013 were searched thoroughly using keywords related to various types of MBI and sleep. STUDY SELECTION: Of the 114 identified citations, 99 were ineligible. Fifteen studies that followed 1,405 patients with cancer met the inclusion criteria and were analyzed. DATA EXTRACTION: The primary outcome was change in the sleep parameter. Other variables related to components of MBIs, subject characteristics, and methodological features of the studies were also extracted. DATA SYNTHESIS: The weighted mean effect size (ES) was -0.43 (95% confidence interval [CI], -0.24 to -0.62) and the long-term effect size (up to 3 months) was -0.29 (95% CI, -0.52 to -0.06). The sensitivity analysis revealed that MBIs had a significant effect on sleep (g = -0.33, P .05). CONCLUSIONS: This meta-analysis confirms that the MBIs yielded a medium effect size on sleep quality and the effect was maintained for up to 3 months. The findings support the implementation of MBIs into the multimodal approach to managing sleep quality in patients with cancer.
Original languageEnglish
Pages (from-to)1215-1223
Number of pages9
JournalJournal of Clinical Psychiatry
Volume75
Issue number11
DOIs
Publication statusPublished - Nov 2014

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Meta-Analysis
Sleep
Randomized Controlled Trials
Neoplasms
Confidence Intervals
Somatotypes
PubMed
Libraries
Language
Databases

Keywords

  • Adult
  • Humans
  • Mind-Body Therapies/methods
  • Neoplasms/psychology
  • Sleep/physiology
  • Treatment Outcome

Cite this

The effects of mind-body interventions on sleep in cancer patients: a meta-analysis of randomized controlled trials. / Chiu, H Y; Chiang, P C; Miao, Nae-Fang; Lin, E Y; Tsai, P S.

In: Journal of Clinical Psychiatry, Vol. 75, No. 11, 11.2014, p. 1215-1223.

Research output: Contribution to journalArticle

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abstract = "OBJECTIVE: To examine the effect of mind-body interventions (MBIs) on sleep quality among cancer patients, the moderating effects of the intervention components, subject characteristics, and methodological features of the relationship between MBIs and sleep. DATA SOURCES: Electronic databases, including PubMed, Cochrane Library, PsycINFO, and CINAHL, containing data with English-language restriction recorded up to September 15, 2013 were searched thoroughly using keywords related to various types of MBI and sleep. STUDY SELECTION: Of the 114 identified citations, 99 were ineligible. Fifteen studies that followed 1,405 patients with cancer met the inclusion criteria and were analyzed. DATA EXTRACTION: The primary outcome was change in the sleep parameter. Other variables related to components of MBIs, subject characteristics, and methodological features of the studies were also extracted. DATA SYNTHESIS: The weighted mean effect size (ES) was -0.43 (95{\%} confidence interval [CI], -0.24 to -0.62) and the long-term effect size (up to 3 months) was -0.29 (95{\%} CI, -0.52 to -0.06). The sensitivity analysis revealed that MBIs had a significant effect on sleep (g = -0.33, P .05). CONCLUSIONS: This meta-analysis confirms that the MBIs yielded a medium effect size on sleep quality and the effect was maintained for up to 3 months. The findings support the implementation of MBIs into the multimodal approach to managing sleep quality in patients with cancer.",
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