PURPOSE: @entity22 is highly prevalent in @entity5 @entity1 . Cognitive-behavioral therapy (CBT) is considered the treatment of choice for chronic @entity22 . However, no randomized controlled study has been conducted on its efficacy for @entity22 secondary to @entity5 . Using a randomized controlled design, this study conducted among @entity0 survivors evaluated the effect of CBT on sleep, assessed both subjectively and objectively, and on hypnotic medication use, psychological distress, and quality of life. @entity1 AND METHODS: Fifty-seven @entity1 with @entity22 caused or aggravated by @entity0 were randomly assigned to CBT (n = 27) or a waiting-list control condition (n = 30). The treatment consisted of eight weekly sessions administered in a group and combined the use of stimulus control, sleep restriction, cognitive therapy, sleep hygiene, and fatigue management. Follow-up evaluations were carried out 3, 6, and 12 months after the treatment. RESULTS: @entity1 who received the @entity22 treatment had significantly better subjective sleep indices (daily sleep diary, Insomnia Severity Index), a lower frequency of medicated nights, lower levels of @entity308 and @entity148 , and greater global quality of life at post-treatment compared with @entity1 of the control group after their waiting period. Results were more equivocal on polysomnographic indices. Therapeutic effects were well maintained up to 12 months after the intervention and generally were clinically significant. CONCLUSION: This study supports the efficacy of CBT for @entity0 .

Randomized study on the efficacy of cognitive-behavioral therapy for XXXX , part I: Sleep and psychological effects.

@entity1 :: ('9606', 'Species') :: ['participants', 'women', 'patients', 'PATIENTS', 'Participants'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity0 :: ('MESH:D001943', 'Disease') :: ['insomnia secondary to breast cancer', 'breast cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity22 :: ('MESH:D007319', 'Disease') :: ['primary insomnia', 'Chronic insomnia', 'insomnia']
@entity0 :: (MESH:D001943,Disease) :: ['insomnia secondary to breast cancer']
