Insomnia in adult patients with cancer: ESMO Clinical Practice Guideline

L Grassi; R Zachariae; R Caruso; L Palagini; R Campos-Ródenas; M B Riba; M Lloyd-Williams; D Kissane; G Rodin; D McFarland; C I Ripamonti; D Santini; ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org

doi:10.1016/j.esmoop.2023.102047

Insomnia in adult patients with cancer: ESMO Clinical Practice Guideline

ESMO Open. 2023 Dec;8(6):102047. doi: 10.1016/j.esmoop.2023.102047. Epub 2023 Nov 21.

Authors

Affiliations

¹ Institute of Psychiatry, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.
² Unit for Psychooncology and Health Psychology (EPoS), Department of Oncology, Aarhus University Hospital, Aarhus; Danish Center for Breast Cancer Late Effects (DCCL), Aarhus University Hospital, Aarhus, Denmark.
³ Sleep Clinic, Department of Clinical and Experimental Medicine, Azienda Ospedaliero Universitaria Pisana, University of Pisa, Pisa, Italy.
⁴ Department of Psychiatry, Hospital Clínico Universitario Lozano Blesa, University of Zaragoza, Zaragoza, Spain.
⁵ Department of Psychiatry, University of Michigan, Ann Arbor; University of Michigan Rogel Cancer Center, University of Michigan, Ann Arbor, USA.
⁶ Academic Palliative and Supportive Care Studies Group (APSCSG), Primary Care and Mental Health, University of Liverpool, Liverpool; Department of Supportive and Palliative Care, Liverpool John Moores University, Liverpool, UK.
⁷ Department of Psychiatry, Monash University and Monash Medical Centre, Monash Health, Clayton, Australia.
⁸ Department of Supportive Care, Princess Margaret Cancer Centre, Toronto, Canada.
⁹ Department of Psychiatry, University of Rochester, Rochester; Wilmont Cancer Institute, University of Rochester Medical Center, Rochester, USA.
¹⁰ School of Speciality in Palliative Medicine, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia.
¹¹ Medical Oncology A, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.

Abstract

•
Insomnia is common in patients with cancer, with a higher prevalence than observed in the general population.
•
Insomnia is often under-recognised and inadequately treated in patients with cancer.
•
Brief validated screening tools are available for the evaluation of insomnia in clinical practice.
•
First-line therapy should be based on international guidelines recommending cognitive behavioural therapy for insomnia.

Keywords: cancer; insomnia; oncology; psychiatry; psycho-oncology.

Publication types

Practice Guideline

MeSH terms

Adult
Humans
Medical Oncology
Neoplasms* / complications
Neoplasms* / epidemiology
Neoplasms* / therapy
Sleep Initiation and Maintenance Disorders* / epidemiology
Sleep Initiation and Maintenance Disorders* / etiology