Evidence map›Paper›PMID 24706506›Full record

ArticlePsycho-oncology2014

Ecological momentary assessment of sleep, symptoms, and mood during chemotherapy for breast cancer.

Chelsea G Ratcliff, Cho Y Lam, Banu Arun, Vincente Valero, Lorenzo Cohen

Abstract read
In one paragraph

Article in Psycho-oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Multimodal Sensing and Modeling of Endocrine Therapy Adherence in Breast Cancer Survivors.Proceedings of the ACM on interactive, mobile, wearable and ubiquitous technologies · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Sleep moderates the effects of Tibetan yoga for women with breast cancer undergoing chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  10. The effect of treatment and coping on the quality of life in breast cancer patients: a moderated mediation model.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  11. Article
  12. Patient characteristics associated with sleep disturbance in breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  13. Daily Physical Activity and Symptom Reporting in Breast Cancer Patients Undergoing Chemotherapy: An Intensive Longitudinal Examination.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
  14. Review
  15. Article
  16. Cancer-Related Fatigue: Causes and Current Treatment Options.Current treatment options in oncology · 2020
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Chelsea G RatcliffDepartment of Clinical Psychology, University of Houston, 126 Heyne Building, Houston, TX, 77204, USA.
Cho Y Lam
Banu Arun
Vincente Valero
Lorenzo Cohen
The University of Texas MD Anderson Cancer Center · USUniversity of Houston · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
R25 SUPPLEMENT IN GENETIC EPIDEMIOLOGY EDUCATIONR25CA057730 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CHANG, SHINE · 1992 to 2016
$18.6M
COMPUTER AIDED STRESS REDUCTION, MENTAL HEALTH &CANCERR21MH062031 · NIMH · UNIVERSITY OF TEXAS MD ANDERSON CAN CTR · PI COHEN, LORENZO · 2000 to 2002
$450k
NCI NIH HHS P30 CA016672NCI NIH HHS R25 CA057730NCI NIH HHS R25T CA57730,NIMH NIH HHS 5R21MH062031-02NIMH NIH HHS R21 MH062031
6 · The paper itself

Abstract

objectiveThis study examined the association of sleep before and during a chemotherapy (CT) cycle for breast cancer with symptoms and mood during a CT cycle.

methodsTwenty women undergoing CT for breast cancer completed the Pittsburgh Sleep Quality Index (PSQI) 1 h prior to a CT infusion. For 3 weeks following infusion, participants estimated sleep efficiency, minutes to sleep (sleep latency), number of nocturnal awakenings (sleep fragmentation (SF)), and sleep quality (SQ) each morning and rated symptoms (nausea, fatigue, numbness, and difficulty thinking) and mood three times daily (morning, afternoon, and evening) via ecological momentary assessments using automated handheld computers.

resultsThe results showed that disturbed sleep (PSQI score > 5) prior to CT infusion was associated with greater fatigue, and more negative and anxious mood throughout the 3-week CT cycle, and good pre-CT infusion sleep (PSQI score < 5) buffered anxious mood in the first days following infusion. Time-lagged analyses controlling for mood/symptom ratings reported the previous evening revealed that longer sleep latency and greater SF were associated with greater daytime fatigue; poorer SQ and greater SF were antecedents of worse morning negative mood, and greater SF was associated with feeling more passive and drowsy. No evening symptom or mood ratings were related to subsequent SQ.

conclusionsThese findings suggest that disturbed sleep before and after a CT infusion exacerbates fatigue, and negative, anxious, and drowsy mood during a CT cycle. Reducing sleep disturbance may be an important way to improve quality of life during CT.

Indexed as

AffectFatigueSleepAdultAgedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsAnxietyBreast NeoplasmsCohort StudiesComputers, HandheldCyclophosphamideData CollectionDepressionDocetaxelDoxorubicinAntineoplastic AgentsCyclophosphamideDocetaxelDoxorubicinFluorouracilPaclitaxelTaxoidsbreast cancerchemotherapyecological momentary assessmentfatigueQOLsleep

Identifiers

PMID24706506
PMCPMC4185252
OpenAlexW1667620534

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.