Evidence map›Paper›PMID 40966187›Full record

Trial reportCancer2025

Prospective associations between sleep quality and sexual satisfaction in distressed breast cancer survivors: Secondary analysis from the Apps Reaching Cancer Survivors randomized trial.

Kelly M Shaffer, Katharine E Daniel, Kara P Wiseman, Lee M Ritterband, David C Mohr, Wendy Cohn, Shayna L Showalter, Philip I Chow

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Kelly M ShafferCenter for Behavioral Health and Technology, University of Virginia, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0002-9749-8006
Katharine E DanielCenter for Behavioral Health and Technology, University of Virginia, Charlottesville, Virginia, USA.
Kara P WisemanCenter for Behavioral Health and Technology, University of Virginia, Charlottesville, Virginia, USA.
Lee M RitterbandCenter for Behavioral Health and Technology, University of Virginia, Charlottesville, Virginia, USA.
David C MohrCenter for Behavioral Intervention Technologies, Northwestern University, Chicago, Illinois, USA.
Wendy CohnComprehensive Cancer Center, University of Virginia, Charlottesville, Virginia, USA.
Shayna L ShowalterComprehensive Cancer Center, University of Virginia, Charlottesville, Virginia, USA.
Philip I ChowCenter for Behavioral Health and Technology, University of Virginia, Charlottesville, Virginia, USA.

Funding

Evaluating Digital Micro-Interventions to Reduce Distress and Increase Wellbeing in Breast Cancer SurvivorsR37CA248434 · NCI · UNIVERSITY OF VIRGINIA · PI Philip Chow · 2021 to 2026
$3.1M
NCI NIH HHS R37 CA248434NCI NIH HHS R37CA248434
6 · The paper itself

Abstract

backgroundOne in 20 women globally will be diagnosed with breast cancer in her lifetime and face increased risk for poor sleep quality and sexual functioning after treatment. Limited evidence exists on how these prevalent survivorship concerns influence each other over time. This secondary analysis examined the prospective association between breast cancer survivors' sleep quality and sexual satisfaction.

methodsDistressed breast cancer survivors (N = 313; mean age, 52 years [range: 27-77 years]; 84% non-Hispanic White) reported sleep quality (Pittsburgh Sleep Quality Index) and sexual satisfaction (Patient Reported Outcomes Measurement Information System Satisfaction With Sex Life Scale) at baseline, 8 weeks, 6 months, and 12 months in a randomized clinical trial of an application-based distress intervention. Parallel-process latent growth modeling was used to test associations between trajectories of these domains, adjusting for age and partner status.

resultsMost survivors (77%) reported clinically significant impairments in both sleep quality and sexual satisfaction at one or more timepoints. Model fit was strong (χ

conclusionsPoor sleep and low sexual satisfaction commonly co-occur among distressed breast cancer survivors and are cross-sectionally related. However, changes in these domains occurred independently over time, highlighting the importance of evaluating both concerns and providing domain-specific survivorship care.

Indexed as

Breast NeoplasmsCancer SurvivorsSexual BehaviorSleep QualityAdultAgedFemaleHumansMiddle AgedMobile ApplicationsPersonal SatisfactionProspective StudiesQuality of Lifebreast neoplasmscancer survivorslatent growth modelingsexual healthsleep quality

Identifiers

PMID40966187
PMCPMC12445633

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.