title: Self-reported sleep problems in adolescent survivors of childhood cancer.
abstract: BACKGROUND
  Although sleep problems are common among adult cancer survivors, little is known about sleep problems in adolescent survivors of childhood cancer (ASCC).
  
  
  OBJECTIVE
  This study sought to describe (a) the prevalence of self-reported sleep problems among ASCC before treatment, during treatment, following treatment, and in survivorship follow-up; (b) the relationship between sleep problems and self-reported adverse psychosocial outcomes; and (c) the relationship between sleep problems, treatment, and disease.
  
  
  METHODS
  Baseline surveys were received from 173 ASCC aged 13-19 years. Chi-square analyses and odds ratios were used to determine associations between sleep problems and adverse psychosocial outcomes and treatment-related variables.
  
  
  RESULTS
  Sleep problems were reported before treatment (6%), during treatment (18%), after treatment (15%), and at present (11%). ASCC reporting sleep problems reported more adverse psychosocial outcomes than those without. Significant associations (p ≤ 0.05) between sleep problems and difficulty in school were identified at all time points. Sleep problems were associated with depressive symptoms, memory problems, and anxiety during and after treatment and at present.
authors.forename: Genevieve A
authors.initials: GA
authors.lastname: Desaulniers
authors.forename: Linda
authors.initials: L
authors.lastname: Riley
authors.forename: Kristen
authors.initials: K
authors.lastname: Vangle
authors.forename: Jordan
authors.initials: J
authors.lastname: Gilleland
authors.forename: Melinda
authors.initials: M
authors.lastname: Higgins
authors.forename: Karen
authors.initials: K
authors.lastname: Wasilewski-Masker
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000209:etiology; D003863:Depression / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000523:psychology*; D011446:Prospective Studies; D057566:Self Report; D012893:Sleep Wake Disorders / Q000209:etiology* / Q000523:psychology; D017741:Survivors / Q000523:psychology*
keywords: adolescent; sleep disturbance; survivorship