title: An integrative review of subjective and objective measures of sleep disturbances in breast cancer survivors.
abstract: BACKGROUND
  Sleep disturbances are recognized as a side effect of cancer treatment, affecting physiological and psychological functioning. Sleep disturbances can persist through treatment and survivorship, and are increasingly prevalent among breast cancer survivors (BCSs).
  
  
  OBJECTIVE
  The purpose of this review is to summarize current research on subjective and objective measures of sleep disturbances, the association between subjective and objective measures, and interventions used to manage sleep disturbances among BCSs after the completion of treatment.
  
  
  METHODS
  Articles published from 2003-2013 were retrieved using PubMed, Web of Science, and ScienceDirect. Key search terms included breast cancer, sleep actigraphy, and sleep disturbances. Articles assessing sleep subjectively and objectively in the post-treatment period were included.
  
  
  RESULTS
  Twelve studies met the inclusion criteria.
authors.affiliation: Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Boston, MA.
authors.forename: Pinky H
authors.initials: PH
authors.lastname: Budhrani
authors.affiliation: College of Nursing, University of South Florida, Tampa.
authors.forename: Cecile A
authors.initials: CA
authors.lastname: Lengacher
authors.affiliation: College of Nursing at the University of South Florida in Tampa.
authors.forename: Kevin
authors.initials: K
authors.lastname: Kip
authors.affiliation: College of Nursing at the University of South Florida in Tampa.
authors.forename: Cindy
authors.initials: C
authors.lastname: Tofthagen
authors.affiliation: H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.
authors.forename: Heather
authors.initials: H
authors.lastname: Jim
mesh_terms: D001943:Breast Neoplasms / Q000523:psychology*; D015928:Cognitive Behavioral Therapy; D015444:Exercise; D005260:Female; D006801:Humans; D012893:Sleep Wake Disorders / Q000209:etiology* / Q000628:therapy*; D017741:Survivors / Q000523:psychology*
keywords: actigraphy; breast cancer survivors; practice; subjective sleep