Effectiveness Of Cognitive Restructuring on Quality of Sleep In Patients With Cancer: A Quasi Experimental Study

Abstract

Background: Sleep deprivation can increase the risk of developing certain types of cancer.

It not only affects cancer progression but also treatment efficacy.

Aim: The study's goal was to determine the effectiveness of cognitive restructuring on sleep quality in patients with cancer.

Methods: It was a quasi-experimental study in which 144  patients with cancer of various types were chosen using a purposive sampling technique. The PSQI was used to assess sleep quality. The evaluation was conducted both before and after cognitive restructuring.

Results: The study found that 68 (94.4 percent) of patients in the study group and 69(95.8 percent) of patients in the control group had poor sleep quality, while only 4(5.6 percent) of patients in the study group and 3(4.2 percent) of patients in the control group had good sleep in the pretest. The mean PSQI score of the study group before intervention is 12.26 and SD4.17, while the control group's score is 12.54 and SD2.89. The mean score of the study group was (7.44) with a standard deviation of 2.49 and the mean score of the control group was (12.19) with a standard deviation of 3.04. After cognitive restructuring, the mean difference in the improvement of sleep quality between two groups was found to be statistically significant (p=0.001).

Conclusion: Our research found that cognitive restructuring is the most effective psychological intervention to improve sleep quality.