Results: The average global score on the Pittsburgh Sleep Quality Index (PSQI) was 8.49 (SE) = 4.16); 54% scoring above the suggested adjusted cutoff for cancer populations of 8.0. Controlling for various medical, sociodemographic, and psychosocial covariates,

multiple regression analyses revealed that higher global PSQI score was significantly associated with poorer functional well-being, greater fatigue intensity, selleckchem greater disruptions in social interactions, and lower positive states of mind. Specifically, a poorer ‘sleep efficiency’ PSQI component was associated with poorer functional quality of life and the SIP Social Interactions subscale, while a poorer ‘sleep quality’ (SQ) PSQI component was associated with all of the outcomes except for the SIP Recreations and Pastimes subscale.

Conclusions: Results indicate consistent associations between a clinical indicator of sleep dysfunction, particularly those subscales of the PSQI comprising the ‘SQ’ component, and multiple indicators of psychosocial adaptation among women treated for BCa, independent of anxiety and depression, and suggest the value of comprehensive psychosocial interventions that consider sleep problems. Copyright (C) 2009 John Wiley & Sons, Ltd.”
“Objective.

We examined chronic pain management practices and confidence and satisfaction levels MS-275 molecular weight in treating chronic pain among primary care providers (PCPs) who cared for high-risk patients in safety net health settings. Design. We recruited PCPs (N = 61) through their HIV-infected patients who were enrolled in a longitudinal study on pain, use, and misuse of opioid analgesics (Pain Study). We asked PCPs to complete a questionnaire about all of their patients in their practice on the prevalence of chronic pain and illicit substance use,

use of opioid analgesics, confidence and satisfaction levels in treating chronic pain, and likelihood of prescribing opioid analgesics in response to clinical vignettes. Results. All PCPs cared for at least some patients with chronic pain, and the majority prescribed opioid analgesics for its treatment. All PCPs cared for at least some patients who used illicit substances. PCPs reported low confidence and satisfaction levels in treating chronic pain. The majority (73.8%) of PCPs were highly likely to prescribe find more opioid analgesics to a patient without a history of substance use who had chronic pain. The majority (88.5%) were somewhat to highly likely to prescribe opioid analgesics to a patient with a prior history of substance use but not active use. Most (67.2%) were somewhat to highly likely to prescribe opioids to a patient with active substance use. Conclusion. In order to improve PCPs’ confidence and satisfaction in managing chronic pain, further work should explore the root causes of low confidence and satisfaction and also explore possible remedies.