Cognitive Behavior vs Bright Light Therapy for Insomnia in Women Undergoing Chemotherapy for Breast Cancer: A - Takeaways - MDSpire
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Comparative Effectiveness of Cognitive Behavioral Therapy and Bright Light Treatment for Insomnia in Women with Breast Cancer Undergoing Chemotherapy

  • By

  • Trang Thuy Do

  • Jordan Maccora

  • Rebecca Wallace

  • Veronica Aedo-Lopez

  • Marliese Alexander

  • Sonia Ancoli-Israel

  • Bei Bei

  • Robert Blum

  • Frances Boyle

  • Daphne Day

  • Justine Diggens

  • Prudence A. Francis

  • Maria Ftanou

  • Sheila N. Garland

  • Alysia Kepert

  • Duncan Mortimer

  • Andrew J. K. Phillips

  • Sharad Sharma

  • Lesley Stafford

  • Michelle White

  • Joshua F. Wiley

  • August 27, 2026

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  • 1

    Insomnia affects 62% and moderate to severe fatigue affects 43% of women with breast cancer undergoing chemotherapy.

  • 2

    Cognitive behavior therapy for insomnia (CBT-I) is the first-line treatment for insomnia, including among cancer patients.

  • 3

    Bright light therapy (BLT) aims to improve sleep and reduce fatigue by targeting circadian rhythms during chemotherapy.

  • 4

    The study examines the efficacy of CBT-I and BLT for insomnia and fatigue in women with breast cancer receiving chemotherapy.

  • 5

    Participants were randomly assigned to CBT-I, BLT, combined CBT-I and BLT, or sleep hygiene education in a factorial trial design.

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