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Future Directions and Gaps Chronic fatigue in cancer survivors remains an area of active research, and many questions about its pathogenesis and optimal management are still unanswered

Of 35 sleep hygiene habits studied, 18 were independently associated with worse sleep quality 273 : Worrying about falling asleep while in bed Inconsistent total sleep times Using sleep medications Worrying about sleep during the day Going to bed feeling stressed or other negative emotions Checking the time during the night Going to bed hungry Having no sunlight exposure or time outside during the day Going to bed thirsty Inconsistent bedtimes Engaging in activities other than sleep in bed Inconsistent wake times Sleeping with uncomfortable bed or pillows Not taking time to relax before bedtime Napping during the day Having an unpleasant conversation near bedtime Sleeping in a poorly ventilated bedroom Pondering unresolved matters before bed Sleep hygiene for shift-workers may include slightly different recommendations

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