Anxiety and depression in patients with advanced cancer during the COVID-19 pandemic
Por:
Obispo-Portero, B, Cruz-Castellanos, P, Jimenez-Fonseca, P, Rogado, J, Hernandez, R, Castillo-Trujillo, O, Asensio-Martinez, E, Gonzalez-Moya, M, Carmona-Bayonas, A and Calderon, C
Publicada:
1 abr 2022
Ahead of Print:
1 ene 2022
Categoría:
Oncology
Resumen:
Objective Cancer patients are at increased risk for psychological difficulties and COVID-19. We sought to analyze anxiety and depression levels during the COVID-19 pandemic and the association between sociodemographic, clinical, and psychological factors in patients with advanced cancer. Methods A prospective, multicenter cohort of 401 consecutive patients with newly diagnosed, advanced cancer completed the Brief Symptom Inventory, Michel Uncertainty in Illness Scale, Herth Hope Index, and Cancer Worry Scale between February 2020 and May 2021. Linear regression analyses explored the effects of uncertainty, hopelessness, and cancer worry on anxiety and depression, adjusting for sociodemographic and clinical variables. Results The incidence of anxiety and depression was 36% and 35%, respectively. Emotional distress was greater among women, patients < 65 years of age, and those with an estimated survival of > 18 months. Linear regression analysis revealed that being female, preoccupation about cancer, and hopelessness were associated with increased levels of anxiety (p < 0.001) and depression (p < 0.001) and younger age was associated with a higher risk of anxiety. No differences in anxiety or depression levels were found in relation to marital status, children, educational level, cancer type, histology, stage, or type of treatment. Conclusions Patients with advanced cancer who initiated treatment during the pandemic experienced high levels of depression and anxiety. Early diagnosis and the development of intervention strategies are necessary, especially for specific patient subgroups, such as young women with long survival times.
Filiaciones:
Obispo-Portero, B:
Hosp Univ Infanta Leonor, Dept Med Oncol, Madrid, Spain
Cruz-Castellanos, P:
Hosp Univ La Paz, Dept Psychol, Madrid, Spain
Jimenez-Fonseca, P:
Hosp Univ Cent Asturias, Dept Med Oncol, Oviedo, Spain
Rogado, J:
Hosp Univ Infanta Leonor, Dept Med Oncol, Madrid, Spain
Hernandez, R:
Hosp Univ Canarias, Dept Med Oncol, Tenerife, Spain
Castillo-Trujillo, O:
Hosp Univ Cent Asturias, Dept Med Oncol, Oviedo, Spain
:
Hosp Gen Univ Elche, Dept Med Oncol, Elche, Spain
Gonzalez-Moya, M:
Hosp Quironsalud, Dept Med Oncol, Seville, Spain
Carmona-Bayonas, A:
Univ Murcia, Hosp Univ Morales Meseguer, Dept Hematol & Med Oncol, CP13-00126,PI17-0050 ISCIII & FEDER, Murcia, Spain
Fdn Seneca 04515 GERM 06, Murcia, Spain
Calderon, C:
Univ Barcelona, Fac Psychol, Dept Clin Psychol & Psychobiol, Barcelona, Spain
Bronze, Green Published
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