Cancer survivor worries about treatment disruption and detrimental health outcomes due to the COVID-19 pandemic

Leach, Corinne R.; Kirkland, Elizabeth; Masters, Matthew; Sloan, Kirsten; Rees‐Punia, Erika; Patel, Alpa V.; Watson, Lesley

doi:10.1080/07347332.2021.1888184

Cited by 35 publications

(60 citation statements)

References 16 publications

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“…Notably in this study, having elevated psychological distress pre-pandemic was associated with an eleven-fold increase in depression for men. An additional predictor of depression among women during the pandemic included being at increased risk for COVID-19 complications due to pre-existing health conditions; this is similar to recent literature suggesting that during the pandemic those with a history of cancer reported a high level of worries about treatment delays and being at higher risk of poor outcomes if infected with COVID-19 compared to those without a history of cancer [27] . Higher levels of work/life balance stressors were more strongly associated with depression for women and anxiety for men; however higher levels of financial stressors were more strongly associated with depression among men.…”

Section: Discussionsupporting

confidence: 78%

Stressors and Other Pandemic-related Predictors of Prospective Changes in Psychological Distress

Rees‐Punia

Newton

Chantaprasopsuk

et al. 2021

The Lancet Regional Health - Americas

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Background Numerous studies have documented mental health challenges during the COVID-19 pandemic. Few studies included pre-pandemic levels of mental health or were comprehensive in assessing factors likely associated with longer-term mental health impacts. Methods Analyses used prospective data from a subset of participants in the nationwide Cancer Prevention Study-3 (CPS-3) United States cohort (N=2,359; 1,534 women; 825 men) who completed surveys in 2018 and during the COVID-19 pandemic (July-September 2020). Logistic regressions examined associations of pandemic-related stressors, sociodemographic and other predictors with (i) overall psychological distress (PD) and depression and anxiety separately during the COVID-19 pandemic and (ii) change in PD from 2018 to during the pandemic (low/low; high to low; low to high; high/high). Findings During the pandemic, 10% of participants reported moderate-to-severe PD and almost half (42%) reported at least mild PD. Pandemic PD levels were associated with pre-pandemic PD (female OR=5.65; male OR=9.70), financial stressors (female OR=2.48; male OR=3.68), and work/life balance stressors (female OR=3.03; male OR=3.33) experienced since the pandemic began. These stressors also predicted an escalation from low PD in 2018 to high PD during the pandemic. Factors associated with high PD at both time points included younger age, female sex, and financial stressors. Interpretation These results highlight the importance of regular mental health assessment and support among those with a history of mental health problems and those experiencing pandemic-related stressors, such as those with caregiving responsibilities or job changes. Funding The American Cancer Society funds the creation, maintenance, and updating of the CPS-3.

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Section: Discussionsupporting

confidence: 78%

Stressors and Other Pandemic-related Predictors of Prospective Changes in Psychological Distress

Rees‐Punia

Newton

Chantaprasopsuk

et al. 2021

The Lancet Regional Health - Americas

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“…Emerging research suggests that the disruptions associated with the COVID-19 pandemic have contributed to heightened levels of psychological distress and fear of recurrence (FCR) among people with cancer [8][9][10]. Early studies suggest that concerns about the perceived impact of COVID-19 on cancer management and treatment delays contribute to increased distress and FCR in cancer patients [8,11]. Having recent cancer treatment, pre-existing health conditions, having lower levels of formal education qualifications, female gender, and younger age have been found to correlate with distress [8,9,11].…”

Section: Introductionmentioning

confidence: 99%

“…Early studies suggest that concerns about the perceived impact of COVID-19 on cancer management and treatment delays contribute to increased distress and FCR in cancer patients [8,11]. Having recent cancer treatment, pre-existing health conditions, having lower levels of formal education qualifications, female gender, and younger age have been found to correlate with distress [8,9,11]. Qualitative findings suggest that the challenges created by the pandemic, such as fears of contracting COVID-19, reduced access to support from healthcare providers and family, and financial hardship, may also exacerbate distress in cancer patient [8,[10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…Having recent cancer treatment, pre-existing health conditions, having lower levels of formal education qualifications, female gender, and younger age have been found to correlate with distress [8,9,11]. Qualitative findings suggest that the challenges created by the pandemic, such as fears of contracting COVID-19, reduced access to support from healthcare providers and family, and financial hardship, may also exacerbate distress in cancer patient [8,[10][11][12]. However, these results have been mixed and apply primarily to patients with solid cancers.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and correlates of psychological distress, unmet supportive care needs, and fear of cancer recurrence among haematological cancer patients during the COVID-19 pandemic

Zomerdijk

Jongenelis

Short

et al. 2021

Support Care Cancer

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Background The COVID-19 pandemic has had a disruptive effect on people with haematological cancers, who represent a high-risk population due to the nature of their disease and immunosuppressive treatments. We aimed to identify the psychological impacts of the COVID-19 pandemic on haematology patients and identify correlated factors to inform the development of appropriate supportive interventions. Methods Three hundred and ninety-four respondents volunteered their participation in response to a study advertisement distributed online through established haematology groups. Participants completed a self-report online survey exploring wellbeing, psychological distress, unmet supportive care needs, and fear of cancer recurrence. Results At least 1 in 3 respondents (35%) reported clinical levels of distress and nearly 1 in 3 (32%) identified at least one unmet need. Among respondents in remission (n = 134), clinical fear of cancer recurrence was reported by nearly all (95%). Unmet needs, pre-existing health conditions, younger age, financial concerns, and perceived risk of contracting COVID-19 were the dominant factors contributing to psychological distress during the pandemic. Psychological distress, lost income, perceived inadequate support from care team, perceived risk of contracting COVID-19, and being a woman were significantly associated with unmet needs. Psychological distress and concern about the impact of COVID-19 on cancer management were significantly associated with fear of cancer recurrence among respondents in remission. Conclusion Results highlight the high psychological burden and unmet needs experienced by people with haematological cancers during the COVID-19 pandemic and indicate a need for innovative solutions to rapidly identify distress and unmet needs during, and beyond, pandemic times.

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“…One‐third of US cancer survivors were worried about treatment and cancer care disruptions early in the COVID‐19 pandemic, according to a study recently published in the Journal of Psychosocial Oncology 1 …”

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confidence: 99%

Study finds significant cancer survivor concerns early in the pandemic

Printz¹

2021

Cancer

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Cancer survivor worries about treatment disruption and detrimental health outcomes due to the COVID-19 pandemic

Cited by 35 publications

References 16 publications

Stressors and Other Pandemic-related Predictors of Prospective Changes in Psychological Distress

Stressors and Other Pandemic-related Predictors of Prospective Changes in Psychological Distress

Prevalence and correlates of psychological distress, unmet supportive care needs, and fear of cancer recurrence among haematological cancer patients during the COVID-19 pandemic

Study finds significant cancer survivor concerns early in the pandemic

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