Factors associated with psychological distress among patients with breast cancer during the COVID-19 pandemic: a cross-sectional study in Wuhan, China

Chen, Xi; Wang, Longqiang; Li, Lin; Jiang, Ming; Wang, Weiming; Zhou, Xiaorong; Shao, Jun

doi:10.1007/s00520-021-05994-4

Cited by 35 publications

(54 citation statements)

References 32 publications

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“…Fear and anxiety are the psychological response of many people to COVID-19 pandemic, including cancer patients, and these people experience a significant psychological burden at the current time. Depression, isolation, anxiety, insomnia and fear are the most important psychological problems of cancer patients during the COVID-19 pandemic that have been mentioned by researchers in various studies (Chen et al, 2020 , 2021a ; Gallagher et al, 2020 ; Swainston et al, 2020 ; Wang et al, 2020a ; Büntzel et al, 2021 ; Levy et al, 2021 ; Rodrigues-Oliveira et al, 2021 ; Wong et al, 2021 ).…”

Section: Resultsmentioning

confidence: 99%

“…According to this study, employment and more intense mental engagement were associated with more anxiety and depression and poorer cognitive function (Chapman et al, 2020 ). According to studies, the immunocompromised people who are in a state of active treatment, quarantine and loneliness, or experience delay in any part of their treatment process have a higher level of anxiety (Chen et al, 2020 , 2021a ; Frey et al, 2020 ; Chia et al, 2021 ; Papautsky and Hamlish, 2021 ). A study from US reported delay in cancer care was associated with a 4-fold increased rate of anxiety (Chen et al, 2021b ).…”

Section: Resultsmentioning

confidence: 99%

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Psychological Distress Among Cancer Patients During COVID-19 Pandemic in the World: A Systematic Review

et al. 2021

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Aim: Patients with malignancies, experience high rates of psychological distress. Fear of Corona-infection combined with the interruptions in some treatment programs might affect the psychological health of cancer patients. This review study was conducted to investigate the psychological distress among cancer patients during COVID-19 pandemic to offer system-adapted individual solutions.Materials and methods: To identify the psychological distress of cancer patients, a comprehensive search was carried out in PubMed, Web of Science, and Scopus. English language and original articles were included in this study. Articles that addressed any psychological distress among cancer patients during COVID-19 pandemic were included.Results: At first 1,410 articles, were included in the study. After removing duplicate articles and reviewing the title and abstract, 55 articles were selected for the review. The findings of this study revealed COVID-19 greatly affects psychological health of cancer patients. Fear of COVID-19, fear of disease progression, disruption of oncology services, cancer stage, and immunocompromised status were the most common causes of psychological distress in oncology patients which can influence patients' decisions about treatment.Conclusion: The COVID-19 related anxiety is an expected reaction to the current situation. Although psychological distress affects many people, it can confuse cancer patients to the point that they refuse to continue treatment for the fear of infection and worsening of their condition. Since the end of this pandemic is unknown, this action can endanger the health and prognosis of this group of patients, so it seems that using psychological interventions and intensive counseling in the current situation is one of the main priorities for cancer patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Psychological Distress Among Cancer Patients During COVID-19 Pandemic in the World: A Systematic Review

et al. 2021

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“…On the contrary, the authors of a study from Turkey including 595 patients with cancer under active treatment stated that the pandemic may have increased anxiety and depression in their group (15). Moreover, in two larger studies from China focusing on patients with breast cancer, a high prevalence of depression, anxiety, distress and insomnia was observed (16,17). However, none of these previous studies was comparable to our present study, since they did not focus on the impact of the COVID-19 pandemic on pre-radiotherapy sleep disorders.…”

Section: Discussionmentioning

confidence: 98%

“…The majority of patients with cancer belong to the high-risk group because of immuno-suppression due to malignant disease or anticancer treatment (9-12). The studies reported so far have provided conflicting results regarding the impact of the COVID-19 pandemic on distress and sleep disorders in patients with cancer (13)(14)(15)(16)(17). No study has particularly focused on the impact of the COVID-19 pandemic on the prevalence of sleep disorders before a course of radiotherapy.…”

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confidence: 99%

Sleep Disorders Before and During the COVID-19 Pandemic in Patients Assigned to Adjuvant Radiotherapy for Breast Cancer

Rades

Narvaez

Schild

et al. 2021

In Vivo

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Background/Aim: The anticipation of radiotherapy can cause distress and sleep disorders, which may be aggravated by the COVID-19 pandemic. This study investigated sleep disorders in a large cohort of patients with breast cancer before and during the pandemic. Patients and Methods: Twenty-three characteristics were retrospectively analyzed for associations with pre-radiotherapy sleep disorders in 338 patients. Moreover, 163 patients presenting before and 175 patients presenting during the COVID-19 pandemic were compared for sleep disorders. Results: Sleep disorders were significantly associated with age ≤60 years (p=0.006); high distress score (p<0.0001); more emotional (p<0.0001), physical (p<0.0001) or practical (p<0.0001) problems; psycho-oncological need (p<0.0001); invasive cancer (p=0.003); chemotherapy (p<0.001); and hormonal therapy (p=0.006). Sleep disorders were similarly common in both groups (prior to vs. during the pandemic: 40% vs. 45%, p=0.38). Conclusion: Although additional significant risk factors for sleep disorders were identified, the COVID-19 pandemic appeared to have no significant impact on sleep disorders in patients scheduled for irradiation of breast cancer.Breast cancer is one of the most common cancer types worldwide (1). In the vast majority of patients with primary breast cancer, the treatment regimen includes adjuvant radiotherapy (2). Being scheduled for radiotherapy can cause significant distress for patients, which may be associated with sleep disorders. According to previous studies, sleep disorders are quite common in patients with breast cancer (3,4).Controversy exists regarding the point in time during a patient's course when sleep orders are most prevalent. In a study that investigated sleeping habits in 33 patients with breast cancer and 23 with prostate cancer during a course of radiotherapy plus 6-month follow-up, sleep disorders occurred mainly before and at the beginning of the treatment (5). In a population-based epidemiological study including 465 patients with breast cancer and 263 with prostate cancer, sleep disorders increased during the period of treatment due to radiationrelated side-effects (6). To date, only a few studies have investigated the prevalence of pre-radiotherapy sleep disorders and corresponding risk factors (4, 7, 8). Therefore, a major goal of the current study was the identification of additional risk factors for pre-radiotherapy sleep disorders in a large cohort of patients with primary breast cancer.Distress and pre-radiotherapy sleep disorders may be aggravated by the Coronavirus Disease 2019 (COVID-19) pandemic. The majority of patients with cancer belong to the high-risk group because of immuno-suppression due to malignant disease or anticancer treatment (9-12). The studies reported so far have provided conflicting results regarding the impact of the COVID-19 pandemic on distress and sleep disorders in patients with cancer (13)(14)(15)(16)(17). No study has particularly focused on the impact of the COVID-19 pandemic on the prevalence of slee...

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“…Fourth, the actual figures of COVID‐19 regarding suspected cases, confirmed cases, and deaths are widely different across countries; therefore, the impact of such figures on sleep problems may not be the same. Furthermore, different countries applied different policies for COVID‐19 outbreak control (Chang et al, 2020 ; Chen, Chen et al, 2021 , Chen, Wang et al, 2021 ; Chen et al, 2020 ; Lin, Broström et al, 2020 , Lin, Imani 2020 ; Mamun et al, 2021 ; Pramukti et al, 2020 ) and such measures could affect the prevalence rates of sleep problems.…”

Section: Discussionmentioning

confidence: 99%

Gender‐specific estimates of sleep problems during the COVID‐19 pandemic: Systematic review and meta‐analysis

Alimoradi

Gozal

Tsang

et al. 2021

Journal of Sleep Research

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Summary The outbreak of the novel coronavirus disease 2019 (COVID‐19) changed lifestyles worldwide and subsequently induced individuals’ sleep problems. Sleep problems have been demonstrated by scattered evidence among the current literature on COVID‐19; however, little is known regarding the synthesised prevalence of sleep problems (i.e. insomnia symptoms and poor sleep quality) for males and females separately. The present systematic review and meta‐analysis aimed to answer the important question regarding prevalence of sleep problems during the COVID‐19 outbreak period between genders. Using the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guideline and Newcastle–Ottawa Scale checklist, relevant studies with satisfactory methodological quality searched for in five academic databases (Scopus, PubMed Central, ProQuest, Web of Science , and EMBASE) were included and analysed. The protocol of the project was registered in the International Prospective Register of Systematic Reviews (PROSPERO; identification code CRD42020181644). A total of 54 papers ( N = 67,722) in the female subgroup and 45 papers ( N = 45,718) in the male subgroup were pooled in the meta‐analysis. The corrected pooled estimated prevalence of sleep problems was 24% (95% confidence interval [CI] 19%–29%) for female participants and 27% (95% CI 24%–30%) for male participants. Although in both gender subgroups, patients with COVID‐19, health professionals and general population showed the highest prevalence of sleep problems, it did not reach statistical significance. Based on multivariable meta‐regression, both gender groups had higher prevalence of sleep problems during the lockdown period. Therefore, healthcare providers should pay attention to the sleep problems and take appropriate preventive action.

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Factors associated with psychological distress among patients with breast cancer during the COVID-19 pandemic: a cross-sectional study in Wuhan, China

Cited by 35 publications

References 32 publications

Psychological Distress Among Cancer Patients During COVID-19 Pandemic in the World: A Systematic Review

Psychological Distress Among Cancer Patients During COVID-19 Pandemic in the World: A Systematic Review

Sleep Disorders Before and During the COVID-19 Pandemic in Patients Assigned to Adjuvant Radiotherapy for Breast Cancer

Gender‐specific estimates of sleep problems during the COVID‐19 pandemic: Systematic review and meta‐analysis

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