Level of COVID-19 fear in cancer patients

Erdoğan, Atike Pınar; Ekinci, Ferhat; Acar, Ömer

doi:10.1186/s43045-022-00181-5

Cited by 15 publications

(24 citation statements)

References 19 publications

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“…In this study, the total mean fear score of COVID-19 was high among breast cancer patients and this correlated positively with mean anxiety score. This finding is consistent with a recent study conducted by Al-Rahimi, Nass, Hassoubah, Wazqar and Alamoudi (,2021) and Erdogan, Ekinci, Acar and Goksel (2022)who found high level of COVID-19 fear and anxiety among patients with breast cancer. Also, the current study indicated a positive association between level of anxiety and chemotherapy adherence and this is consistent with Zhu, Tong, Xu, Xiao, Zhang, Zhang (2020) who concluded that anxiety lead to postponement of chemotherapy session.…”

Section: Discussionsupporting

confidence: 93%

Relationship Between Fear, Anxiety and Chemotherapy Adherence among Patients Having Breast Cancer During COVID-19

Abdelaziz

Abdo

Abdalgeleel

et al. 2022

Menoufia Nursing Journal

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Background: Fear and anxiety can predispose breast cancer (BC) patient to serious consequences including non-adherence to chemotherapeutic agents leading to uncontrolled management. The situation is more complex during Covid-19 pandemic. The purpose of this study was to determine the relationship between fear, anxiety and chemotherapy adherence among patients having breast cancer during COVID-19.A cross-sectional correlational design was used. Sample: A purposive sample of 168 patients having breast cancer was selected. Setting: The study was conducted in the Chemotherapy Department at El Tagamoo El Awal Breast Cancer Hospital Data was collected using three instruments. Instrument one: (a) Structured Interview Questionnaire,(b)Assessment of Fear of COVID-19 Likert Scale and Instrument two: Beck anxiety Inventory (BAI) Likert scale. Instrument three: Chemotherapy Adherence Questionnaire .Results: The higher percentage (59.50%) of patients missed more than 4 cycles of chemotherapy. A strongly positive relationship was found between mean score of anxiety and fear (r=.318**;P=.000) among BC patients. Studied patients had severe anxiety (54.33±8.89), high level of fear mean score (28.43± 4.87) and non adherence to chemotherapy (7.02±1.89).Conclusion: There is a strong positive relationship between fear and anxiety. Chemotherapy adherence among patients having breast cancer during COVID-19 is reduced if patients have high levels of fear and anxiety. Replication of the study in different geographical areas is recommended to generalize the results.

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Section: Discussionsupporting

confidence: 93%

Relationship Between Fear, Anxiety and Chemotherapy Adherence among Patients Having Breast Cancer During COVID-19

Abdelaziz

Abdo

Abdalgeleel

et al. 2022

Menoufia Nursing Journal

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“…Fear of COVID-19 infection was by far the most represented worry reported in this study followed by concerns about self-security and the wellbeing of others, such as friends or family member. These results are in line with previous observations, where the majority of the patients (more than 60% of the studied population) expressed fears about contracting the virus [17][18][19].…”

Section: Discussionsupporting

confidence: 93%

Perception of the impact of COVID-19 pandemics on cancer patients

Pires

Pestana-Santos

Costa

et al. 2022

Preprint

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Purpose Significant changes in treatment centers were implemented during COVID-19 pandemics. Understanding how these alterations impacted cancer patients is a subject that needs to be investigated. Methods Patients who accepted to fill a hand paper questionnaire were included in this cross-sectional study. The questionnaire was distributed between March 19 and April 30, 2020 (first emergency state in Portugal) at the Portuguese Oncology Institute of Coimbra Francisco Gentil. Results A total of 100 patients participated in the study, of whom 66% were female. The median age was 61 years old [29–89]. Patients presented low education levels (65% with 9 or less years of schooling), lived together (83%) and were undergoing palliate treatments (59%). The most significant reported change in health care were inability of having an accompanying person in medical appointments (64%). Association with the level of education, household, type of solid cancer or therapeutic purpose was not verified (Creamer-V-indicator < 0.4). The major concerns reported were being infected by SARS-Cov-2 due to an immunosuppressed state (65%) and the security of self/family/friends (53%). Patients with lower education were more worried about developing COVID-19 (p = 0.001) and of having limited access to medical care (p = 0.047). Patients in a curative therapeutic approach were more concerned about employment situation (p = 0.031) and had higher anxiety levels (p = 0.047). Conclusion COVID-19 pandemic is having a great impact in patients with cancer, namely in those who have a lower education level, live alone or those who therapeutic approach is curative. The implementation of measures to manage the psychologic impact of COVID-19 is urgent.

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“…Cancer patients experience a period of intense anxiety from the time of diagnosis to treatment, surgery, and in metastasis for those at advanced stages 10,11 . In addition, pain, loss of appetite, cachexia, changes in the sense of taste, hair loss, nausea, vomiting, mucositis, fatigue, shortness of breath, and depressive states are often observed associated with the disease itself or treatments.…”

Section: Dıscussıonmentioning

confidence: 99%

“…In addition, pain, loss of appetite, cachexia, changes in the sense of taste, hair loss, nausea, vomiting, mucositis, fatigue, shortness of breath, and depressive states are often observed associated with the disease itself or treatments. Emotional and behavioural reactions may completely change in these patients compared to the pre-diagnosis period [10][11][12][13] . It is also known that psychiatric problems are seen more in cancer patients than in the normal population.…”

Section: Dıscussıonmentioning

confidence: 99%

The Confusion Caused by the Fear of COVID 19 in the Future of Cancer Patients

Ekinci

ATEŞ>

Erdoğan

et al. 2023

Bangladesh J Med Sci

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Objective: The “centrality of events scale” (CES) was formed to determine to what extent this localisation of a traumatic memory is formed. The CES was used in this study to determine how overshadowed the cancer disease was by fear of COVID-19 in cancer patients or how centralised the cognitive trauma was in this patient group. Materials and Methods: In the first paragraph of the short 7-item CES, it was written, “Please think about the most stressful or traumatic event in your life”, then 3 options were given. These alternatives were: A) I am currently being treated here for my disease., B) I am likely to catch COVID-19 and C) Other. After marking one of these options, the subjects were instructed to mark their level of agreement with the 7 items as stated by Berntsen and Rubin, and thus this section was the same as the original questionnaire. To be able to evaluate the questionnaire results taking the disease characteristics into account, a record was made of age, gender, treatment history (chemotherapy and radiotherapy), current treatment (chemotherapy, hoemone therapy, immunotherapy, monoclonal antibodies, tyrosine kinase inhibitors) treatment aim (adjuvant, neoadjuvant, palliative), disease status on presentation (no spread, local, metastatic).The questionnaires were administered to all the cancer patients who presented at the oncology clinic between 1 April and 1 October 2020. Results: This study was conducted to seek an answer to this question, and it was seen that of a total of 523 patients diagnosed with cancer, the vast majority (n:368, 70.4%) saw the most traumatic and stressful event of their life as cancer, with the response to option A on the questionnaire. The possibility of contracting COVID-19 was selected by 83 (15.9%) patients as the most stressful or traumatic event in their life. The option of C was marked by 72 (13.8%) patients. This showed that neither cancer nor fear of coronavirus infection was strong enough to replace the traumatic event experienced and centred in the identity of these 72 patients. These traumas of the patients were analyzed with the mean CES points. The highest points were obtained by those who marked option A, at 3.71, which was statistically significantly higher than the 3.29 points for B and 3.29 points for C (p:0.004). Conclusion: A trauma left in the past actually lives on in the cognitive memory and may even be established at the centre of the self and personal identity. Thus, by modifying the short 7-item CES, developed by Berntsen and Rubin to be an objective, measurable format, the results of this study demonstratated both the extent to which the possibility of contracting COVID-19 has started to be established in cancer patients and the unshakable but declining centrality of cancer in the traumatic past. Bangladesh Journal of Medical Science Vol. 22 No. 01 January’23 Page : 68-76

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Level of COVID-19 fear in cancer patients

Cited by 15 publications

References 19 publications

Relationship Between Fear, Anxiety and Chemotherapy Adherence among Patients Having Breast Cancer During COVID-19

Relationship Between Fear, Anxiety and Chemotherapy Adherence among Patients Having Breast Cancer During COVID-19

Perception of the impact of COVID-19 pandemics on cancer patients

The Confusion Caused by the Fear of COVID 19 in the Future of Cancer Patients

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