Psychological Distress in Breast Cancer Patients during the Italian COVID-19 Pandemic

Stanizzo, Maria Rosa; Castelli, Lorys; Nardo, Cristina Di; Brunetti, Monica; Sanctis, Corrado De; Ghiggia, Ada

doi:10.3390/ijerph191811433

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…Therefore, it can make the healing process of the disease take longer (Carreira et al, 2018). Prior investigations have demonstrated a notable increase in anxiety levels among breast cancer patients amid the COVID-19 pandemic (Bartmann et al, 2021;Shah et al;Stanizzo et al, 2022;Yasin et al, 2021). This surge in anxiety can be attributed to the fear associated with potential COVID-19 infection, intensifying concerns about the worsening of their existing medical condition and the heightened risk of mortality.…”

Section: Mental Hrqolmentioning

confidence: 99%

“…Decreased immunity puts them in a group that is more at risk of contracting the virus and suffering from complications of COVID-19 compared to the general population (Al-Quteimat & Amer, 2020;Al-Shamsi et al, 2020). During the COVID-19 pandemic, patients with breast cancer experienced severe mental disorders such as fear of being infected with COVID-19 during the chemotherapy process and even death (Erdoğan et al, 2022;Hikmat et al, 2022;Stanizzo et al, 2022). This condition also has an impact on physical condition and causes weakness (Yang et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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Determinants of Physical and Mental Health-related Quality of Life among Patients with Breast Cancer During COVID-19 Pandemic

Jamil,

Merdawati,

Krisdianto

et al. 2023

Nurs. Med. J. Nursing

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Background: The concern surrounding the physical and mental health-related quality of life (HRQoL) among patients with breast cancer emerged during COVID-19. However, there is a lack of sufficient studies that have specifically addressed this issue. It is crucial to emphasize the evaluation of this aspect as it significantly impacts the enhancement of future physical and mental HRQoL for these patients.Purpose: This study investigated the determinants of physical and mental HRQoL among patients with breast cancer during COVID-19.Methods: In a cross-sectional study conducted between September and October 2022, participation involved 260 patients diagnosed with breast cancer, selected through convenience sampling. Our observation focused on assessing the outcomes of physical and mental HRQoL using the Short Form (SF-12) questionnaire for data collection. Additionally, the data underwent analysis via binary logistic regression.Results: Respondents aged <50 years (p=0.010; aOR=2.08; 95% CI=1.18–3.67), unemployed (p=0.022; aOR=2.29; 95% CI=1.16–4.53), and had high depression (p=0.026; aOR=2.41; 95% CI=1.13–5.12) have a more likelihood to have low physical HRQoL. In addition, unemployed respondents (p=<0.001; aOR=4.15; 95% CI=2.14–8.04) and had high anxiety (p=0.004; aOR=2.71; 95% CI=1.38–5.33) have more likelihood to have low mental HRQoL.Conclusion: In this study, it was found that anxiety, depression, and unemployed respondents were associated with a higher likelihood of experiencing lower physical and mental HRQoL. Nurses and healthcare workers should prioritize addressing psychological issues such as anxiety and depression among breast cancer patients, emphasizing the necessity for interventions aimed at alleviating these concerns.

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Section: Mental Hrqolmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Determinants of Physical and Mental Health-related Quality of Life among Patients with Breast Cancer During COVID-19 Pandemic

Jamil,

Merdawati,

Krisdianto

et al. 2023

Nurs. Med. J. Nursing

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Tele-Health Psychological Interventions in Breast Cancer at the Time of Coronavirus: A Narrative Review

Bertolucci

2023

J. Psychol. Psychother.Res

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Introduction: During the recent pandemic-related health emergency of COVID-19, the health system care has undergone several substantial and sudden changes to benefit the populations of patients affected by COVID-19 delaying the diagnosis and treatment of all other patients. One of the most vulnerable populations during this period was the oncological population. The use of telemedicine has become necessary to compensate for all this by forging medical and psychological support at a distance. Objectives: The purpose of this narrative review is to offer an overview of the literature on present scientific papers regarding tele-health psychological interventions aimed at breast cancer patients during the pandemic period of COVID-19 and discussing the reported effects. Methods: This narrative review has been realized through a revision of the scientific literature conducted from August to October 2023 using the following electronic databases: “PubMed”, “Science Direct” and “Google Scholar” typing keywords related to the pandemic period, breast cancer population and telehealth psychological interventions. For the evaluation of the effects of the interventions, the statistical indices of p-value and effect size measures were considered. Results: Online mindfulness-based interventions have been found to be significant in reducing anxiety, depression and sleep problems, and in improving self-perception of body image, quality of life, and self-efficacy. No significant results are detected in the reduction of depression symptoms and stress levels between groups. Discussions: Very limited studies investigated the topic. Further research is needed to better understand the efficacy of telepsychology during the pandemic period and deepen research in terms of other therapeutic approaches and other methods of treatment delivery. In addition, interventions based on a systemic approach, that involve both health care workers and caregivers, can be more effective for the overall well-being of breast cancer patients.

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Impact of the COVID-19 Pandemic on Tumor Stage and Pathohistological Parameters of Vulvar Cancer

Klamminger,

Bitterlich,

Nigdelis

et al. 2024

JCM

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Background/Objectives: Vulvar cancer (VC) comprises a small fraction of female neoplasms with notable high-incidence clusters among German regions. Despite a proposed impact of nationwide lockdowns in response to the COVID-19 pandemic on oncological diseases, the effect on VC staging and tumor characteristics remains yet to be resolved; therefore, analyzing pathological data from patients with squamous cell VC pre-, during, and post-COVID in a high-incidence region may offer insights into potential epidemiological and clinical trends. Methods: We identified a total of 90 patients who were diagnosed at the Institute of Pathology, University Hospital Saarland, between 2018 and 2023, and defined three distinct cohorts: a pre-COVID cohort (2018–2019), a COVID cohort (2020–2021), and a post-COVID cohort (2022–2023). Histomorphological data were collected from the individual patient reports and statistically analyzed using Fisher’s exact test or the Kruskal–Wallis test. Results: Although we found no statistically significant differences in age, T-stage, perineural infiltration, blood vessel infiltration, resection status, grading, or resection margin between our three cohorts, surprisingly, we determined a greater extent of lymphovascular infiltration (Fisher’s exact test; p = 0.041), as well as deeper tumor infiltration depth (Kruskal–Wallis test; p < 0.001) before the COVID-19 pandemic. Furthermore, we did not identify any soft indications of abnormalities in patient care within our center (unchanged status of the resection margins across all three cohorts). Conclusions: Our results clearly do not support a negative affection of clinical or pathobiological characteristics of VC during or after the pandemic. However, final assessments regarding the pandemic’s effect on VC require additional study approaches in various regions, preferably with future extended timeframes of a longer follow-up.

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Psychological Distress in Breast Cancer Patients during the Italian COVID-19 Pandemic

Cited by 3 publications

References 27 publications

Determinants of Physical and Mental Health-related Quality of Life among Patients with Breast Cancer During COVID-19 Pandemic

Determinants of Physical and Mental Health-related Quality of Life among Patients with Breast Cancer During COVID-19 Pandemic

Tele-Health Psychological Interventions in Breast Cancer at the Time of Coronavirus: A Narrative Review

Impact of the COVID-19 Pandemic on Tumor Stage and Pathohistological Parameters of Vulvar Cancer

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