When mental illness and cancer collide: An investigation of the predictors of outcomes for cancer patients with a history of mental health problems

Hemmington, Amy; Huang, Daisy; Coomarasamy, Christin; Young, Marie J; Consedine, Nathan S.; Reynolds, Lisa

doi:10.1002/pon.5295

Cited by 10 publications

(12 citation statements)

References 7 publications

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“…We found having a history of mental disorder, excessive drinking, and having higher levels of fatigue and pain were the predominant risk factors for mental health problems in cancer patients. Consistent with previous research 14 , we found that more severe mental health problems in cancer patients were associated with somatic comorbidities, especially in terms of pain and fatigue. During the COVID-19 pandemic, there were more than one-third of patients who reported having some barriers to continue their cancer treatment due to inconveniences caused by COVID-19.…”

Section: Discussionsupporting

confidence: 92%

“…Left untreated mental health problems in cancer patients can led to destructive consequences including decreased treatment adherence, decreased survival rate, increased healthcare cost, and poor quality of life [10][11][12][13] . Research has shown that cancer patients with severe mental health problems are more likely to be hospitalized and die in 12 months after their cancer diagnosis when compared to patients without or with less severe mental health problems 14 .…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic

et al. 2020

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The current study aimed to explore mental health problems in patients diagnosed with cancer during the COVID-19 pandemic. A cluster sampling, cross-sectional survey with 6213 cancer patients was conducted in one of the largest cancer centers in China. The socio-demographic and clinical characteristics, psychosomatic conditions, interpersonal relationships and social support, COVID-19 infection-related psychological stress, and mental health status were measured. Medical conditions were extracted from patients’ electronic healthcare records. Among the 6213 cancer patients, 23.4% had depression, 17.7% had anxiety, 9.3% had PTSD, and 13.5% had hostility. Hierarchical liner regression models showed that having a history of mental disorder, excessive alcohol consumption, having a higher frequency of worrying about cancer management due to COVID-19, having a higher frequency feeling of overwhelming psychological pressure from COVID-19, and having a higher level of fatigue and pain were the predominant risk factors for mental health problems in cancer patients. However, there were only 1.6% of them were seeking psychological counseling during COVID-19. We also revealed the protective factors associated with lower risk of mental health problems among cancer patients. The present study revealed a high prevalence of mental health problems and gaps in mental health services for cancer patients, which also indicated high distress from COVID-19-elevated risks. We call for systematic screening of mental health status for all cancer patients, and developing specific psychological interventions for this vulnerable population.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic

et al. 2020

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“…This may be interpreted by the fact that new pain meant deterioration of the health status and thus meant the need for hospitalization or doctor follow‐up and clinic visit, and during the pandemic this was not always accessible and it created a burden to the patient due to the fear of getting infected if they had to visit the medical clinics or to be hospitalized. 47 On the contrary, in a study carried out by Letaief‐Ksontini et al. they found no significant relationship between depression and suffering from body pain.…”

Section: Discussionmentioning

confidence: 91%

“…These finding suggest that during the pandemic, stressors like new body pain in patients diagnosed with cancer contribute to more depression than in patients who did not suffer new pain or often had new pain. This may be interpreted by the fact that new pain meant deterioration of the health status and thus meant the need for hospitalization or doctor follow‐up and clinic visit, and during the pandemic this was not always accessible and it created a burden to the patient due to the fear of getting infected if they had to visit the medical clinics or to be hospitalized 47 . On the contrary, in a study carried out by Letaief‐Ksontini et al.…”

Section: Discussionmentioning

confidence: 99%

The psychological health of patients diagnosed with cancer in Iraq during the COVID‐19 pandemic: A single center study

Alrubai¹,

Khalil

Zaki

et al. 2021

Psycho-Oncology

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Objective The objective of this study was to assess the psychological health status of patients diagnosed with cancer in Iraq during the COVID‐19 pandemic. The study aim was to measure the prevalence of depression, anxiety, and stress among patients diagnosed with cancer. Secondary aims were to assess the association between depression, anxiety, and stress with sociodemographic characteristics, cancer‐specific characteristics, patients' experience in healthcare visit, risk perception towards COVID‐19, and health concern during the outbreak. Methods A cross‐sectional study was conducted between September 1, 2020 and December 1, 2020 at an Oncology clinic in Baghdad. Included in the study were two hundred patients diagnosed with cancer. Data collected included: demographic variables (age, gender, residential location, marital status, education, employment status), clinical characteristics and cancer‐specific parameters (duration since cancer diagnosis, cancer type, treatment duration, clinic visits frequency), experience during the pandemic (skipping or postponing treatment or periodical tests, suffering from new body pain, fear of acquiring the infection, fear of health deterioration), as well as psychological health status (depression, anxiety, stress). Pain, risk perception towards COVID‐19, and health concern were measured using categorical Likert scale with responses being no, sometimes, and often. The psychological health status was measured by the “Depression, Anxiety, and Stress Scale” (DASS‐21). Cut‐off scores of the DASS‐21 greater than 9, 7, and 14 represent a positive screen of depression, anxiety, and stress, respectively. Results The prevalence of patients who screened positive for depression was 22.0%, anxiety 22.0%, and stress 13.5%. The prevalence of depression, anxiety and stress were significantly more in those who had university or higher education (34.3%, p ‐value <0.0001; 32.3%, p ‐value <0.0001; 19.2%, p ‐value = 0.02 respectively). Those were four times more likely to have depression and two times more likely to have anxiety than participants who had school education (OR = 4.40 CI [1.98–9.77], p ‐value <0.0001; OR = 2.55 CI [1.15–5.65], p ‐value = 0.02, respectively). The prevalence of anxiety was significantly the highest in the age group 16–39 years (40.9%) compared to 22.3% in the age group 40–64 years and 10.3% in the group ≥65 years ( p ‐value = 0.02). Patients ≥65 years of age were less likely to develop anxiety compared to younger patients (OR = 0.44 CI [0.22–0.89], p ‐value = 0.02). As for the patients' experience in healthcare visit, 66 patients (33.0%) skipped or postponed their treatment or tests due to the outbreak. Around (8%) sometimes suffered from new body pain. Those who sometimes suffered from...

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“…A literatura aponta também que outras características estão relacionadas ao enfrentamento do paciente oncológico, como o sexo (feminino), idade (pacientes jovens), estado civil, menor escolaridade, tratamento cirúrgico ou quimioterápico prévio, tempo de diagnóstico, histórico de saúde mental vulnerável estiveram associados com maior prevalência de transtornos mentais, desenvolvimento ou persistência desses distúrbios (Hemmington et al, 2019;Blázquez & Cruzado, 2016;Pérez-Fortis et al, 2018). Almigbal et al (2019) encontraram também que o tipo de câncer dos pacientes foi significativamente associado ao nível de sofrimento físico, emocional e sintomas depressivos.…”

Section: Introductionunclassified

Risco Psicológico de Pacientes no Tratamento Radioterápico

Neto¹,

Ismael²,

Fregonese³

et al. 2021

Rev. SBPH

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Variáveis psicológicas estão relacionadas com enfrentamento do paciente oncológico, destacando a importância da intervenção precoce. Objetivos: Conhecer o perfil sociodemográfico e clínico dos pacientes que apresentam risco psicológico através de rastreio pelo Indicador de Risco Psicológico em Oncologia (IRPO) durante o tratamento radioterápico. Método: foram avaliados 262 prontuários de pacientes adultos que realizaram tratamento radioterápico no ano de 2018 e 2019 e responderam ao IRPO. Resultados: 30,7% da amostra indica risco psicológico. A mediana de idade desta população foi de 58 anos e a neoplasia maligna da mama a mais prevalente (44,5%).

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When mental illness and cancer collide: An investigation of the predictors of outcomes for cancer patients with a history of mental health problems

Cited by 10 publications

References 7 publications

Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic

Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic

The psychological health of patients diagnosed with cancer in Iraq during the COVID‐19 pandemic: A single center study

Risco Psicológico de Pacientes no Tratamento Radioterápico

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