Psychological distress in cancer patients in a large Chinese cross-sectional study

Rao, Wenwang; Yang, Ming Jia; Cao, Bo; You, Yue; Zhang, Yang Yu; Liu, Ying Yu; Kou, Changgui; Yu, Yaqin; Cassidy, Ryan M.; Yu, Qiong; Zhang, Xiang Y

doi:10.1016/j.jad.2018.11.089

Cited by 32 publications

(22 citation statements)

References 41 publications

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“…However, anxiety symptoms were higher in the Wang et al study and lower in the Hao et al study. Although the prevalence of mental problems varied among different settings, regions, different diagnostic tools, and different cut-off score for scales, when compared with previous research on cancer patients in China, our study showed a higher rate of poor mental health outcomes for the outbreak of COVID-19 6 , 37 . For example, Song and Li 6 found that the prevalence of depression, anxiety and PTSD was 13%, 10.2%, and 1.4%, respectively, among 2279 cancer patients from nine medical centers in China.…”

Section: Discussioncontrasting

confidence: 47%

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: Discussioncontrasting

confidence: 47%

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

et al. 2020

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“…It has been shown that cancer itself, as a life-threatening chronic disease, causes anxiety in 17-46% of patients [29]. According to the literature review, a comparison of cancer patients' anxiety levels with a healthy population had controversial results [30][31][32][33]. Most studies have shown lower anxiety levels in cancer patients compared with individuals without cancer diagnosis in non-cancer-related stressful situations [32,33].…”

Section: Discussionmentioning

confidence: 99%

Anxiety Levels of Breast Cancer Patients in Turkey During the COVID-19 Pandemic

et al. 2021

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Aim: To assess the anxiety levels of breast cancer patients during the COVID-19 pandemic. Materials & methods: A total of 298 patients completed the State-Trait Anxiety Inventory (STAI-S and STAI-T) and the Visual Analogue Scale for Anxiety (VAS) and VAS for Anxiety in COVID-19 (VAS-CoV). Results: 144 patients were in the high anxiety category for STAI-S, and 202 patients were in the high anxiety category for STAI-T. STAI-T score was significantly high in the metastatic group (p = 0.017). VAS-CoV score in the hormonotherapy group was significantly higher than in the no-treatment group (p = 0.023). There was a positive correlation between VAS-CoV and VAS levels (r = 0.708, p < 0.001), VAS-CoV and STAI-S and STAI-T scores (r = 0.402, p < 0.001; r = 0.185, p = 0.001, respectively), and a negative correlation between education years and STAI-T scores (r = -0.172, p = 0.003). Conclusion: The COVID-19 pandemic is related to high anxiety levels in breast cancer patients.

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“…Of all three PAHCO dimensions, MR and LTPA showed the strongest association, while the association between LTPA and the other two remaining PAHCO dimensions had slightly smaller correlation coefficients. Ostensibly, the strong correlation between MR and LTPA can be attributed to the items loading on MR, addressing depression, stress and inner tension, which are elevated for cancer patients in comparison to the general public or even patients with other chronic diseases (Gil et al, 2012 ; Hartung et al, 2017 ; Rao et al, 2019 ). This may suggest that physical activity has an instrumental functionality when it comes to cancer patients since it helps them cope with psychological symptoms.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Cancer Related Fatigue, Physical Activity Related Health Competence, and Leisure Time Physical Activity in Cancer Patients and Survivors

Koeppel

Körbi

Winkels

et al. 2021

Front. Sports Act. Living

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Background: A large body of evidence supports the positive effects of leisure time physical activity (LTPA) and exercise on cancer survivors. However, only a fraction of survivors manages to attain international PA recommendations. This can be attributed to several external and internal barriers toward PA those patients seem to encounter, with cancer related fatigue (CRF) being the most reported internal barrier. Nevertheless, self-efficacy and knowledge about the utilization of LTPA can serve as facilitators of PA, which also correspond to certain constituents of physical activity related health competence (PAHCO). Since PAHCO is not investigated in cancer survivors we investigated if PAHCO can mediate the negative relationship between CRF and LTPA.Methods: We surveyed 398 cancer survivors with different cancer types and therapy status. The patients completed the EORTC QLQ-FA12 (EORTC FA12) to assess CRF, the PAHCO questionnaire to assess PAHCO and the SQUASH to assess LTPA. We followed a two-step structural equation modeling approach. The first step established the measurement model, in the second step we fitted the mediation model. Since 163 patients chose not to answer the SQUASH, the mediation model was only fitted to the data of the remaining 235 participants.Results: The proposed measurement model of the PAHCO offered an excellent fit. We found small to moderate positive associations between the PAHCO dimensions and the LTPA, and negative moderate relationships between the PAHCO and the EORTC FA12 dimensions. We did not observe a relationship between the EORTC FA12 dimensions and the LTPA (p > 0.05). The hypothesized mediation models did not display an appropriate fit.Conclusion: The PAHCO confirmed its factorial validity; furthermore, it appears to have a positive relationship to LTPA. Therefore, integrating psycho-educational aspects can be beneficial in order to increase the PAHCO in exercise interventions. Because of the cross-sectional character of this study, causal conclusions are not suitable, therefore the longitudinal relationships of LTPA, CRF, and PAHCO require further investigation.

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Psychological distress in cancer patients in a large Chinese cross-sectional study

Cited by 32 publications

References 41 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

Anxiety Levels of Breast Cancer Patients in Turkey During the COVID-19 Pandemic

Relationship Between Cancer Related Fatigue, Physical Activity Related Health Competence, and Leisure Time Physical Activity in Cancer Patients and Survivors

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