Mental Health and Adherence to COVID-19 Protective Behaviors among Cancer Patients during the COVID-19 Pandemic: An International, Multinational Cross-Sectional Study

被引：10

作者：

Kassianos, Angelos P. ^{[1
,2
]}

Georgiou, Alexandros ^{[3
]}

Kyprianidou, Maria ^{[1
]}

Lamnisos, Demetris ^{[4
]}

Lubenko, Jelena ^{[5
]}

Presti, Giovambattista ^{[6
]}

Squatrito, Valeria ^{[6
]}

Constantinou, Marios ^{[7
]}

Nicolaou, Christiana ^{[8
]}

Papacostas, Savvas ^{[9
]}

Aydin, Gokcen ^{[10
]}

Chong, Yuen Yu ^{[11
]}

Chien, Wai Tong ^{[11
]}

Cheng, Ho Yu ^{[11
]}

Ruiz, Francisco J. ^{[12
]}

Garcia-Martin, Maria B. ^{[12
]}

Obando, Diana ^{[12
]}

Segura-Vargas, Miguel A. ^{[12
]}

Vasiliou, Vasilis S. ^{[13
]}

McHugh, Louise ^{[14
]}

Hoefer, Stefan ^{[15
]}

Baban, Adriana ^{[16
]}

Neto, David Dias ^{[17
,18
]}

da Silva, Ana Nunes ^{[19
]}

Monestes, Jean-Louis ^{[20
]}

Alvarez-Galvez, Javier ^{[21
]}

Paez Blarrina, Marisa ^{[22
]}

Montesinos, Francisco ^{[22
,23
]}

Valdivia Salas, Sonsoles ^{[24
]}

Ori, Dorottya ^{[25
,26
]}

Kleszcz, Bartosz

Lappalainen, Raimo ^{[27
]}

Ivanovic, Iva ^{[28
]}

Gosar, David ^{[29
]}

Dionne, Frederick ^{[30
]}

Merwin, Rhonda M. ^{[31
]}

Chatzittofis, Andreas ^{[32
]}

Konstantinou, Evangelia ^{[3
]}

Economidou, Sofia ^{[3
]}

Gloster, Andrew T. ^{[33
]}

Karekla, Maria ^{[1
]}

Constantinidou, Anastasia ^{[3
,32
,34
]}

机构：

[1] Univ Cyprus, Dept Psychol, CY-2109 Nicosia, Cyprus

[2] UCL, Dept Appl Hlth Res, London WC1E 6BT, England

[3] Bank Cyprus Oncol Ctr, CY-2006 Nicosia, Cyprus

[4] European Univ Cyprus, Dept Hlth Sci, CY-2109 Nicosia, Cyprus

[5] Riga Stradins Univ, Fac Publ Hlth & Social Welf, Psychol Lab, LV-1007 Riga, Latvia

[6] Univ Enna Kore, Human & Social Sci Dept, I-94100 Enna, Italy

[7] Univ Nicosia, Dept Psychol, CY-1516 Nicosia, Cyprus

[8] Cyprus Univ Technol, Sch Hlth Sci, Dept Nursing, CY-3041 Limassol, Cyprus

[9] Cyprus Inst Neurol & Genet, CY-2371 Nicosia, Cyprus

[10] Hasan Kalyoncu Univ, Dept Psychol Counseling & Guidance, TR-27010 Gaziantep, Turkey

[11] Chinese Univ Hong Kong, Fac Med, Nethersole Sch Nursing, Hong Kong, Peoples R China

[12] Univ La Sabana, Dept Psychol, Chia 140013, Colombia

[13] Univ Coll Cork UCC, Sch Appl Psychol, Cork T23 XE10, Ireland

[14] Univ Coll Dublin, Sch Psychol, Dublin D04 V1W8 4, Ireland

[15] Med Univ Innsbruck, Dept Med Psychol, A-6020 Innsbruck, Austria

[16] Babes Bolyai Univ, Dept Psychol, Cluj Napoca 400015, Romania

[17] ISPA Inst Univ, P-1149041 Lisbon, Portugal

[18] Appl Psychol Res Ctr Capabil & Inclus, P-1149041 Lisbon, Portugal

[19] Univ Lisbon, Dept Psychol, P-1649013 Lisbon, Portugal

[20] Univ Grenoble Alpes, LIP PC2S, F-38000 Grenoble, France

[21] Univ Cadiz, Dept Biomed Biotechnol & Publ Hlth, Cadiz 11009, Spain

[22] Inst ACT, Madrid 28049, Spain

[23] Univ Europea Madrid, Dept Psychol, Madrid 28049, Spain

[24] Univ Zaragoza, Dept Psychol & Sociol, Zaragoza 50013, Spain

[25] Heim Pal Natl Pediat Inst, Dept Mental Hlth, H-1089 Budapest, Hungary

[26] Semmelweis Univ, Inst Behav Sci, H-1089 Budapest, Hungary

[27] Univ Jyvaskyla, Dept Psychol, Jyvaskyla 40014, Finland

[28] Clin Ctr Montenegro, Inst Childrens Dis, Dept Child Psychiat, Podgorica 81000, Montenegro

[29] Univ Childrens Hosp Ljubljana, Univ Med Ctr Ljubljana, Dept Child Adolescent & Dev Neurol, Ljubljana 1000, Slovenia

[30] Univ Quebec Trois Rivieres, Dept Psychol, Trois Rivieres, PQ G8Z 4M3, Canada

[31] Duke Univ, Dept Psychiat & Behav Sci, Durham, NC 27708 USA

[32] Univ Cyprus, Med Sch, CY-1678 Nicosia, Cyprus

[33] Univ Basel, Dept Psychol, Div Clin Psychol & Intervent Sci, CH-4055 Basel, Switzerland

[34] Cyprus Canc Res Inst, CY-2109 Nicosia, Cyprus

来源：

CANCERS | 2021年 / 13卷 / 24期

关键词：

cancer patients; mental health; health behaviors; protection behaviors; COVID-19; BELIEF MODEL; COMMITMENT THERAPY; NEGATIVE AFFECT; VALIDATION; CORONAVIRUS; IMPACT; MINDFULNESS; ACCEPTANCE; STRESS; CCC19;

D O I：

10.3390/cancers13246294

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

A population-based cross-sectional study was conducted during the first COVID-19 wave, to examine the impact of COVID-19 on mental health using an anonymous online survey, enrolling 9565 individuals in 78 countries. The current sub-study examined the impact of the pandemic and the associated lockdown measures on the mental health, and protective behaviors of cancer patients in comparison to non-cancer participants. Furthermore, 264 participants from 30 different countries reported being cancer patients. The median age was 51.5 years, 79.9% were female, and 28% had breast cancer. Cancer participants reported higher self-efficacy to follow recommended national guidelines regarding COVID-19 protective behaviors compared to non-cancer participants (p < 0.01). They were less stressed (p < 0.01), more psychologically flexible (p < 0.01), and had higher levels of positive affect compared to non-cancer participants. Amongst cancer participants, the majority (80.3%) reported COVID-19, not their cancer, as their priority during the first wave of the pandemic and females reported higher levels of stress compared to males. In conclusion, cancer participants appeared to have handled the unpredictable nature of the first wave of the pandemic efficiently, with a positive attitude towards an unknown and otherwise frightening situation. Larger, cancer population specific and longitudinal studies are warranted to ensure adequate medical and psychological care for cancer patients.

引用

页数：23

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