학술논문
The Mental Health Burden of Patients with Colorectal Cancer Receiving Care during the COVID-19 Pandemic: Results of the PICO-SM Study.
Document Type
Academic Journal
Author
Lim KHJ; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Ntellas P; Department of Medical Oncology, University Hospital of Ioannina, 45500 Ioannina, Greece.; Anderson D; Department of Psycho-Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Simpson L; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Braun M; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Adamou M; School of Human and Health Sciences, Queensgate, University of Huddersfield, Huddersfield HD1 3DH, UK.; Barriuso J; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Division of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester M13 9NT, UK.; Manchester Cancer Research Centre, Manchester M20 0GJ, UK.; Dadouli K; Laboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, 41222 Larissa, Greece.; Connell J; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Williams J; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Division of Pharmacy and Optometry, School of Health Sciences, University of Manchester, Manchester M13 9PT, UK.; Germetaki T; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Lehwald D; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Fitzpatrick N; Department of Psycho-Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Cutting M; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; McCool D; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Hasan J; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Mullamitha S; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Marti K; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Saunders M; Department of Clinical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.; Kamposioras K; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.
Source
Publisher: MDPI Country of Publication: Switzerland NLM ID: 101526829 Publication Model: Electronic Cited Medium: Print ISSN: 2072-6694 (Print) Linking ISSN: 20726694 NLM ISO Abbreviation: Cancers (Basel) Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2072-6694
Abstract
The COVID-19 pandemic has resulted in unprecedented changes to the lives of patients with cancer. To evaluate the impact of the COVID-19 pandemic on the mental health and well-being of patients with colorectal cancer, we conducted a prospective longitudinal questionnaire study at a UK tertiary cancer centre. In total, 216 participants were included: mean age 65 years, 57% ( n = 122) male, 92% ( n = 198) of white ethnicity. Amongst participants who completed the screening psychometric questionnaire, 24% ( n = 48/203) reported anxiety (GAD-7 ≥ 5), 15% ( n = 31/204) depressive symptoms (PHQ-9 ≥ 10), 3% ( n = 5/190) probable post-traumatic stress disorder (PC-PTSD-5 ≥ 4), and 31% ( n = 66/213) poor well-being (WHO-5 < 50). In the subgroup ( n = 95/216, 44%) who consented to and completed a follow-up survey 6 months later, there was a significant increase in the number of participants at risk of depression (4% vs. 13%, p = 0.021). Self-reported concern about the COVID-19 pandemic impacting one's mental health is associated with increased likelihood of anxiety, depression, and poor well-being, in respective multivariate analyses. In conclusion, screening for the mental health impact of the COVID-19 pandemic is essential to ensure timely action from all key stakeholders and to avoid potentially longer-term detrimental consequences.