Somatic distress, mental health and psychological resilience among cancer patients during the Covid-19 pandemic
- Abstract Views: 440
- PDF Downloads: 1
- November 14, 2021
Keywords:
COVID-19; cancer; somatic distress; post‐traumatic stress disorder; depression; anxietyAbstract
We aimed to investigate the somatic distress and psychological symptoms levels of cancer patients, and analyze the influencing factors on somatic distress during COVID-19 pandemic. This cross-sectional study included 216 eligible cancer patients. The Patient Health Questionnaire-15, Post-Traumatic Stress Disorder (PTSD) Checklist for DSM-5, The Depression, Anxiety and Stress Scale-21, the Brief Resilience Scale, the Stressful Life Events List due to Pandemic were administered to the participants. The moderate to severe somatic distress rate was % 38 and probable PTSD rate was 20.4%. Depression, anxiety and stress symptoms were 36.1%, 49.1% and 45.4%, respectively, from mild to extremely severe. There were substantial association between somatic symptoms severity and high PTSD, anxiety, depression, and stress symptoms levels. Low education, high anxiety levels, high experience stressful life events, and low psychological resilience predicted high somatic distress. This study demonstrates the high risk of somatic distress, PTSD, depression, anxiety and stress in patients with cancer during the pandemic. In addition, somatic distress may indicate high levels of psychological symptoms, high experience stressful life events, and low psychological resilience. It underscores the need to assess psychological status during the pandemic, especially those with high level somatic symptoms.
Full Text:
References
Akin, A. & Cetin, B.. (2007). The Depression Anxiety and Stress Scale (DASS): The Study of Validity and Reliability. Educ Sci Theory Pract. 7:260-268.
Anuk, D., Özkan, M., Kizir, A. & Özkan, S. (2019) The characteristics and risk factors for common psychiatric disorders in patients with cancer seeking help for mental health. BMC Psychiatry. 19(1):269.
Bartel, A., Jordan, J., Correll, D., Devane, A & Samuelson, KW. (2020) Somatic burden and perceived cognitive problems in trauma-exposed adults with posttraumatic stress symptoms or pain. J Clin Psychol. 76(1):146-160.
Boysan, M., Ozdemir., PG, Ozdemir., O., et al. (2017). Psychometric properties of the Turkish version of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (PCL-5). Psychiatry Clin psychopharmacology. 27(3):306–16.
Breitbart, W., Rosenfeld, B., Pessin, H., et al. (2000) . Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. JAMA. 284(22):2907-11.
Brown, LF., & Kroenke, K. (2009). Cancer-related fatigue and its associations with depression and anxiety: a systematic review. Psychosomatics. 50(5):440-447.
Chan, JF., Yuan S., Kok, KH., et al. (2020) A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 395(10223):514-523.
Chaturvedi, SK. (2020). Health anxiety, health-related life events, and somatization during COVID-19 pandemic can increase chronic pain. Pain. 161(11):2652.
Chen, G., Wu., Q, Jiang, H., et al. (2020). Fear of disease progression and psychological stress in cancer patients under the outbreak of COVID-19. Psychooncology. 2020;10.1002/pon.5451. https://doi.org/10.1002/pon.5451.
Chew, QH., We i., KC, Vasoo., S, Chua, HC., Sim, K. (2020). Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic. Singapore Med J. 61(7):350-356.
Connor, KM. & Davidson, JR. (2003).Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 18(2):76-82.
Dogan, T. (2015). Kısa psikolojik sağlamlık ölçeği’nin türkçe uyarlaması: Geçerlik ve güvenirlik çalışması [Adaptation of the Brief Resilience Scale into Turkish: A validity and reliability study]. The Journal of Happiness & Well-Being, 3(1), 93–102.
Eser, HY. (2020). COVID-19 Döneminde Stres, Adaptasyon ve Psikiyatrik Etkiler. Türkiye Klin COVID - 19. 1(13):18-22.
González-Montero, J., Valenzuela, G., Ahumada, M., Barajas, O., Villanueva, L. (2020) Management of cancer patients during COVID-19 pandemic at developing countries. World J Clin Cases. 8(16):3390-3404.
Grassi, L., Caruso, R., Nanni, MG. (2013). Somatization and somatic symptom presentation in cancer: a neglected area. Int Rev Psychiatry. 2013;25(1):41-51.
Haug, TT., Mykletun, A., Dahl, AA. (2004). The association between anxiety, depression, and somatic symptoms in a large population: the HUNT-II study. Psychosom Med. 66(6):845-851.
Juanjuan, L., Santa-Maria, CA., Hongfang, F., et al. (2020). Patient-reported Outcomes of Patients With Breast Cancer During the COVID-19 Outbreak in the Epicenter of China: A Cross-sectional Survey Study. Clin Breast Cancer. 20(5):e651-e662.
Kavčič, T., Avsec, A., Zager, KG. (2020). Psychological Functioning of Slovene Adults during the COVID-19 Pandemic: Does Resilience Matter?. Psychiatr Q. https://doi.org/10.1007/s11126-020-09789-4
Kimhi, S., Marciano, H., Eshel, Y., Adini, B. (2020). Resilience and demographic characteristics predicting distress during the COVID-19 crisis. Soc Sci Med. 265:113389.
Kroenke, K., Spitzer, R.L., Williams J.B.W. (2002). The PHQ‐15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 64:258–266.
Lovibond, P.F. & Lovibond, S.H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther.33:335-343
Miaskowski, C., Paul, S.M., Snowberg, K., et al. (2020). Stress and Symptom Burden in Oncology Patients During the COVID-19 Pandemic. J Pain Symptom Manage. 60(5):e25-e34.
Musche, V., Bäuerle, A,. Steinbach, J., et al. (2020). COVID-19-Related Fear and Health-Related Safety Behavior in Oncological Patients. Front Psychol. 2020;11:1984.
Pietrzak, R.H., Johnson, D.C., Goldstein, M.B., Malley J.C., Southwick S.M. (2009). Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from Operations Enduring Freedom and Iraqi Freedom. Depress Anxiety. 26(8):745-751.
Ran, L., Wang, W., Ai, M., Kong, Y., Chen, J., Kuang, L. (2020). Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Soc Sci Med. 262:113261.
Romito, F., Dellino, M., Loseto, G. et al. (2020). Psychological Distress in Outpatients With Lymphoma During the COVID-19 Pandemic. Front Oncol. 10:1270.
Saya,r K., Kirmayer. L.J., Taillefer, S.S. (2003). Predictors of somatic symptoms in depressive disorder. Gen Hosp Psychiatry. 25(2):108-114.
Schellekens, M.P.J, van der Lee, M.L. (2020). Loneliness and belonging: Exploring experiences with the COVID-19 pandemic in psycho-oncology. Psychooncology. 10.1002/pon.5459. https://doi.org/10.1002/pon.5459
Smith, B.W., Dalen, J., Wiggins, K., et al. (2008). The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 15(3):194-200.
Wang, C., Horby ,P.W., Hayden, F.G., Gao, G.F. (2020). A novel coronavirus outbreak of global health concern. Lancet. 395(10223):470-473.
Wang, Y., Duan, Z,. Ma, Z., et al. (2020). Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl Psychiatry. 10(1):263.
Weathers, F.W., Litz, B.T., Keane, T.M., et al. (2013).The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD website: http://www.ptsd.va.go.
Wingo, A.P., Fani, N., Bradley, B., Ressler, K.J. (2010). Psychological resilience and neurocognitive performance in a traumatized community sample. Depress Anxiety. 27(8):768-774.
Wolfe, J., Kimerling, R., Brown, P.J., Chrestman, K.R., Levin, K.(1996). Psychometric review of the life stressor checklist-revised. In: Stamm BH, editor. Measurement of Stress, Trauma, and Adaptation. Lutherville, MD: Sidran Press; pp. 198–201.
Wu, Z. & McGoogan, J.M. (2020). Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 323(13):1239-1242.
Yang, J., Zheng, Y,. Gou, X., et al. (2020) .Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis. 94: 91-95.
Yas, S.C., Bildik, F., Aslaner, M.A., et al. (2020). The Effect of the COVID-19 Pandemic on the Psychological Status of Hospital Workers. Psychiatry Clin Psychopharmacol.30:264-272.
Yazici, G.M., Güleç, H., Simşek, G., Turhan, M., Aydin, S.E. (2012). Psychometric properties of the Turkish version of the Patient Health Questionnaire-Somatic, Anxiety, and Depressive Symptoms. Compr Psychiatry. 2012;53(5):623-9.
Zelek ,W., Minaye, A., Kygana, G. (2015). Mental Health and Somatic Distress among Ethiopian Migrant Returnees from the Middle East. Int J Ment Health Psychiatry. 1:2.
Refbacks
- There are currently no refbacks.