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


ABSTRACT: 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.

SUBMITTER: Kassianos AP 

PROVIDER: S-EPMC8699048 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature

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

Kassianos Angelos P AP   Georgiou Alexandros A   Kyprianidou Maria M   Lamnisos Demetris D   Ļubenko Jeļena J   Presti Giovambattista G   Squatrito Valeria V   Constantinou Marios M   Nicolaou Christiana C   Papacostas Savvas S   Aydin Gökçen G   Chong Yuen Yu YY   Chien Wai Tong WT   Cheng Ho Yu HY   Ruiz Francisco J FJ   Garcia-Martin Maria B MB   Obando Diana D   Segura-Vargas Miguel A MA   Vasiliou Vasilis S VS   McHugh Louise L   Höfer Stefan S   Baban Adriana A   Neto David Dias DD   Silva Ana Nunes da AND   Monestès Jean-Louis JL   Alvarez-Galvez Javier J   Blarrina Marisa Paez MP   Montesinos Francisco F   Salas Sonsoles Valdivia SV   Őri Dorottya D   Kleszcz Bartosz B   Lappalainen Raimo R   Ivanović Iva I   Gosar David D   Dionne Frederick F   Merwin Rhonda M RM   Chatzittofis Andreas A   Konstantinou Evangelia E   Economidou Sofia S   Gloster Andrew T AT   Karekla Maria M   Constantinidou Anastasia A  

Cancers 20211215 24


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 p  ...[more]

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