The psychosocial and emotional experiences of cancer patients during the COVID-19 pandemic: A systematic review
Open accessAbstract
BACKGROUND: COVID-19 was declared a pandemic by the World Health Organization on March 11th, 2020. Global social lockdowns were instigated to reduce spread and prevent health-services from becoming overwhelmed. People having treatment for cancer are known to have heightened psychological/emotional burden. The combined impact of managing pandemic regulations alongside this may present additional burden. The purpose of this systematic review is to examine current evidence of the psychological and emotional impact of COVID-19 on people with cancer, early in the pandemic. METHODS: Five electronic databases were searched (Embase, Global Health, HMIC, PsychINFO, CINAHL) from September 2019 to October 2021. Qualitative, quantitative and mixed-method primary research studies exploring emotional and psychological impacts of COVID-19 on cancer patients, limited to English language, were included. Quality appraisal was conducted using the MMAT. RESULTS: Fifty-one papers, with 27,356 people from 21 countries treated for cancer, were included. 43 studies were quantitative with a survey method approach, six studies qualitative and four used a mixed methods design. MMAT score was mostly two or three. Four themes were identified: Emotional aspects and Quality of Life; Psychosocial aspects; Impact of COVID-19 on self; Impact of COVID-19 on cancer, with themes overlapping. CONCLUSION: Whilst emotional/psychological impacts such as anxiety, isolation, employment fears, and uncertainty about the future were potentially universal concerns early in the pandemic, they may have been particularly acute for people living with cancer and represent complex, overlapping factors. As COVID-19 continues to impact health-services and society, it is important to focus on any ongoing impact to the experience of cancer patients. Most of the studies reviewed used tools that do not provide deeper understanding of how and why emotional states of people with cancer were affected. Further qualitative work may reveal patterns of what was unique to cancer patients during the pandemic, compared to general populations.
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Systematic review evidence pooling studies encompassing 27,356 people with cancer suggests it is too early to know the psychological impact of the COVID-19 pandemic on people affected by cancer compared to general populations.
“Systematic review evidence pooling studies encompassing 27,356 people with cancer suggests it is too early to know the psychological impact of the COVID-19 pandemic on people affected by cancer compared to general populations [25].”
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- Authors
- Muls, A., Georgopoulou, S., Hainsworth, E., Hartley, B., O'Gara, G., Stapleton, S., & Cruickshank, S.
- Affiliations
- Royal Marsden NHS Foundation Trust (GB)
- Corresponding author
- Muls, A.
- Venue
- Seminars in Oncology
- Publisher
- Elsevier BV
- Published
- 2022-10
- Volume
- 49
- Issue
- 5
- Pages
- 371-382
- ISSN
- 0093-7754 (ISSN-L)
- PMC
- PMC9393184
- OpenAlex
- W4292553244
- Cited by
- 22
- References
- 61
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 7
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Seminars in Oncology (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research
- Institute of Cancer Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Keywords
- COVID-19 pandemic, cancer patients, psychological impact, emotional burden, psychosocial impact, anxiety, social isolation, future uncertainty, quality of life, lockdown, cancer care
- MeSH terms
- COVID-19, Communicable Disease Control, Humans, Neoplasms, Quality of Life, Pandemics
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