Psychological distress in outpatients with lymphoma during the COVID-19 pandemic
Open accessAbstract
Cancer patients are a population at high risk of contracting COVID-19 and, also of developing severe complications due to the infection, which is especially true when they are undergoing immunosuppressive treatment. Despite this, they had still to go to hospital to receive chemotherapy during lockdown. In this context, we have evaluated the psychological status of onco-hematological outpatients receiving infusion and not deferrable anti-neoplastic treatment for lymphoproliferative neoplasms, with the aim of both measuring the levels of post-traumatic symptoms, depression, and anxiety during the pandemic and also of investigating the perception of risk of potential nosocomial infection. The Impact of Event Scale-Revised (IES-R) and the Hospital Anxiety and Depression Scale (HADS) were administered to all patients. Moreover, patients were investigated about their worries regarding the impact of COVID-19 on their lives as onco-hematologic patients. Since the 2nd to the 29th April 2020 (during the first phase of the lockdown period in Italy), 77 outpatients were prospectively evaluated. They were diagnosed with non-Hodgkin's lymphoma, classical Hodgkin lymphoma, and Chronic lymphocytic leukemia/Small lymphocytic lymphoma. The mean age was 56.6 (range 22-85). We found that 36% of patients had anxiety (HADS-A), 31% depression (HADS-D), and 43% were above the cut-off for the HADS-General Scale; 36% fulfilled the diagnostic criteria for post-traumatic stress disorder (PTSD). Women and younger patients were found to be more vulnerable to anxiety and PTSD. The study firstly analyzes the psychological impact of the COVID-19 pandemic on the frail population of patients affected by lymphoproliferative neoplasms, to underly the importance of screening patients for emotional and distress conditions and then offering them psychological support.
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Similar reports of anxiety, depressive symptoms, and psychological distress during the lockdown were gathered from patients with breast cancer, ovarian cancer, thyroid cancer, and lymphoma.
“Similar reports of anxiety, depressive symptoms, and psychological distress during the lockdown were gathered from patients with breast cancer, ovarian cancer, thyroid cancer, and lymphoma [36,37,38,39].”
From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [38]
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- Authors
- Romito, F., Dellino, M., Loseto, G., Opinto, G., Silvestris, E., Cormio, C., Guarini, A., & Minoia, C.
- Affiliations
- Istituto Tumori Bari (IT)
- University of Bari Aldo Moro (IT)
- Corresponding author
- Minoia, Carla
- ORCID
- Venue
- Frontiers in Oncology
- Publisher
- Frontiers Media SA
- Published
- 2020-07-10
- Volume
- 10
- Pages
- 1270-1270
- ISSN
- 2234-943X (ISSN-L)
- PMC
- PMC7365920
- OpenAlex
- W3041085727
- Cited by
- 113
- References
- 29
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 6 · 2023: 20 · 2022: 32 · 2021: 42 · 2020: 6
- FWCI
- 10.01
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Oncology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- psychological distress, COVID-19 pandemic, lymphoma, non-Hodgkin lymphoma, Hodgkin's disease, chronic lymphocytic leukemia, small lymphocytic lymphoma, anxiety, depression, post-traumatic stress disorder, lockdown, psychological support
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