COVID-19 Pandemic Stressors and Psychological Symptoms in Breast Cancer Patients
Open accessAbstract
Background. The current Coronavirus disease 2019 (COVID-19) pandemic is a highly stressful event that may lead to significant psychological symptoms, particularly in cancer patients who are at a greater risk of contracting viruses. This study examined the frequency of stressors experienced in relation to the ongoing coronavirus pandemic and its relationship with psychological symptoms (i.e., anxiety, depression, insomnia, fear of cancer recurrence) in breast cancer patients. Methods. Thirty-six women diagnosed with a non-metastatic breast cancer completed the Insomnia Severity Index, the Hospital Anxiety and Depression Scale, the severity subscale of the Fear of Cancer Recurrence Inventory, and the COVID-19 Stressors Questionnaire developed by our research team. Participants either completed the questionnaires during (30.6%) or after (69.4%) their chemotherapy treatment. Results. Results revealed that most of the participants (63.9%) have experienced at least one stressor related to the COVID-19 pandemic (one: 27.8%, two: 22.2%, three: 11.1%). The most frequently reported stressor was increased responsibilities at home (33.3%). Higher levels of concerns related to the experienced stressors were significantly correlated with higher levels of anxiety, depressive symptoms, insomnia, and fear of cancer recurrence, rs(32) = 0.36 to 0.59, all ps < 0.05. Conclusions. Cancer patients experience a significant number of stressors related to the COVID-19 pandemic, which are associated with increased psychological symptoms. These results contribute to a better understanding of the psychological consequences of a global pandemic in the context of cancer and they highlight the need to better support patients during such a challenging time.
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Recruitment was conducted during the second and third waves of the COVID-19 pandemic, which may have temporarily increased participants' anxiety about their medical condition.
“It is also important to note that recruitment for this study was conducted during the second and third waves of the COVID-19 pandemic [81]. Because of the impact that the pandemic had on the health care system (e.g., postponement of certain tests), this may have temporarily increased the participants’ anxiety about their medical condition [82, 83].”
From Fear of cancer recurrence in breast cancer survivors carrying a BRCA1 or 2 genetic mutation : a cross-sectional study (2024) · cites this paper as [82]
The Results (§3.2) report postponed medical tests and an association between greater concern about pandemic stressors and higher anxiety. The Discussion (§4) also describes the possible psychological impact of postponed tests and treatment. The study examined patients during the first wave, however, and did not establish that anxiety increased temporarily among participants recruited during later waves; the separate citation [81], not this source, accompanies the recruitment timing. (LLM, conf=0.84)
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- Authors
- Massicotte, V., Ivers, H., & Savard, J.
- Affiliations
- Université Laval (CA)
- Corresponding author
- Savard, Josée
- Venue
- Current Oncology
- Publisher
- MDPI AG
- Published
- 2021-01-08
- Volume
- 28
- Issue
- 1
- Pages
- 294-300
- ISSN
- 1198-0052 (ISSN-L)
- 1718-7729
- PMC
- PMC7903274
- OpenAlex
- W3119745833
- Cited by
- 104
- References
- 22
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 10 · 2023: 34 · 2022: 33 · 2021: 12
- FWCI
- 15.18
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Current 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
- COVID-19 pandemic, breast cancer, psychological stressors, anxiety, depression, insomnia, fear of cancer recurrence, family responsibilities, chemotherapy, psychological symptoms
- MeSH terms
- Cancer Survivors, Patient Health Questionnaire, COVID-19, Adult, Anxiety, Breast Neoplasms, Cross-Sectional Studies, Depression, Fear, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Neoplasm Recurrence, Local, Severity of Illness Index, Stress, Psychological, Pandemics
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