Cargando…

Risk factors for heightened COVID‐19‐Related anxiety among breast cancer patients

BACKGROUND: The COVID‐19 pandemic has disrupted medical care, increased isolation, and exacerbated anxiety in breast cancer patients. Since March 2020, Breastcancer.org experienced a sustained surge in requested pandemic‐related information and support. To characterize the pandemic‐related experienc...

Descripción completa

Detalles Bibliográficos
Autores principales: Shah, Yash B., Kjelstrom, Stephanie, Martinez, Diana, Leitenberger, Adam, Manasseh, Donna‐Marie, Bollmann‐Jenkins, Melissa, Partridge, Ann, Kaklamani, Virginia, Chlebowski, Rowen, Larson, Sharon, Weiss, Marisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9538212/
https://www.ncbi.nlm.nih.gov/pubmed/36057956
http://dx.doi.org/10.1002/cam4.5184
_version_ 1784803329883242496
author Shah, Yash B.
Kjelstrom, Stephanie
Martinez, Diana
Leitenberger, Adam
Manasseh, Donna‐Marie
Bollmann‐Jenkins, Melissa
Partridge, Ann
Kaklamani, Virginia
Chlebowski, Rowen
Larson, Sharon
Weiss, Marisa
author_facet Shah, Yash B.
Kjelstrom, Stephanie
Martinez, Diana
Leitenberger, Adam
Manasseh, Donna‐Marie
Bollmann‐Jenkins, Melissa
Partridge, Ann
Kaklamani, Virginia
Chlebowski, Rowen
Larson, Sharon
Weiss, Marisa
author_sort Shah, Yash B.
collection PubMed
description BACKGROUND: The COVID‐19 pandemic has disrupted medical care, increased isolation, and exacerbated anxiety in breast cancer patients. Since March 2020, Breastcancer.org experienced a sustained surge in requested pandemic‐related information and support. To characterize the pandemic‐related experiences of breast cancer patients, we surveyed the Breastcancer.org Community early in the COVID‐19 era. METHODS: Breastcancer.org Community members were invited to complete an online questionnaire regarding their experience during the pandemic. Self‐reported data on demographics, comorbidities, care disruptions, anxiety, coping ability, telemedicine use, and satisfaction with care were collected. Results were analyzed using Stata 16.0 (Stata Corp., Inc). RESULTS: Included were 568 current and previous breast cancer patients, primarily with U.S. residence. Overall, 43.8% reported at least one comorbidity associated with severe COVID‐19 illness and 61.9% experienced care delays. Moderate to extreme anxiety about contracting COVID‐19 was reported by 36.5%, increasing with number of comorbidities (33.0% vs. 55.4%, p = 0.021), current breast cancer diagnosis (30.4% vs. 42.5%, p = 0.011), and poorer coping ability (15.5% vs. 53.9%, p < 0.0001). Moderate to extreme anxiety about cancer care disruptions was reported by 29.1%, increasing with current breast cancer diagnosis (19.1% vs. 38.9%, p < 0.0001), actual delayed care (18.9% vs. 35.3%, p < 0.0001), and poorer coping ability (13.1% vs. 57.7%, p < 0.0001). Most utilized telehealth and found it helpful, but also expressed increased anxiety and subjectively expressed that these were less preferable. CONCLUSION: Early in the COVID‐19 pandemic, anxiety was reported by a large proportion of breast cancer patients, with increased prevalence in those with risk factors. Attention to mental health is critical, as emotional distress not only harms quality of life but may also compromise outcomes.
format Online
Article
Text
id pubmed-9538212
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-95382122022-10-11 Risk factors for heightened COVID‐19‐Related anxiety among breast cancer patients Shah, Yash B. Kjelstrom, Stephanie Martinez, Diana Leitenberger, Adam Manasseh, Donna‐Marie Bollmann‐Jenkins, Melissa Partridge, Ann Kaklamani, Virginia Chlebowski, Rowen Larson, Sharon Weiss, Marisa Cancer Med RESEARCH ARTICLES BACKGROUND: The COVID‐19 pandemic has disrupted medical care, increased isolation, and exacerbated anxiety in breast cancer patients. Since March 2020, Breastcancer.org experienced a sustained surge in requested pandemic‐related information and support. To characterize the pandemic‐related experiences of breast cancer patients, we surveyed the Breastcancer.org Community early in the COVID‐19 era. METHODS: Breastcancer.org Community members were invited to complete an online questionnaire regarding their experience during the pandemic. Self‐reported data on demographics, comorbidities, care disruptions, anxiety, coping ability, telemedicine use, and satisfaction with care were collected. Results were analyzed using Stata 16.0 (Stata Corp., Inc). RESULTS: Included were 568 current and previous breast cancer patients, primarily with U.S. residence. Overall, 43.8% reported at least one comorbidity associated with severe COVID‐19 illness and 61.9% experienced care delays. Moderate to extreme anxiety about contracting COVID‐19 was reported by 36.5%, increasing with number of comorbidities (33.0% vs. 55.4%, p = 0.021), current breast cancer diagnosis (30.4% vs. 42.5%, p = 0.011), and poorer coping ability (15.5% vs. 53.9%, p < 0.0001). Moderate to extreme anxiety about cancer care disruptions was reported by 29.1%, increasing with current breast cancer diagnosis (19.1% vs. 38.9%, p < 0.0001), actual delayed care (18.9% vs. 35.3%, p < 0.0001), and poorer coping ability (13.1% vs. 57.7%, p < 0.0001). Most utilized telehealth and found it helpful, but also expressed increased anxiety and subjectively expressed that these were less preferable. CONCLUSION: Early in the COVID‐19 pandemic, anxiety was reported by a large proportion of breast cancer patients, with increased prevalence in those with risk factors. Attention to mental health is critical, as emotional distress not only harms quality of life but may also compromise outcomes. John Wiley and Sons Inc. 2022-09-04 /pmc/articles/PMC9538212/ /pubmed/36057956 http://dx.doi.org/10.1002/cam4.5184 Text en © 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle RESEARCH ARTICLES
Shah, Yash B.
Kjelstrom, Stephanie
Martinez, Diana
Leitenberger, Adam
Manasseh, Donna‐Marie
Bollmann‐Jenkins, Melissa
Partridge, Ann
Kaklamani, Virginia
Chlebowski, Rowen
Larson, Sharon
Weiss, Marisa
Risk factors for heightened COVID‐19‐Related anxiety among breast cancer patients
title Risk factors for heightened COVID‐19‐Related anxiety among breast cancer patients
title_full Risk factors for heightened COVID‐19‐Related anxiety among breast cancer patients
title_fullStr Risk factors for heightened COVID‐19‐Related anxiety among breast cancer patients
title_full_unstemmed Risk factors for heightened COVID‐19‐Related anxiety among breast cancer patients
title_short Risk factors for heightened COVID‐19‐Related anxiety among breast cancer patients
title_sort risk factors for heightened covid‐19‐related anxiety among breast cancer patients
topic RESEARCH ARTICLES
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9538212/
https://www.ncbi.nlm.nih.gov/pubmed/36057956
http://dx.doi.org/10.1002/cam4.5184
work_keys_str_mv AT shahyashb riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT kjelstromstephanie riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT martinezdiana riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT leitenbergeradam riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT manassehdonnamarie riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT bollmannjenkinsmelissa riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT partridgeann riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT kaklamanivirginia riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT chlebowskirowen riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT larsonsharon riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients
AT weissmarisa riskfactorsforheightenedcovid19relatedanxietyamongbreastcancerpatients