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癌症患者在 COVID-19 大流行期间的孤独感和抑郁情绪。

Loneliness and depression in patients with cancer during COVID-19.

机构信息

Department of Psychology, Centre for Social Issues Research, Study of Anxiety, Stress and Health Laboratory, University of Limerick, Limerick, Ireland.

Health Research Institute, University of Limerick, Castletroy, Limerick, Ireland.

出版信息

J Psychosoc Oncol. 2021;39(3):445-451. doi: 10.1080/07347332.2020.1853653. Epub 2020 Dec 4.

Abstract

PURPOSE

Feelings of loneliness are likely to exacerbate risk of depression in people living with cancer during COVID-19.

DESIGN AND METHODS

Five hundred and eighteen people with cancer with data extracted from two waves (2017-19 and April 2020) of the Understanding Society UK dataset participated.

FINDINGS

An increased risk of depression was observed for cancer of the breast, prostate, blood, but not other cancers (e.g., lung, melanoma). After controlling for prior depression and other factors, it was loneliness during COVID-19, and not previous loneliness, that was predictive. Those currently lonely had a 4.5-fold increased risk of depression. These findings demonstrate that people living with cancer are at increased risk of developing depression during COVID-19, and that feelings of isolation help explain this risk.

IMPLICATIONS

These particular findings have implications for health promotion and intervention work and how best to support people who may feel lonely in this vulnerable group.

摘要

目的

在 COVID-19 期间,孤独感可能会加剧癌症患者患抑郁症的风险。

设计与方法

从英国“理解社会”数据集的两个时间点(2017-19 年和 2020 年 4 月)提取数据,共有 518 名癌症患者参与了研究。

结果

观察到乳腺癌、前列腺癌、血液癌的抑郁风险增加,但其他癌症(如肺癌、黑色素瘤)则没有。在控制了先前的抑郁和其他因素后,COVID-19 期间的孤独感而不是先前的孤独感具有预测性。目前感到孤独的人患抑郁症的风险增加了 4.5 倍。这些发现表明,癌症患者在 COVID-19 期间患抑郁症的风险增加,而孤立感有助于解释这种风险。

意义

这些特定的发现对健康促进和干预工作以及如何最好地支持在这个弱势群体中可能感到孤独的人具有重要意义。

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