School of Psychology, Université Laval, Québec, QC G1V 0A6, Canada.
Oncology Division, CHU de Québec-Université Laval Research Centre, Québec, QC G1R 2J6, Canada.
Curr Oncol. 2021 Jan 8;28(1):294-300. doi: 10.3390/curroncol28010034.
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.
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 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, s(32) = 0.36 to 0.59, all s < 0.05.
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.
当前的 2019 年冠状病毒病（COVID-19）大流行是一个高度紧张的事件，可能导致显著的心理症状，特别是在癌症患者中，他们感染病毒的风险更大。本研究调查了与持续的冠状病毒大流行相关的压力源的频率及其与乳腺癌患者的心理症状（即焦虑、抑郁、失眠、对癌症复发的恐惧）的关系。
36 名被诊断为非转移性乳腺癌的女性完成了失眠严重指数、医院焦虑抑郁量表、癌症复发恐惧量表严重程度子量表和我们研究团队开发的 COVID-19 压力源问卷。参与者要么在（69.4%）化疗治疗期间或之后（30.6%）完成了这些问卷。
结果表明，大多数参与者（63.9%）经历了至少一个与 COVID-19 大流行相关的压力源（一个：27.8%，两个：22.2%，三个：11.1%）。报告最多的压力源是在家中增加了责任（33.3%）。与所经历的压力源相关的更高水平的担忧与更高水平的焦虑、抑郁症状、失眠和对癌症复发的恐惧显著相关，s（32）= 0.36 至 0.59，所有 s < 0.05。
癌症患者经历了与 COVID-19 大流行相关的大量压力源，这些压力源与更多的心理症状相关。这些结果有助于更好地了解癌症背景下全球大流行的心理后果，并强调需要在这样一个充满挑战的时期更好地支持患者。
