The impact of COVID-19 and socioeconomic status on psychological distress in cancer patients

• Elisabeth Lucia Zeilinger ^[1] ; Matthias Knefel ^[1] ; Carmen Schneckenreiter ^[1] ; Jakob Pietschnig ^[1] ; Simone Lubowitzki ^[1] ; Matthias Unseld ^[2] ; Thorsten Füreder ^[1] ; Rupert Bartsch ^[1] ; Eva Katharina Masel ^[1] ; Feroniki Adamidis ^[1] ; Lea Kum ^[1] ; Barbara Kiesewetter ^[1] ; Sabine Zöchbauer-Müller ^[1] ; Markus Raderer ^[1] ; Maria Theresa Krauth ^[1] ; Philipp B. Staber ^[1] ; Peter Valent ^[1] ; Alexander Gaiger ^[1]
  1. [1] University of Vienna

     University of Vienna

     Innere Stadt, Austria

     
  2. [2] Academy for Ageing Research, Haus der Barmherzigkeit, Vienna, Austria
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 23, Nº. 4, 2023, págs. 251-260
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2023.100404
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• Resumen

  • Objective We aimed to investigate the impact of the COVID-19 pandemic on psychological symptom burden against the socioeconomic background of cancer patients using data from routine assessments before and during the pandemic Method In this cross-sectional study, standardised assessment instruments were applied in N = 1,329 patients to screen for symptoms of anxiety, depression, post-traumatic stress, and fatigue from 2018 to 2022. Two MANOVAs with post-hoc tests were computed. First, only time was included as predictor to examine the isolated impact of the pandemic. Second, income level and education level were included as further predictors to additionally test the predictive power of socioeconomic factors Results In the final model, only income had a significant impact on all aspects of psychological symptom burden, with patients with low income being highly burdened (partial η² = .01, p = .023). The highest mean difference was found for depressive symptoms (MD = 0.13, CI = [0.07; 0.19], p < .001). The pandemic had no further influence on psychological distress Conclusions Although the pandemic is a major stressor in many respects, poverty may be the more important risk factor for psychological symptom burden in cancer outpatients, outweighing the impact of the pandemic.

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• Referencias bibliográficas
  • Amram, O., Robison, J., Amiri, S., Pflugeisen, B., Roll, J., & Monsivais, P. (2021). Socioeconomic and racial inequities in breast cancer...
  • Ayubi, E., Bashirian, S., & Khazaei, S. (2021). Depression and anxiety among patients with cancer during COVID-19 pandemic: A systematic...
  • Bai, M.-S., Miao, C.-Y., Zhang, Y., Xue, Y., Jia, F.-Y., & Du, L. (2022). COVID-19 and mental health disorders in children and adolescents...
  • Brunoni, A. R., Suen, P. J. C., Bacchi, P. S., Razza, L. B., Klein, I., Santos, L. A.dos, et al. (2021). Prevalence and risk factors of psychiatric...
  • Elm, E., von, Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). The strengthening the reporting...
  • Ernst, M., Beutel, M. E., & Brahler, E. (2022). Cancer as a risk factor for distress and its interactions with sociodemographic variables...
  • Gaiger, A., Lubowitzki, S., Krammer, K., Zeilinger, E. L., Acel, A., Cenic, O., et al. (2022). The cancer survival index—A prognostic score...
  • Gerger, A. (2021). O sterreichischer Krebsreport. https://www.krebsreport.at/.
  • GOG. (2022). Auswirkungen der COVID-19-Pandemie auf die Spitalsversorgung anhand ausgewahlter Bereiche. Gesundheit O sterreich GmBH. https://jasmin.goeg.at/1633/.
  • Grant, S., Aitchison, T., Henderson, E., Christie, J., Zare, S., Mc Murray, J., et al. (1999). A comparison of the reproducibility and the...
  • Hajek, A., Neumann-Bohme, S., Sabat, I., Torbica, A., Schreyogg, J., Barros, P. P., et al. (2022). Depression and anxiety in later COVID-19...
  • Hammouri, H. M., Sabo, R. T., Alsaadawi, R., & Kheirallah, K. A. (2020). Handling skewed data: A comparison of two popular methods. Applied...
  • Islam, J. Y., Vidot, D. C., & Camacho-Rivera, M. (2021). Evaluating mental health–related symptoms among cancer survivors during the COVID-19...
  • Knefel, M., Zeilinger, E. L., Lubowitzki, S., Krammer, K., Unseld, M., Bartsch, R., et al. (2023). Risk as a pattern over time: Delineation...
  • Lafta, R. K., & Mawlood, N. A. (2022). Mental and social burden of COVID-19 on the Iraqi people. International Journal of Social Psychiatry....
  • Maunder, R. G., Heeney, N. D., Kiss, A., Hunter, J. J., Jeffs, L. P., Ginty, L., et al. (2021). Psychological impact of the COVID-19 pandemic...
  • McDonald, R. P. (1999). Test theory: A unified treatment. Lawrence Erlbaum.
  • Mehta, S., Yarnell, C., Shah, S., Dodek, P., Parsons-Leigh, J., Maunder, R., et al. (2022). The impact of the COVID-19 pandemic on intensive...
  • Rentscher, K. E., Zhou, X., Small, B. J., Cohen, H. J., Dilawari, A. A., Patel, S. K., et al. (2021). Loneliness and mental health during...
  • Roy, A., Singh, A. K., Mishra, S., Chinnadurai, A., Mitra, A., & Bakshi, O. (2021). Mental health implications of COVID-19 pandemic and...
  • Rubin, M. (2021). When to adjust alpha during multiple testing: A consideration of disjunction, conjunction, and individual testing. Synthese,...
  • Serrano-Alarco´n, M., Kentikelenis, A., Mckee, M., & Stuckler, D. (2022). Impact of COVID-19 lockdowns on mental health: Evidence from...
  • Shechter, A., Diaz, F., Moise, N., Anstey, D. E., Ye, S., Agarwal, S., et al. (2020). Psychological distress, coping behaviors, and preferences...
  • Statista. (2022). Austria—Poverty Thresholds According to Household Types 2021 [O sterreich—Armutsgrenze nach Haushaltstypen 2021]. Statista....
  • Statistik Austria. (2022). Arbeitsmarktstatistiken 2022.
  • Stoll, C., Kapfhammer, H. P., Rothenhausler, H. B., Haller, M., Briegel, J., Schmidt, M., et al. (1999). Sensitivity and specificity of a...
  • Temel, J. S., Pirl, W. F., Recklitis, C. J., Cashavelly, B., & Lynch, T. J. (2006). Feasibility and validity of a one-item fatigue screen...
  • Unseld, M., Zeilinger, E. L., Fellinger, M., Lubowitzki, S., Krammer, K., Nader, I. W., et al. (2021). Prevalence of pain and its association...
  • van de Haar, J., Hoes, L. R., Coles, C. E., Seamon, K., Frohling, S., Jager, D., et al. (2020). Caring for patients with cancer in the COVID-19...
  • van de Poll-Franse, L. V., de Rooij, B. H., Horevoorts, N. J. E., May, A. M., Vink, G. R., Koopman, M., et al. (2021). Perceived care and...
  • Zeilinger, E. L., & Gaiger, A. (2022). Data from: Anxiety and depression in cancer outpatients. OSF. https://doi.org/10.17605/OSF.IO/7THFY....
  • Zeilinger, E. L., Lubowitzki, S., Unseld, M., Schneckenreiter, C., Heindl, D., Staber, P. B., et al. (2022a). The impact of COVID-19 on cancer...
  • Zeilinger, E. L., Nader, I. W., Wiedermann, W., Gutierrez-Colosia, M. R., Unseld, M., Lubowitzki, S., et al. (2022b). Latent structure and...
  • Zeilinger, E. L., Oppenauer, C., Knefel, M., Kantor, V., Schneckenreiter, C., Lubowitzki, S., et al. (2022c). Prevalence of anxiety and depression...
  • Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. https://doi.org/10.1111/j.1600-...