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Psychological Impact of COVID-19 Pandemic in Patients with Cancer and the Relation with Traumatic Events, Difficulty in Emotion Regulation, and Social Support

Year 2024, Volume: 5 Issue: 2, 73 - 83, 30.05.2024
https://doi.org/10.56766/ntms.1424151

Abstract

Objective: We aimed to investigate the psychological effect of the COVID-19 pandemic in cancer patients and its relationship with traumatic events, difficulty in emotion regulation and social support during the COVID-19 Pandemic
Materials and Methods: This cross sectional study was conducted with 149 patients diagnosed with cancer. Patients were assessed with Post-Traumatic Stress Disorder Checklist (PTSDCL), Depression, Anxiety and Stress Scale for DSM-5 (DASS-21), Adverse Childhood Experiences Scale (ACE), Stressful Life Events Inquiry List, Difficulty in Emotion Regulation Scale-Short Form (DERS), Multidimensional Scale of Perceived Social Supports(MSPSS).
Results: 92 (61.7%) of the 149 participants were female and 118 (79.2%) were married. The median age was 51 years. 66 (%44.3) experienced moderate-to-severe distress on any or more of the DASS-21 scales. High DERS-Goals levels (p<0.001) and SELP scores (p=0.004) predicted high PTSD severity. High DERS-Strategies (p=0.008), DERS-Goals (p=0.007) and ACE (p=0.009) scores predicted high depression severity. High COURSE-Goals scores (p<0.001) and low MSPSS-Family scores (p=0.038) predicted high anxiety. Goals (p<0.001) and DERS-Clarity (p=0.033) scores predicted high stress severity.
Conclusion: Childhood adversities, emotion regulation difficulties, and social support especially from the families should be considered for the patients with cancer during the pandemic to prevent them from negative outcomes.

References

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  • 4. Bahadirli S, Sagaltici E. Burnout, Job Satisfaction, and Psychological Symptoms Among Emergency Physicians During COVID-19 Outbreak: A Cross-Sectional Study. Practitioner. 2021; 83(25.1):20.28-29.
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  • 19. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33(3):335-43.
  • 20. Sarıçam H. 2018. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. availeble at: https://openaccess.dpu.edu.tr/xmlui/handle/20.500.12438/2183
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  • 23. Yiğit İ, Yiğit MG. Psychometric properties of Turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Curr Psychol. 2019; 38(6):1503-11.
  • 24. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. JPA. 1988; 52(1):30-41.
  • 25. Eker D, Arkar H, Yaldız H. Factorial structure, validity, and reliability of revised form of the multidimensional scale of perceived social support. Türk Pisikiyatri Derg. 2001; 12(1):17-25.
  • 26. Wilson-Genderson M, Heid AR, Cartwright F, Pruchno R. Adverse childhood experiences, adult trauma, and depressive symptom trajectories. Aging Ment Health. 2022;26(11): 2170-78.
  • 27. Howard ARH, Parris S, Hall JS et al. An examination of the relationships between professional quality of life, adverse childhood experiences, resilience, and work environment in a sample of human service providers. CYSR. 2015; 57:141-48.
  • 28. Yalçın İ. İyi oluş ve sosyal destek arasındaki ilişkiler: Türkiye’de yapılmış çalışmaların meta analizi. Türk Psikiyatri Derg. 2015; 26(1):21-32.
  • 29. Massicotte V, Ivers H, Savard J. COVID-19 pandemic stressors and psychological symptoms in breast cancer patients. Curr Oncol, 2021; 28(1):294-300.
  • 30. Wang Y, Duan, Z, Ma Z, et al. (2020). Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl Psychiatry. 2020; 10(1):263.
  • 31. Tsamakis K, Gavriatopoulou M, Schizas D, et al. Oncology during the COVID 19 pandemic: challenges, dilemmas and the psychosocial impact on cancer patients. Oncol Letter. 2020; 20(1):441-47.
  • 32. Montague R, Canning SE, Thielking P et al. Adverse childhood experiences and psychotropic medication prescription among cancer patients. J Psychosoc Oncol. 2023; 21:1-15.
  • 33. Brown DW, Anda RF, Felitti VJ et al. Adverse childhood experiences are associated with the risk of lung cancer: a prospective cohort study. BMC Public Health. 2010; 10(1):1-12.
  • 34. Alcalá HE, Keim-Malpass J, Mitchell E. (). Colorectal cancer screening and adverse childhood experiences: Which adversities matter? Child Abuse Negl. 2017; 69:145-50.
  • 35. Alcalá HE, Mitchell E, Keim-Malpas J. Adverse childhood experiences and cervical cancer screening. J Women's Health. 2017; 26(1):58-63.
Year 2024, Volume: 5 Issue: 2, 73 - 83, 30.05.2024
https://doi.org/10.56766/ntms.1424151

Abstract

References

  • 1. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020; 395(10223):470-73.
  • 2. Chan JF-W, Yuan S, Kok K-H et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020; 395(10223):514-23.
  • 3. Sahin SK, Arslan E, Atalay UM, Demir B, Elboga G, Altindag A. Psychological impact of COVID-19 outbreak on health workers in a university hospital in Turkey. 2021; Psychology, Health & Medicine:1-10.
  • 4. Bahadirli S, Sagaltici E. Burnout, Job Satisfaction, and Psychological Symptoms Among Emergency Physicians During COVID-19 Outbreak: A Cross-Sectional Study. Practitioner. 2021; 83(25.1):20.28-29.
  • 5. Wang Y, Duan Z, Ma Z, Mao Y et al. Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl Psychiatry. 2020; 10(1):1-10.
  • 6. González-Montero J, Valenzuela G, Ahumada M, Barajas O, Villanueva L. Management of cancer patients during COVID-19 pandemic at developing countries. WJCC. 2020; 8(16):3390.
  • 7. Miaskowski C, Paul SM, Snowberg K et al. Stress and symptom burden in oncology patients during the COVID-19 pandemic. JPSM. 2020; 60(5):e25-e34.
  • 8. Anuk D, Özkan M, Kizir A, Ozkan S. The characteristics and risk factors for common psychiatric disorders in patients with cancer seeking help for mental health. BMC Psychiatry. 2019; 19(1):1-11.
  • 9. Breitbart W, Rosenfeld B, Pessin H et al. Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. Jama. 2000; 284(22):2907-11.
  • 10. Koole SL. The psychology of emotion regulation: An integrative review. Cogn Emot. 2009; 23(1):4-41.
  • 11. Tekin MS, Özdemir N, Şahin ŞK. Effect of attachment styles, emotional regulation difficulty and mindful attention levels on treatment motivation in patients with substance use disorder. J Subst Use. 2021; 26(4):441-48.
  • 12. Vaughan E, Koczwara B, Kemp E, Freytag C, Wilson T, Beatty L et . Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer. Psychosoc Oncol. 2019; 28(7):1506-12.
  • 13. Panayiotou G, Panteli M, Leonidou C. Coping with the invisible enemy: The role of emotion regulation and awareness in quality of life during the COVID-19 pandemic. JCBS. 2021; 19:17-27.
  • 14. Gündüz A, Yaşar AB, Gündoğmuş İ, Sevran C, Konuk E. Çocukluk çağı olumsuz yaşantılar ölçeği türkçe formunun geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Dergisi. 2018; 19(1):68-75.
  • 15. Wolfe J, Kimerling R, Brown PJ, Chrestman KR, & Levin K (1996). Psychometric review of the life stressor checklist-revised. In Stamm BH (Ed.), Measurement of stress, trauma, and adaptation (pp. 198–201). Lutherville, MD: Sidran Press.
  • 16. Weathers FW, Blake DD, Schnurr PP, Kaloupek DG, Marx BP, Keane TM. The life events checklist for DSM-5 (LEC-5). Instrument available from the National Center for PTSD at www.ptsd.va.gov; 2013.
  • 17. Boysan M, Guzel Ozdemir P, Ozdemir, Selvi Y, Yilmaz E, Kaya N. Psychometric properties of the Turkish version of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, (PCL-5). Psychiatry Clin Psychopharmacol. 2017; 27(3):300-10.
  • 18. Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, Schnurr PP. The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD website: http://www. ptsd.va.gov; 2013.
  • 19. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33(3):335-43.
  • 20. Sarıçam H. 2018. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. availeble at: https://openaccess.dpu.edu.tr/xmlui/handle/20.500.12438/2183
  • 21. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales: Psychology Foundation of Australia; 1996. pp 1-42.
  • 22. Bjureberg J, Ljótsson B, Tull MT et al. Development and validation of a brief version of the difficulties in emotion regulation scale: the DERS-16. JPBAB. 2016; 38(2):284-96.
  • 23. Yiğit İ, Yiğit MG. Psychometric properties of Turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Curr Psychol. 2019; 38(6):1503-11.
  • 24. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. JPA. 1988; 52(1):30-41.
  • 25. Eker D, Arkar H, Yaldız H. Factorial structure, validity, and reliability of revised form of the multidimensional scale of perceived social support. Türk Pisikiyatri Derg. 2001; 12(1):17-25.
  • 26. Wilson-Genderson M, Heid AR, Cartwright F, Pruchno R. Adverse childhood experiences, adult trauma, and depressive symptom trajectories. Aging Ment Health. 2022;26(11): 2170-78.
  • 27. Howard ARH, Parris S, Hall JS et al. An examination of the relationships between professional quality of life, adverse childhood experiences, resilience, and work environment in a sample of human service providers. CYSR. 2015; 57:141-48.
  • 28. Yalçın İ. İyi oluş ve sosyal destek arasındaki ilişkiler: Türkiye’de yapılmış çalışmaların meta analizi. Türk Psikiyatri Derg. 2015; 26(1):21-32.
  • 29. Massicotte V, Ivers H, Savard J. COVID-19 pandemic stressors and psychological symptoms in breast cancer patients. Curr Oncol, 2021; 28(1):294-300.
  • 30. Wang Y, Duan, Z, Ma Z, et al. (2020). Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl Psychiatry. 2020; 10(1):263.
  • 31. Tsamakis K, Gavriatopoulou M, Schizas D, et al. Oncology during the COVID 19 pandemic: challenges, dilemmas and the psychosocial impact on cancer patients. Oncol Letter. 2020; 20(1):441-47.
  • 32. Montague R, Canning SE, Thielking P et al. Adverse childhood experiences and psychotropic medication prescription among cancer patients. J Psychosoc Oncol. 2023; 21:1-15.
  • 33. Brown DW, Anda RF, Felitti VJ et al. Adverse childhood experiences are associated with the risk of lung cancer: a prospective cohort study. BMC Public Health. 2010; 10(1):1-12.
  • 34. Alcalá HE, Keim-Malpass J, Mitchell E. (). Colorectal cancer screening and adverse childhood experiences: Which adversities matter? Child Abuse Negl. 2017; 69:145-50.
  • 35. Alcalá HE, Mitchell E, Keim-Malpas J. Adverse childhood experiences and cervical cancer screening. J Women's Health. 2017; 26(1):58-63.
There are 35 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases, Public Health (Other)
Journal Section Research Articles
Authors

Ebru Karcı 0000-0001-8802-6376

Özcan Sönmez 0000-0002-1998-8069

Alper Çağrı Karcı 0000-0002-5917-5628

Eser Sağaltıcı 0000-0002-4217-2658

Meyha Sahin This is me 0000-0003-4147-3587

Publication Date May 30, 2024
Submission Date January 23, 2024
Acceptance Date May 22, 2024
Published in Issue Year 2024 Volume: 5 Issue: 2

Cite

EndNote Karcı E, Sönmez Ö, Karcı AÇ, Sağaltıcı E, Sahin M (May 1, 2024) Psychological Impact of COVID-19 Pandemic in Patients with Cancer and the Relation with Traumatic Events, Difficulty in Emotion Regulation, and Social Support. New Trends in Medicine Sciences 5 2 73–83.