Mental health and adherence to covid-19 protective behaviors among cancer patients during the covid-19 pandemic: An international, multinational cross-sectional study

Angelos P. Kassianos; Alexandros Georgiou; Maria Kyprianidou; Demetris Lamnisos; Jeļena Ļubenko; Giovambattista Presti; Valeria Squatrito; Marios Constantinou; Christiana Nicolaou; Savvas Papacostas; Gökçen Aydin; Yuen Yu Chong; Wai Tong Chien; Ho Yu Cheng; Francisco J. Ruiz; Maria B. Garcia-Martin; Diana Obando; Miguel A. Segura-Vargas; Vasilis S. Vasiliou; Louise McHugh; Stefan Höfer; Adriana Baban; David Dias Neto; Ana Nunes da Silva; Jean Louis Monestès; Javier Alvarez-Galvez; Marisa Paez Blarrina; Francisco Montesinos; Sonsoles Valdivia Salas; Dorottya Őri; Bartosz Kleszcz; Raimo Lappalainen; Iva Ivanović; David Gosar; Frederick Dionne; Rhonda M. Merwin; Andreas Chatzittofis; Evangelia Konstantinou; Sofia Economidou; Andrew T. Gloster; Maria Karekla; Anastasia Constantinidou

doi:10.3390/cancers13246294

Mental health and adherence to covid-19 protective behaviors among cancer patients during the covid-19 pandemic: An international, multinational cross-sectional study

Angelos P. Kassianos, Alexandros Georgiou, Maria Kyprianidou, Demetris Lamnisos, Jeļena Ļubenko, Giovambattista Presti, Valeria Squatrito, Marios Constantinou, Christiana Nicolaou, Savvas Papacostas, Gökçen Aydin, Yuen Yu Chong, Wai Tong Chien, Ho Yu Cheng, Francisco J. Ruiz, Maria B. Garcia-Martin, Diana Obando, Miguel A. Segura-Vargas, Vasilis S. Vasiliou, Louise McHughStefan Höfer, Adriana Baban, David Dias Neto, Ana Nunes da Silva, Jean Louis Monestès, Javier Alvarez-Galvez, Marisa Paez Blarrina, Francisco Montesinos, Sonsoles Valdivia Salas, Dorottya Őri, Bartosz Kleszcz, Raimo Lappalainen, Iva Ivanović, David Gosar, Frederick Dionne, Rhonda M. Merwin, Andreas Chatzittofis, Evangelia Konstantinou, Sofia Economidou, Andrew T. Gloster, Maria Karekla, Anastasia Constantinidou

Research output: Contribution to journal › Article › peer-review

Abstract

A population-based cross-sectional study was conducted during the first COVID-19 wave, to examine the impact of COVID-19 on mental health using an anonymous online survey, enrolling 9565 individuals in 78 countries. The current sub-study examined the impact of the pandemic and the associated lockdown measures on the mental health, and protective behaviors of cancer patients in comparison to non-cancer participants. Furthermore, 264 participants from 30 different countries reported being cancer patients. The median age was 51.5 years, 79.9% were female, and 28% had breast cancer. Cancer participants reported higher self-efficacy to follow recommended national guidelines regarding COVID-19 protective behaviors compared to non-cancer participants (p < 0.01). They were less stressed (p < 0.01), more psychologically flexible (p < 0.01), and had higher levels of positive affect compared to non-cancer participants. Amongst cancer participants, the majority (80.3%) reported COVID-19, not their cancer, as their priority during the first wave of the pandemic and females reported higher levels of stress compared to males. In conclusion, cancer participants appeared to have handled the unpredictable nature of the first wave of the pandemic efficiently, with a positive attitude towards an unknown and otherwise frightening situation. Larger, cancer population specific and longitudinal studies are warranted to ensure adequate medical and psychological care for cancer patients.

Original language	English
Article number	6294
Journal	Cancers
Volume	13
Issue number	24
DOIs	https://doi.org/10.3390/cancers13246294
Publication status	Published - 1 Dec 2021
Externally published	Yes

Keywords

Cancer patients
COVID-19
Health behaviors
Mental health
Protection behaviors

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/cancers13246294

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Kassianos, A. P., Georgiou, A., Kyprianidou, M., Lamnisos, D., Ļubenko, J., Presti, G., Squatrito, V., Constantinou, M., Nicolaou, C., Papacostas, S., Aydin, G., Chong, Y. Y., Chien, W. T., Cheng, H. Y., Ruiz, F. J., Garcia-Martin, M. B., Obando, D., Segura-Vargas, M. A., Vasiliou, V. S., ... Constantinidou, A. (2021). Mental health and adherence to covid-19 protective behaviors among cancer patients during the covid-19 pandemic: An international, multinational cross-sectional study. Cancers, 13(24), Article 6294. https://doi.org/10.3390/cancers13246294

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title = "Mental health and adherence to covid-19 protective behaviors among cancer patients during the covid-19 pandemic: An international, multinational cross-sectional study",

abstract = "A population-based cross-sectional study was conducted during the first COVID-19 wave, to examine the impact of COVID-19 on mental health using an anonymous online survey, enrolling 9565 individuals in 78 countries. The current sub-study examined the impact of the pandemic and the associated lockdown measures on the mental health, and protective behaviors of cancer patients in comparison to non-cancer participants. Furthermore, 264 participants from 30 different countries reported being cancer patients. The median age was 51.5 years, 79.9% were female, and 28% had breast cancer. Cancer participants reported higher self-efficacy to follow recommended national guidelines regarding COVID-19 protective behaviors compared to non-cancer participants (p < 0.01). They were less stressed (p < 0.01), more psychologically flexible (p < 0.01), and had higher levels of positive affect compared to non-cancer participants. Amongst cancer participants, the majority (80.3%) reported COVID-19, not their cancer, as their priority during the first wave of the pandemic and females reported higher levels of stress compared to males. In conclusion, cancer participants appeared to have handled the unpredictable nature of the first wave of the pandemic efficiently, with a positive attitude towards an unknown and otherwise frightening situation. Larger, cancer population specific and longitudinal studies are warranted to ensure adequate medical and psychological care for cancer patients.",

keywords = "Cancer patients, COVID-19, Health behaviors, Mental health, Protection behaviors",

author = "Kassianos, {Angelos P.} and Alexandros Georgiou and Maria Kyprianidou and Demetris Lamnisos and Jeļena Ļubenko and Giovambattista Presti and Valeria Squatrito and Marios Constantinou and Christiana Nicolaou and Savvas Papacostas and G{\"o}k{\c c}en Aydin and Chong, {Yuen Yu} and Chien, {Wai Tong} and Cheng, {Ho Yu} and Ruiz, {Francisco J.} and Garcia-Martin, {Maria B.} and Diana Obando and Segura-Vargas, {Miguel A.} and Vasiliou, {Vasilis S.} and Louise McHugh and Stefan H{\"o}fer and Adriana Baban and Neto, {David Dias} and {da Silva}, {Ana Nunes} and Monest{\`e}s, {Jean Louis} and Javier Alvarez-Galvez and Blarrina, {Marisa Paez} and Francisco Montesinos and Salas, {Sonsoles Valdivia} and Dorottya {\H O}ri and Bartosz Kleszcz and Raimo Lappalainen and Iva Ivanovi{\'c} and David Gosar and Frederick Dionne and Merwin, {Rhonda M.} and Andreas Chatzittofis and Evangelia Konstantinou and Sofia Economidou and Gloster, {Andrew T.} and Maria Karekla and Anastasia Constantinidou",

note = "Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland.",

year = "2021",

month = dec,

day = "1",

doi = "10.3390/cancers13246294",

language = "English",

volume = "13",

journal = "Cancers",

issn = "2072-6694",

publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

number = "24",

}

Kassianos, AP, Georgiou, A, Kyprianidou, M, Lamnisos, D, Ļubenko, J, Presti, G, Squatrito, V, Constantinou, M, Nicolaou, C, Papacostas, S, Aydin, G, Chong, YY, Chien, WT, Cheng, HY, Ruiz, FJ, Garcia-Martin, MB, Obando, D, Segura-Vargas, MA, Vasiliou, VS, McHugh, L, Höfer, S, Baban, A, Neto, DD, da Silva, AN, Monestès, JL, Alvarez-Galvez, J, Blarrina, MP, Montesinos, F, Salas, SV, Őri, D, Kleszcz, B, Lappalainen, R, Ivanović, I, Gosar, D, Dionne, F, Merwin, RM, Chatzittofis, A, Konstantinou, E, Economidou, S, Gloster, AT, Karekla, M & Constantinidou, A 2021, 'Mental health and adherence to covid-19 protective behaviors among cancer patients during the covid-19 pandemic: An international, multinational cross-sectional study', Cancers, vol. 13, no. 24, 6294. https://doi.org/10.3390/cancers13246294

TY - JOUR

T1 - Mental health and adherence to covid-19 protective behaviors among cancer patients during the covid-19 pandemic

T2 - An international, multinational cross-sectional study

AU - Kassianos, Angelos P.

AU - Georgiou, Alexandros

AU - Kyprianidou, Maria

AU - Lamnisos, Demetris

AU - Ļubenko, Jeļena

AU - Presti, Giovambattista

AU - Squatrito, Valeria

AU - Constantinou, Marios

AU - Nicolaou, Christiana

AU - Papacostas, Savvas

AU - Aydin, Gökçen

AU - Chong, Yuen Yu

AU - Chien, Wai Tong

AU - Cheng, Ho Yu

AU - Ruiz, Francisco J.

AU - Garcia-Martin, Maria B.

AU - Obando, Diana

AU - Segura-Vargas, Miguel A.

AU - Vasiliou, Vasilis S.

AU - McHugh, Louise

AU - Höfer, Stefan

AU - Baban, Adriana

AU - Neto, David Dias

AU - da Silva, Ana Nunes

AU - Monestès, Jean Louis

AU - Alvarez-Galvez, Javier

AU - Blarrina, Marisa Paez

AU - Montesinos, Francisco

AU - Salas, Sonsoles Valdivia

AU - Őri, Dorottya

AU - Kleszcz, Bartosz

AU - Lappalainen, Raimo

AU - Ivanović, Iva

AU - Gosar, David

AU - Dionne, Frederick

AU - Merwin, Rhonda M.

AU - Chatzittofis, Andreas

AU - Konstantinou, Evangelia

AU - Economidou, Sofia

AU - Gloster, Andrew T.

AU - Karekla, Maria

AU - Constantinidou, Anastasia

PY - 2021/12/1

Y1 - 2021/12/1

N2 - A population-based cross-sectional study was conducted during the first COVID-19 wave, to examine the impact of COVID-19 on mental health using an anonymous online survey, enrolling 9565 individuals in 78 countries. The current sub-study examined the impact of the pandemic and the associated lockdown measures on the mental health, and protective behaviors of cancer patients in comparison to non-cancer participants. Furthermore, 264 participants from 30 different countries reported being cancer patients. The median age was 51.5 years, 79.9% were female, and 28% had breast cancer. Cancer participants reported higher self-efficacy to follow recommended national guidelines regarding COVID-19 protective behaviors compared to non-cancer participants (p < 0.01). They were less stressed (p < 0.01), more psychologically flexible (p < 0.01), and had higher levels of positive affect compared to non-cancer participants. Amongst cancer participants, the majority (80.3%) reported COVID-19, not their cancer, as their priority during the first wave of the pandemic and females reported higher levels of stress compared to males. In conclusion, cancer participants appeared to have handled the unpredictable nature of the first wave of the pandemic efficiently, with a positive attitude towards an unknown and otherwise frightening situation. Larger, cancer population specific and longitudinal studies are warranted to ensure adequate medical and psychological care for cancer patients.

AB - A population-based cross-sectional study was conducted during the first COVID-19 wave, to examine the impact of COVID-19 on mental health using an anonymous online survey, enrolling 9565 individuals in 78 countries. The current sub-study examined the impact of the pandemic and the associated lockdown measures on the mental health, and protective behaviors of cancer patients in comparison to non-cancer participants. Furthermore, 264 participants from 30 different countries reported being cancer patients. The median age was 51.5 years, 79.9% were female, and 28% had breast cancer. Cancer participants reported higher self-efficacy to follow recommended national guidelines regarding COVID-19 protective behaviors compared to non-cancer participants (p < 0.01). They were less stressed (p < 0.01), more psychologically flexible (p < 0.01), and had higher levels of positive affect compared to non-cancer participants. Amongst cancer participants, the majority (80.3%) reported COVID-19, not their cancer, as their priority during the first wave of the pandemic and females reported higher levels of stress compared to males. In conclusion, cancer participants appeared to have handled the unpredictable nature of the first wave of the pandemic efficiently, with a positive attitude towards an unknown and otherwise frightening situation. Larger, cancer population specific and longitudinal studies are warranted to ensure adequate medical and psychological care for cancer patients.

KW - Cancer patients

KW - COVID-19

KW - Health behaviors

KW - Mental health

KW - Protection behaviors

UR - http://www.scopus.com/inward/record.url?scp=85121054127&partnerID=8YFLogxK

U2 - 10.3390/cancers13246294

DO - 10.3390/cancers13246294

M3 - Article

AN - SCOPUS:85121054127

SN - 2072-6694

VL - 13

JO - Cancers

JF - Cancers

IS - 24

M1 - 6294

ER -

Mental health and adherence to covid-19 protective behaviors among cancer patients during the covid-19 pandemic: An international, multinational cross-sectional study

Abstract

Keywords

UN SDGs

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