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Cancer Research and Treatment > Accepted Articles
doi: https://doi.org/10.4143/crt.2021.585    [Accepted]
Functional Impairments in the Mental Health, Depression and Anxiety Related to the Viral Epidemic, and Disruption in Healthcare Service Utilization Among Cancer Patients in the COVID-19 Pandemic Era
Kyumin Kim1, Harin Kim1, Joohee Lee1, Inn-Kyu Cho1, Myung Hee Ahn2, Ki Young Son3, Jeong Eun Kim4, Hee Jeong Kim5, Sang Min Yoon6, So Hee Kim7, Moon Jung Kwon7, Hwa Jung Kim8, Su-Jin Koh9, Seyoung Seo4, Seockhoon Chung1
1Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
2Division of Psychiatry, Health Screening and Promotion Center, Asan Medical Center, Seoul, Korea
3Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
4Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
5Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
6Department of Radiation Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
7Cancer Edu-Info Center, Asan Medical Center, Seoul, Korea
8Department of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
9Department of Hematology and Oncology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
Correspondence  Seyoung Seo ,Email: drseo09@gmail.com
Seockhoon Chung ,Tel: 82-2-3010-3411, Fax: 82-2-485-8381, Email: schung@amc.seoul.kr
Received: May 11, 2021;  Accepted: September 16, 2021.  Published online: September 17, 2021.
ABSTRACT
Purpose
Literature is scarce regarding cancer care utilization during the massive outbreak of coronavirus disease 2019 (COVID-19) in the Republic of Korea. We investigated functional impairments in mental health and their relationships with depression, anxiety regarding the viral epidemic, and disruptions in healthcare service utilization among cancer patients in the COVID-19 pandemic era.
Materials and Methods
We used an online survey with questions related to the disturbances faced by patients with cancer in utilizing healthcare services in the pandemic era. Current mental health status was assessed using the Work and Social Adjustment Scale (WSAS), Stress and Anxiety to Viral Epidemics - 6 (SAVE-6) scale, Patient Health Questionnaire - 9 (PHQ-9), Insomnia Severity Index (ISI), Brief Resilience Scale (BRS), Cancer-related Dysfunctional Beliefs about Sleep scale (C-DBS), and Fear of COVID-19 over Cancer (FCC).
Results
Among the 221 responders, 95 (43.0%) reported disturbances in utilizing hospital care during the COVID-19 pandemic. Logistic regression analysis revealed that functional impairment in the mental health of these patients was expected due to disturbances in healthcare service utilization, high levels of depression, anxiety regarding the viral epidemic, fear of COVID over cancer, and low resilience. Mediation analysis showed that patient resilience and cancer-related dysfunctional beliefs about sleep partially mediated the effects of anxiety on functional impairment.
Conclusion
In this pandemic era, patients with cancer experience depression, anxiety regarding the viral epidemic, and disruptions in healthcare service utilization, which may influence their functional impairments in mental health.
Key words: COVID-19, Pandemics, Cancer care facilities, Anxiety, Depression
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