Psychological distress and experiences of Adolescents and Young Adults with cancer during the COVID-19 pandemic: A cross-sectional survey.

Autor: Glidden C; Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada., Howden K; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada., Romanescu RG; George & Fay Yee Centre for Healthcare Innovation, University of Manitoba, Winnipeg, Manitoba, Canada., Hatala A; Department of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada., Scott I; Department of Psychosocial Oncology, CancerCare Manitoba, Winnipeg, Manitoba, Canada., Deleemans JM; Department of Oncology, Division of Psychosocial Oncology, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada., Chalifour K; Young Adult Cancer Canada, St.John's, Newfoundland, Canada., Eaton G; Young Adult Cancer Canada, St.John's, Newfoundland, Canada., Gupta AA; Princess Margaret Cancer Care Research Institute, Toronto, Ontario, Canada.; Department of Pediatric Hematology-Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada., Bolton JM; Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.; Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada., Garland SN; Department of Psychology, Memorial University of Newfoundland, St.John's, Newfoundland, Canada., Mahar AL; Department of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.; CancerCare Manitoba Research Institute, CancerCare Manitoba, Winnipeg, Manitoba, Canada., Oberoi S; Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.; Department of Pediatric Hematology-Oncology/BMT, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
Jazyk: angličtina
Zdroj: Psycho-oncology [Psychooncology] 2022 Apr; Vol. 31 (4), pp. 631-640. Date of Electronic Publication: 2022 Jan 05.
DOI: 10.1002/pon.5849
Abstrakt: Background: This study investigated prevalence of psychological distress, factors associated with distress, and experiences of Adolescents and Young Adults (AYAs) with cancer during the COVID-19 pandemic. It also compared distress in this group to previously surveyed Canadian AYAs with cancer in 2018 by the Young Adults with Cancer in their Prime (YACPRIME) study.
Methods: A cross-sectional, online, self-administered survey of AYAs diagnosed with cancer between 15 and 39 years of age was conducted. Psychological distress was measured by the Kessler Psychological Distress Scale (K10). Associations between variables and high psychological distress (K10 ≥ 25), and comparison of prevalence of psychological distress with the YACPRIME study were done using multivariable logistic regression. Summative qualitative content analysis analyzed participant experiences during this pandemic.
Results: We included 805 participants. High psychological distress was present in over two-thirds of the group (68.0%; 95% CI, 64.7%-71.2%). Employment impact during pandemic (AOR (adjusted odds ratio), 2.16; 95% CI, 1.41-3.31) and hematologic malignancy (AOR, 1.76; 95% CI 1.08-2.97) were associated with higher psychological distress, while older age [AOR, 0.95; 95% CI, 0.92-0.99] and personal income < $40,000 (AOR, 0.38; 95% CI, 0.24-0.58) were associated with lower distress. Adjusted odds of experiencing psychological distress among AYAs with cancer during pandemic compared to pre-pandemic years was 1.85 (95% CI: 1.36-2.53). Overarching themes of pandemic experiences included: inferior quality of life, impairment of cancer care, COVID-19 related concerns and extreme social isolation.
Conclusion: AYAs diagnosed with cancer are experiencing high psychological distress during this pandemic. Distress screening and evidence-based interventions to alleviate distress are essential.
(© 2021 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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