Well-being and stress vulnerability in ovarian cancer survivors during the COVID-19 pandemic.

Autor:	Telles R; Department of Psychological & Brain Sciences, University of Iowa, Iowa City, IA, USA., Zia S; Institute of Clinical and Translational Sciences, University of Iowa Hospital & Clinics, Iowa City, IA, USA., Greteman BB; Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA., Thaker PH; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Washington University School of Medicine, Saint Louis, MO, USA., Penedo F; Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA., Charlton ME; Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA., Goodheart MJ; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA, USA.; Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA., Armer JS; Department of Psychological & Brain Sciences, University of Iowa, Iowa City, IA, USA., Noble A; Department of Psychological & Brain Sciences, University of Iowa, Iowa City, IA, USA., Sood AK; Departments of Gynecologic Oncology, Cancer Biology and Center for RNA Interference and Noncoding RNA, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA., Lutgendorf SK; Department of Psychological & Brain Sciences, University of Iowa, Iowa City, IA, USA.; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA, USA.; Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA.
Jazyk:	angličtina
Zdroj:	Journal of psychosocial oncology [J Psychosoc Oncol] 2024; Vol. 42 (3), pp. 299-314. Date of Electronic Publication: 2023 Aug 17.
DOI:	10.1080/07347332.2023.2244474
Abstrakt:	Objective: This study was designed to examine (1) whether ovarian cancer (OC) survivors would have greater well-being vs. elevated distress compared to community members during a universal health stressor (COVID-19) and (2) how resources and risk factors at diagnosis predicted vulnerability to a subsequent health-related stressor. Methods: One hundred seventeen OC survivors were recruited from two academic medical centers and compared to a community-based sample on COVID-related distress and disruption. Latent class analysis identified differentially impacted groups of survivors. Results: Survivors reported lower distress than community members. Predictors of higher distress included shorter-term survivorship, greater disruption, and poorer emotional well--being (EWB) at diagnosis. Survivors were divided into high- and low-COVID-19-impact subgroups; high-impact individuals endorsed higher perceived stress and lower EWB at diagnosis. Conclusion: Survivors reported lower COVID-related distress than community participants. While depression at diagnosis did not predict later distress, EWB was a strong predictor of response to a novel health-related stressor.
Databáze:	MEDLINE
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