Social media use is associated with higher levels of anxiety and depression in patients with neuroendocrine carcinoma of the cervix: A NeCTuR study.

Autor: Saab RH; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: rsaab@mdanderson.org., Salvo G; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: gsalvo@mdanderson.org., Gonzales NR; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: NRGonzales@mdanderson.org., Munsell MF; Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: MFMunsell1@mdanderson.org., Shinn EH; Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: eshinn@mdanderson.org., Jhingran A; Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: ajhingra@mdanderson.org., Bhosale P; Department of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: priya.bhosale@mdanderson.org., Ramalingam P; Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: pramalingam@mdanderson.org., Frumovitz M; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: mfrumovitz@mdanderson.org.
Jazyk: angličtina
Zdroj: Gynecologic oncology [Gynecol Oncol] 2023 Oct; Vol. 177, pp. 95-102. Date of Electronic Publication: 2023 Aug 30.
DOI: 10.1016/j.ygyno.2023.08.014
Abstrakt: Objective: Neuroendocrine cervical carcinoma (NECC) is rare. Educational resources are limited for NECC patients, leading many to seek information online through patient-led social networks. We sought to characterize the relationships between anxiety and depression levels and social media use among NECC patients.
Methods: Seven surveys assessing social media use, anxiety, and depression were distributed to living NECC patients enrolled in our NECC registry. The primary outcomes were associations between Social Network Time Use Scale (SONTUS) global score and Generalized Anxiety Disorder (GAD-7) and Center for Epidemiologic Studies Depression Scale (CESD) total scores.
Results: Eighty-eight patients enrolled; 81 who completed at least 1 survey were included. Ninety-seven percent (70/72) of patients completing SONTUS were low-to-average social media users. Seventy-four percent (53/72) of patients visited a patient-led NECC support-group page on Facebook within the past 4 weeks, and of those, 79% (42/53) reported receiving useful information. Among the patients who did not visit the page, 47% (9/19) reported that the page elicited anxiety and/or sadness. The mean GAD-7 and CES-D scores for the entire cohort were 7.3 and 18.1, respectively. The Spearman correlations between social media use and these scores were significant (GAD-7: 0.23 [p = 0.05]; CESD: 0.25 [p = 0.04]). The estimated odds ratios for moderate/severe anxiety and depression as a function of SONTUS global score were 1.26 (95% CI 1.03-1.55; p = 0.03) and 1.23 (95% CI 1.01-1.49; p = 0.04), respectively.
Conclusions: NECC patients demonstrated low-to-average social media use and relatively high anxiety and depression. Increased social media use was associated with elevated anxiety and depression.
Competing Interests: Declaration of Competing Interest Michael Frumovitz – Consulting/speaking Stryker; Consulting Astellas; Research funding AkesoBio. Eileen Shinn – Education track leader ASCO, Co-Leader TBCRC Patient Reported Outcomes, Reviewer DOD 2023. All other authors have no conflict of interest to disclose.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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