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

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL Journal of Psychosocial Oncology Pub Date : 2024-01-01 Epub Date: 2023-08-17 DOI:10.1080/07347332.2023.2244474

Rachel Telles, Sharaf Zia, Breanna B Greteman, Premal H Thaker, Frank Penedo, Mary E Charlton, Michael J Goodheart, Jessica S Armer, Alyssa Noble, Anil K Sood, Susan K Lutgendorf

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Abstract

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.

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新冠肺炎大流行期间癌症卵巢幸存者的健康和压力脆弱性。

目的：本研究旨在研究（1）在普遍健康压力源（新冠肺炎）期间，与社区成员相比，癌症（OC）幸存者是否会有更大的幸福感和更高的痛苦；（2）诊断时的资源和风险因素如何预测后续健康压力源的脆弱性。方法：从两个学术医疗中心招募了117名OC幸存者，并将其与新冠肺炎相关痛苦和干扰的社区样本进行比较。潜在类别分析确定了受影响程度不同的幸存者群体。结果：幸存者报告的痛苦程度低于社区成员。更高痛苦的预测因素包括短期存活率、更大的干扰和诊断时较差的情绪健康（EWB）。幸存者被分为COVID-19感染程度高和低的亚组；高影响力个体在诊断时表现出更高的感知压力和更低的EWB。结论：幸存者报告的新冠肺炎相关痛苦低于社区参与者。虽然诊断时的抑郁并不能预测以后的痛苦，但EWB是对一种新的健康相关压力源反应的有力预测因素。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.