Evaluation of Psychological Effects of Covid-19 Pandemic Process on Cancer Patients

Depression and Anxiety in Cancer Patients in Pandemic

Abstract

Aim: Coronavirus-19 pandemic poses a threat both physically and mentally for cancer patients (CPs). We aimed to evaluate anxiety and depression levels of CPs during the pandemic period.              

Materials and Methods: In March 2022, CPs treated with chemotherapy and a control group who without a diagnosis of cancer and psychological disorders were evaluated. Volunteer participants completed a questionnaire form included Patient Health Questionnaire (PHQ-9), General Anxiety Scale (GAD-7) and Coronavirus Anxiety and Obsession Questionnaire (CAS, OCS).

Results: 186 (61%) CPs and 119 (39%) control groups were evaluated. 148 (48.5%) were men and 157 (51.5%) were women. 86.1% were married, 50.7% lived in the city center and 40.1% had primary school education. CPs were older, predominantly female, mostly living in the district, had lower education levels, lower working rates and lower income levels. Depression and anxiety scores were higher in CPs    (p=0.041, p<0.001). However, there was no difference between the groups in CAS and OCS scores. GAD-7 was increased by cancers other than breast, curative chemotherapy administration, low education level and low daily television watching in CPs (p=0.049, p=0.031, p=0.028 and p=0.04, respectively).

Conclusion: Coronavirus-19 pandemic triggers anxiety and depression in CPs. The PHQ-9 and GAD-7 are simple administered tests, help to evaluate depression and anxiety.