AI Article Synopsis
- The study aimed to assess how the COVID-19 pandemic affected psychological symptoms like anxiety and depression among cancer patients, while also considering their socioeconomic backgrounds.
- A total of 1,329 patients were evaluated using standard assessments from 2018 to 2022, focusing on the influence of time, income, and education on psychological distress.
- The results showed that low income significantly increased psychological burden, especially for depressive symptoms, suggesting that socioeconomic factors play a larger role than the pandemic itself in affecting mental health among cancer patients.
Article Abstract
Objective: We aimed to investigate the impact of the COVID-19 pandemic on psychological symptom burden against the socioeconomic background of cancer patients using data from routine assessments before and during the pandemic.
Method: In this cross-sectional study, standardised assessment instruments were applied in = 1,329 patients to screen for symptoms of anxiety, depression, post-traumatic stress, and fatigue from 2018 to 2022. Two MANOVAs with post-hoc tests were computed. First, only time was included as predictor to examine the isolated impact of the pandemic. Second, income level and education level were included as further predictors to additionally test the predictive power of socioeconomic factors.
Results: In the final model, only income had a significant impact on all aspects of psychological symptom burden, with patients with low income being highly burdened (partial η² = .01, p = .023). The highest mean difference was found for depressive symptoms ( = 0.13, = [0.07; 0.19], < .001). The pandemic had no further influence on psychological distress.
Conclusions: Although the pandemic is a major stressor in many respects, poverty may be the more important risk factor for psychological symptom burden in cancer outpatients, outweighing the impact of the pandemic.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10469068 | PMC |
| http://dx.doi.org/10.1016/j.ijchp.2023.100404 | DOI Listing |
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