Catastrophizing Maladaptive Coping Affects the Association Between Viral Anxiety and Fear of Progression in Cancer Patients During COVID-19 Pandemic

• 발행기관: 대한신경정신의학회
• 저자명: Hyuk Joo Lee Cheolkyung Sin Hyeyeong Kim Hyeon-Su Im Jae-Cheol Jo Yoo Jin Lee Youjin Kim Junseok Ahn Soyoung Yoo Su-Jin Koh Seockhoon Chung
• 간행물 정보: 『Psychiatry Investigation』제20권 제12호, 1204~1210쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2023.12.31

국문 초록

Objective The aim of the present study was to explore whether or not cancer patients’ viral anxiety and depression during the corona-virus-2019 (COVID-19) pandemic were associated with a fear of cancer progression. We also assessed whether coping strategies affected the relationship. Methods The present cross-sectional survey included cancer patients who visited Ulsan University Hospital in Ulsan, Korea. The par-ticipants’ demographic information and responses to the following symptoms rating scales were collected: Stress and Anxiety to Viral Epi-demic–6; Patient Health Questionnaire–9; Cognitive Emotion Regulation Questionnaire-short version; or Fear of Progression Question-naire-short version. Results Of the 558 cancer patients surveyed, 25 (4.5%) reported that their treatment schedule was delayed during the COVID-19 pandemic. The patients’ fear of progression was found to be related to age (β=-0.08; p=0.011), viral anxiety (β=0.40; p<0.001), depression (β= 0.26; p<0.001), and catastrophizing coping strategies (β=0.15; p=0.004), for an overall adjusted R2 of 0.46 (F=66.8; p<0.001). Mediation analysis showed that viral anxiety and depression were directly associated with fear of progression, while catastrophizing mediated this relationship. Conclusion Fear of progression in cancer patients was associated with viral anxiety, depression, and maladaptive coping techniques, such as catastrophizing, during the COVID-19 pandemic.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

키워드

Cancer Anxiety Disease progression Depression COVID-19