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Title: Mental Health and Adherence to COVID-19 Protective Behaviors among Cancer Patients during the COVID-19 Pandemic: An International, Multinational Cross-Sectional Study
Authors: Kassianos, Angelos P. 
Georgiou, Alexandros 
Kyprianidou, Maria 
Lamnisos, Demetris 
Lubenko, Jelena 
Presti, Giovambattista 
Squatrito, Valeria 
Constantinou, Marios 
Nicolaou, Christiana 
Papacostas, Savvas S. 
Aydin, Gökçen 
Chong, Yuen Yu 
Chien, Wai Tong 
Cheng, Ho Yu 
Ruiz, Francisco J. 
Garcia-Martin, Maria B. 
Obando-Posada, Diana P. 
Segura-Vargas, Miguel A. 
Vasiliou, Vasilis S. 
McHugh, Louise 
Höfer, Stefan 
Baban, Adriana 
Neto, David Dias 
Nunes da Silva, Ana 
Monestès, Jean-Louis 
Alvarez-Galvez, Javier 
Paez-Blarrina, Marisa 
Montesinos, Francisco 
Valdivia-Salas, Sonsoles 
Ori, Dorottya 
Kleszcz, Bartosz 
Lappalainen, Raimo 
Ivanović, Iva 
Gosar, David 
Dionne, Frederick 
Merwin, Rhonda M. 
Chatzittofis, Andreas 
Konstantinou, Evangelia 
Economidou, Sofia 
Gloster, Andrew T. 
Karekla, Maria 
Constantinidou, Anastasia 
Major Field of Science: Medical and Health Sciences
Field Category: Health Sciences
Keywords: COVID-19;Cancer patients;Health behaviors;Mental health;Protection behaviors
Issue Date: 15-Dec-2021
Source: Cancers, 2021, vol. 13, no. 24, articl. no. 6294
Volume: 13
Issue: 24
Journal: Cancers 
Abstract: A population-based cross-sectional study was conducted during the first COVID-19 wave, to examine the impact of COVID-19 on mental health using an anonymous online survey, enrolling 9565 individuals in 78 countries. The current sub-study examined the impact of the pandemic and the associated lockdown measures on the mental health, and protective behaviors of cancer patients in comparison to non-cancer participants. Furthermore, 264 participants from 30 different countries reported being cancer patients. The median age was 51.5 years, 79.9% were female, and 28% had breast cancer. Cancer participants reported higher self-efficacy to follow recommended national guidelines regarding COVID-19 protective behaviors compared to non-cancer participants (p < 0.01). They were less stressed (p < 0.01), more psychologically flexible (p < 0.01), and had higher levels of positive affect compared to non-cancer participants. Amongst cancer participants, the majority (80.3%) reported COVID-19, not their cancer, as their priority during the first wave of the pandemic and females reported higher levels of stress compared to males. In conclusion, cancer participants appeared to have handled the unpredictable nature of the first wave of the pandemic efficiently, with a positive attitude towards an unknown and otherwise frightening situation. Larger, cancer population specific and longitudinal studies are warranted to ensure adequate medical and psychological care for cancer patients.
ISSN: 2072-6694
DOI: 10.3390/cancers13246294
Rights: © by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Type: Article
Affiliation : University of Cyprus 
University College London 
Bank of Cyprus Oncology Center 
European University Cyprus 
Riga Stradins University 
Kore University of Enna 
University of Nicosia 
Cyprus University of Technology 
Cyprus Institute of Neurology and Genetics 
Hasan Kalyoncu University 
The Chinese University of Hong Kong 
Universidad de La Sabana 
University College Cork 
University College Dublin 
Innsbruck Medical University 
Babeş-Bolyai University 
Instituto Universitário 
Applied Psychology Research Center Capabilities & Inclusion 
University of Lisbon 
Université Grenoble Alpes 
University of Cádiz 
Instituto ACT 
Universidad Europea de Madrid 
Universidad de Zaragoza 
Heim Pal National Pediatric Institute 
Semmelweis University 
University of Jyväskylä 
Clinical Center of Montenegro 
University Medical Center Ljubljana 
Université du Québec à Trois-Rivières 
Duke University 
University of Basel 
Hasan Kalyoncu University 
Appears in Collections:Άρθρα/Articles

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