KMID : 0191120220370360272
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Journal of Korean Medical Science 2022 Volume.37 No. 36 p.272 ~ p.272
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Effect of Cancer-Related Dysfunctional Beliefs About Sleep on Fear of Cancer Progression in the Coronavirus Pandemic
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Kim Ha-Rin
Cho Inn-Kyu Lee Dong-In Kim Kyu-Min Lee Joo-Hee Cho Eul-Ah Park C. Hyung-Keun Chung Seock-Hoon
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Abstract
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Background: This study aimed to explore clinical correlates of fear of progression (FoP) among patients with cancer during the coronavirus disease 2019 (COVID-19) pandemic and examine the mediation effect of cancer-related dysfunctional beliefs about sleep (C-DBS).
Methods: Medical charts of patients with cancer who visited a psycho-oncology clinic between July and November 2021 were reviewed. Baseline socio-demographic and cancer-related variables were collected. Patients¡¯ self-report questionnaires, regarding FoP, depression (Patient Health Questionnaire-9 items; PHQ-9), viral anxiety (Stress and Anxiety to Viral Epidemics-6 items; SAVE-6), C-DBS, and other distress, were investigated. Pearson¡¯s correlation and linear regression were performed to examine the risk factors of FoP. Mediation effect analysis with the bootstrap method with 2,000 resamples was implemented.
Results: A total of 231 patients were included in the analysis. Linear regression revealed that FoP was predicted by age (¥â = ?0.14, P = 0.003), PHQ-9 (¥â = 0.48, P < 0.001), SAVE-6 (¥â = 0.34, P < 0.001), and C-DBS (¥â = 0.15, P = 0.005). FoP was directly influenced by SAVE-6 and mediated by C-DBS, while it was directly influenced by PHQ-9 with no mediation effect.
Conclusion: During the COVID-19 pandemic, the FoP of patients with cancer was associated with younger age, depression, viral anxiety, and C-DBS. Depression and viral anxiety directly influenced FoP, while C-DBS mediated the association between viral anxiety and FoP. Therefore, oncology healthcare professionals are recommended to assess C-DBS of their patients when they are highly distressed from FoP.
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KEYWORD
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COVID-19 Pandemic, Psychological Distress, Psycho-Oncology, Mediating Factor
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