Covid-19 Pandemic and Post-Traumatic Stress Disorder in Women with Breast Cancer

Authors

  • Marislei Sanches Panobianco Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública. Ribeirão Preto (SP), Brasil. https://orcid.org/0000-0003-2619-8740
  • Letícia Martins Gaspar Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública. Ribeirão Preto (SP), Brasil. https://orcid.org/0000-0003-3043-0143
  • Maria Antonieta Spinoso Prado Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública. Ribeirão Preto (SP), Brasil. https://orcid.org/0000-0002-9326-5109
  • Grazielle Aparecida Berzuini Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública. Ribeirão Preto (SP), Brasil. https://orcid.org/0000-0002-7447-2735

DOI:

https://doi.org/10.32635/2176-9745.RBC.2022v68n2.2234

Keywords:

stress disorders, post-traumatic, breast neoplasms, COVID-19

Abstract

Introduction: Cancer patients are at higher risk of contracting COVID-19 and present worse outcomes. Objective: To evaluate COVID-19 pandemic post-traumatic stress disorder in women with breast cancer. Method: The Event Impact Scale ‒ Revised (IES-R) was used, consisting of 22 items, in 3 subscales (avoidance, intrusion and hyperstimulation), including criteria for evaluating post-traumatic stress disorders. The invitation was made through WhatsApp or in online meetings of a rehabilitation center for women with breast cancer, further to a link to a Google Docs form and the Informed Consent Form (ICF) sent electronically. Results: 50 women were enrolled, aged between 34 and 81 years, 88% in use of some type of comorbidities medication and 10% used antidepressants. Participants did not have posttraumatic stress disorders, however the figures showed that older women had lower rates of post-traumatic stress disorders: total scale (p=0.002), subscales intrusion (p=0.001) and hyperstimulation (p=0.003). There was also a significant difference of antidepressant medication for the total scale (p=0.032) and for the intrusion (p=0.026) and hyperstimulation (p=0.030) subscales. Conclusion: The participants did not present post-traumatic stress disorder, possibly due to the fact that they are already attending a breast cancer rehabilitation center that offers online comprehensive care during the pandemic as well.

Downloads

Download data is not yet available.

References

Instituto Nacional de Câncer José Alencar Gomes da Silva [Internet]. Rio de Janeiro: INCA; [data desconhecida]. Causas e prevenção: estatísticas de câncer; [modificado 2022 abr 25; acesso 2020 abr 30]. Disponível em: https://www.inca.gov.br/numeros-de-cancer

Instituto Nacional de Câncer José Alencar Gomes da Silva [Internet]. Rio de Janeiro: INCA; [data desconhecida]. Gestor e profissional de saúde: tratamento; [modificado 2021 maio 18; acesso 2021 abr 27]. Disponível em: https://www.inca.gov.br/controle-do-cancer-de-mama/acoes-de-controle/tratamento

Loyola EAC, Borges ML, Magalhães PAP, et al. Grupo de reabilitação: benefícios e barreiras sob a ótica de mulheres com câncer de mama. Texto Contexto Enferm. 2017;26(1):1-10. doi: https://doi.org/10.1590/0104-07072017003250015 DOI: https://doi.org/10.1590/0104-07072017003250015

Souza EA, Ramos BDS, Silva LQM. Espiritualidade, coping religioso espiritual e qualidade de vida em pacientes no serviço de oncologia em um hospital público de referência no nordeste do Brasil. [trabalho de conclusão de curso na Internet]. Recife (PE): Faculdade Pernambucana de Saúde; 2019 [acesso 2021 jan 27]. Disponível em: http://tcc.fps.edu.br:80/jspui/handle/fpsrepo/464

World Health Organization. Coronavirus disease 2019 (COVID‐19): situation report, 70 [Internet]. Geneva: WHO; 2020 [cited 2021 Mar 31]. Available from: https://apps.who.int/iris/bitstream/handle/10665/331683/nCoVsitrep30Mar2020-eng.pdf?sequence=1&isAllowed=y

Reis AJDVS, Anjos MCMN, Cavalcanti BLM, et al. Transtorno de estresse pós-traumático como desencadeador de mudanças epigenéticas no corpo. Rev Cient Multr Núcl Conhecimento. 2020;4(8):96-114. doi: https://doi.org/10.32749/nucleodoconhecimento.com.br/saude/mudancas-epigeneticas DOI: https://doi.org/10.32749/nucleodoconhecimento.com.br/saude/mudancas-epigeneticas

Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239-42. doi: https://doi.org/10.1001/jama.2020.2648 DOI: https://doi.org/10.1001/jama.2020.2648

Zhou F, Yu T, Du R et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. doi: https://doi.org/10.1016/S0140-6736(20)30566-3 DOI: https://doi.org/10.1016/S0140-6736(20)30566-3

Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of Coronavirus disease 2019 in China. N Engl J Med. 2020;382:1708-20. doi: https://doi.org/10.1056/NEJMoa2002032 DOI: https://doi.org/10.1056/NEJMoa2002032

Zhang L, Zhu F, Xie L, et al. Clinical characteristics of COVID-19-infected cancer patients: a retrospective case study in three hospitals within Wuhan, China. Ann Oncol. 2020;31(7):894-901. doi: https://doi.org/10.1016/j.annonc.2020.03.296 DOI: https://doi.org/10.1016/j.annonc.2020.03.296

Freitas ARR, Beckedorff OA, Cavalcanti LPG, et al. The emergence of novel SARS-CoV-2 variant P.1 in Amazonas (Brazil) was temporally associated with a change in the age and gender profile of COVID-19 mortality. SciELO Preprints. 2021 mar 3. doi: https://doi.org/10.1590/SciELOPreprints.2030 DOI: https://doi.org/10.2139/ssrn.3804788

National Center for Immunization and Respiratory Diseases (U.S.), Division of Viral Diseases. Mental health and coping during COVID-19 [Internet]. Atlanta: Center for Disease Control and Prevention 2020 [cited 2021 Mar 31]. Available from: https://stacks.cdc.gov/view/cdc/85738

Ganatra S, Hammond SP, Nohria A. The novel Coronavirus disease (COVID-19) threat for patients with cardiovascular disease and cancer. JACC Cardio Oncol. 2020;2(2):350-5. doi: https://doi.org/10.1016/j.jaccao.2020.03.001 DOI: https://doi.org/10.1016/j.jaccao.2020.03.001

Bakouny Z, Hawley JE, Choueiri TK, et al. COVID-19 and cancer: current challenges and perspectives. Cancer Cell. 2020;38(5):629-46. doi: https://doi.org/10.1016/j.ccell.2020.09.018 DOI: https://doi.org/10.1016/j.ccell.2020.09.018

Ornell F, Schuch JB, Sordi AO, et al. “Pandemic fear” and COVID-19: mental health burden and strategies. Braz J Psychiatry. 2020;42(3):232-5. doi: https://doi.org/10.1590/1516-4446-2020-0008 DOI: https://doi.org/10.1590/1516-4446-2020-0008

Caiuby AVS, Lacerda SS, Quintana MI, et al. Adaptação transcultural da versão brasileira da Escala do Impacto do Evento – Revisada (IES- R). Cad Saúde Pública. 2012;28(3):597-603. doi: https://doi.org/10.1590/S0102-311X2012000300019 DOI: https://doi.org/10.1590/S0102-311X2012000300019

American Psychiatric Association. Manual diagnóstico e estatístico de transtornos mentais: DSM-5 [Internet]. Nascimento MIC, tradutora. 5. ed. Porto Alegre: Artmed; 2014 [acesso 2021 fev 25]. Disponível em: http://dislex.co.pt/images/pdfs/DSM_V.pdf

Conselho Nacional de Saúde (BR). Resolução nº 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. Diário Oficial da União, Brasília, DF. 2013 jun 13 [acesso 2021 mar 31]; Seção 1:59. Disponível em: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf

Marzo RR, Ismail Z, Nu Htay MN, et al. Psychological distress during pandemic Covid-19 among adult general population: result across 13 countries. Clin Epidemiol Glob Health. 2021;10:100708. doi: https://doi.org/10.1016/j.cegh.2021.100708 DOI: https://doi.org/10.1016/j.cegh.2021.100708

Cordova MJ, Andrykowski MA, Kenady DE, et al. Frequency and correlates of posttraumatic-stress-disorder-like symptoms after treatment for breast cancer. J Consult Clin Psychol. 1995;63(6):981-6. doi: https://doi.org/10.1037/0022-006X.63.6.981 DOI: https://doi.org/10.1037/0022-006X.63.6.981

Corrêa KM, Oliveira JDB, Taets GGCC. Impacto na qualidade de vida de pacientes com câncer em meio à pandemia de Covid-19: uma reflexão a partir da teoria das necessidades humanas básicas de Abraham Maslow. Rev Bras Cancerol. 2020;66(TemaAtual):e-1068. doi: https://doi.org/10.32635/2176-9745.RBC.2020v66nTemaAtual.1068 DOI: https://doi.org/10.32635/2176-9745.RBC.2020v66nTemaAtual.1068

Cruz LAP, Mialich MS, Silva BR, et al. Doenças crônicas não transmissíveis em mulheres com cancer de mama. Rev Recien. 2021;11(34):100-9. doi: https://doi.org/10.24276/rrecien2021.11.34.100-109 DOI: https://doi.org/10.24276/rrecien2021.11.34.100-109

Silva LSR, Douberin CA, Matos DP, et al. Principais comorbidades associadas à neoplasia mamária em tratamento quimioterápico. Rev Enferm UFPE on line. 2019;13(5):1295-9. doi: https://doi.org/10.5205/1981-8963-v13i5a238540p1295-1299-2019 DOI: https://doi.org/10.5205/1981-8963-v13i5a238540p1295-1299-2019

Enumo SRF, Weide JN, Vicentini ECC, et al. Enfrentando o estresse em tempos de pandemia: proposição de uma Cartilha. Estud Psicol. 2020;37:e200065. doi: https://doi.org/10.1590/1982-0275202037e200065 DOI: https://doi.org/10.1590/1982-0275202037e200065

Brooks SK, Webster RK, Smith LE. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20. doi: https://doi.org/10.1016/S0140-6736(20)30460-8 DOI: https://doi.org/10.1016/S0140-6736(20)30460-8

Sette CP, Capitão CG. Investigação do suporte social e qualidade de vida em pacientes com câncer. Saude e pesqui. 2018;11(1):151-62. doi: https://doi.org/10.17765/1983-1870.2018v11n1p151-162 DOI: https://doi.org/10.17765/1983-1870.2018v11n1p151-162

Dale MM, Rang HP. Farmacologia. 8. ed. Rio de Janeiro: Elsevier; 2016.

Zanon C, Dellazzana-Zanon LL, Wechsler SM, et al. COVID-19: implicações e aplicações da psicologia positiva em tempos de pandemia. Estud Psicol. 2020;37:e200072. doi: https://doi.org/10.1590/1982-0275202037e200072 DOI: https://doi.org/10.1590/1982-0275202037e200072

Vuagnat P, Frelaut M, Ramtohul T, et al. COVID-19 in breast cancer patients: a cohort at the Institut Curie hospitals in the Paris area. Breast Cancer Res. 2020;22:55. doi: https://doi.org/10.1186/s13058-020-01293-8 DOI: https://doi.org/10.1186/s13058-020-01293-8

Costa MCM, Melo CF, Baião DC, et al. Comunicação de uma má notícia: o diagnóstico de câncer na perspectiva de pacientes e profissionais. Rev Enferm UFPE on line. 2017;11(2):3214-21. doi: https://doi.org/10.5205/1981-8963-v11i8a110186p3214-3221-2017

Kuhn CI, Simionato DGS, Bortoli CFC, et al. Casa de apoio: suporte às mulheres com câncer de mama. J Nurs Health. 2018;8(3):e188310. doi: https://doi.org/10.15210/jonah.v8i3.14507 DOI: https://doi.org/10.15210/jonah.v8i3.14507

Published

2022-06-22

How to Cite

1.
Panobianco MS, Gaspar LM, Prado MAS, Berzuini GA. Covid-19 Pandemic and Post-Traumatic Stress Disorder in Women with Breast Cancer. Rev. Bras. Cancerol. [Internet]. 2022 Jun. 22 [cited 2024 Nov. 22];68(2):e-232234. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/2234

Issue

Section

ORIGINAL ARTICLE

Most read articles by the same author(s)