Covid-19 Pandemic and Post-Traumatic Stress Disorder in Women with Breast Cancer
DOI:
https://doi.org/10.32635/2176-9745.RBC.2022v68n2.2234Keywords:
stress disorders, post-traumatic, breast neoplasms, COVID-19Abstract
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
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
How to Cite
Issue
Section
License
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
This work is licensed under a Creative Commons Attribution 4.0 International License.