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  1. Article ; Online: The benefits and consequences of the COVID-19 pandemic for patients diagnosed with cancer and their family caregivers.

    Steel, Jennifer L / Amin, Aarshati / Peyser, Tristen / Olejniczak, Donna / Antoni, Michael / Carney, Maureen / Tillman, Emily / Hecht, Carol Lynn / Pandya, Niva / Miceli, Jessica / Reyes, Vincent / Nilsen, Marci / Johnson, Jonas / Kiefer, Gauri / Pappu, Bhanu / Zandberg, Dan P / Geller, David A

    Psycho-oncology

    2022  Volume 31, Issue 6, Page(s) 1003–1012

    Abstract: Background: The objectives of this study were to examine benefits and consequences of the COVID-19 pandemic for patients diagnosed with cancer and their family caregivers.: Methods: A 23-item questionnaire assessing COVID-19-related issues, the ... ...

    Abstract Background: The objectives of this study were to examine benefits and consequences of the COVID-19 pandemic for patients diagnosed with cancer and their family caregivers.
    Methods: A 23-item questionnaire assessing COVID-19-related issues, the Patient Health Questionnaire-2, Generalized Anxiety Disorder-2, Pittsburgh Sleep Quality Index, and the Perceived Stress Scale (PSS)-4 were administered to patients diagnosed with cancer and their family caregivers.
    Results: Of the 161 patients and 78 caregivers who participated, 38.1% and 32.8 were male, 95% and 84.6% Caucasian, and the mean age was 66 and 64.6 years, respectively. A total of 16.5% and 15.2% reported depressive symptoms, 18.4% and 19% reported anxiety; 35.5% and 26.6% reported poor sleep quality, and 66% and 63.3% scored one standard deviation above the norms for the PSS, respectively. Predictors of poorer patient- and caregiver-reported outcomes included greater loneliness, worry about self or family being infected by the COVID-19, and worsening relationships with family. The fear of COVID-19 led to 20.8% of patients and 24.4% of family caregivers cancelling medical appointments, procedures, and treatments. A total of 52.5% of patients and 53.2% caregivers reported that the pandemic led to benefit finding but these changes were not associated with any of the measured patient- or caregiver-related outcomes.
    Conclusions: Psychological functioning for patients and caregivers was similar to that of pre-pandemic levels, however the decrease in health care utilization secondary to fear of COVID-19 was notable. While there were many negative effects of the pandemic, the majority of patients and caregivers reported some benefit to the pandemic.
    MeSH term(s) Anxiety/epidemiology ; Anxiety/psychology ; COVID-19/epidemiology ; Caregivers/psychology ; Cross-Sectional Studies ; Depression/epidemiology ; Depression/psychology ; Female ; Humans ; Male ; Neoplasms/therapy ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2022-02-01
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1118536-3
    ISSN 1099-1611 ; 1057-9249
    ISSN (online) 1099-1611
    ISSN 1057-9249
    DOI 10.1002/pon.5891
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Psychosocial and behavioral pathways of metabolic syndrome in cancer caregivers.

    Steel, Jennifer L / Cheng, Hannah / Pathak, Ritambhara / Wang, Yisi / Miceli, Jessica / Hecht, Carol Lynn / Haggerty, Denise / Peddada, Shyamal / Geller, David A / Marsh, Wallis / Antoni, Michael / Jones, Reyna / Kamarck, Thomas / Tsung, Allan

    Psycho-oncology

    2019  Volume 28, Issue 8, Page(s) 1735–1742

    Abstract: Objective: Cancer caregivers are at increased risk for cardiovascular disease (CVD) and mortality. The aims of this study were to examine psychosocial and behavioral predictors of metabolic syndrome, an intermediate endpoint of CVD.: Methods: Cancer ... ...

    Abstract Objective: Cancer caregivers are at increased risk for cardiovascular disease (CVD) and mortality. The aims of this study were to examine psychosocial and behavioral predictors of metabolic syndrome, an intermediate endpoint of CVD.
    Methods: Cancer caregivers were administered a battery of questionnaires assessing sociodemographic characteristics, depressive symptoms, perceived stress, caregiver quality of life, sleep, physical activity, alcohol and tobacco use, social support, relationship quality, and loneliness. Metabolic syndrome was defined using the American Heart Association guidelines and the National Cholesterol Education Program's Adult Treatment Panel (ATP) III, which includes the presence of at least three of the following abnormalities: blood pressure, glucose, abdominal girth, high-density lipoprotein (HDL), and triglycerides.
    Results: Of the 104 caregivers, 77% were female, 94% were Caucasian, and the mean age was 59.5 (SD = 12.8). Of the 104 caregivers, 35.6% reported depressive symptoms in the clinical range of the Center for Epidemiologic Studies-Depression (CES-D) and 69.2% reported Perceived Stress Scale scores at least one standard deviation above the general population norms. A total of 16.3% of caregivers currently used tobacco, 28.8% consumed alcohol, and 26.7% were overweight (BMI = 25-29.9) and 48.5% were obese (BMI ≥ 30). Forty-nine percent of the caregivers met the criteria for metabolic syndrome. After age, gender, and race were adjusted, the following remained as significant predictors of metabolic syndrome: low levels of caregiver quality of life (Odds Ratio (OR) = 1.067; 95% CI, 1.019-1.117; P = .006), high levels of hostility (OR = 1.142; 95% CI, 1.030-1.267; P = .012), and current alcohol use (OR = 4.193; 95% CI, 1.174-14.978; P = .027).
    Conclusion: Development of interventions to reduce the risk of metabolic syndrome in cancer caregivers is recommended.
    MeSH term(s) Adult ; Aged ; Alcohol Drinking/psychology ; Caregivers/psychology ; Depression/psychology ; Female ; Hostility ; Humans ; Male ; Metabolic Syndrome/psychology ; Middle Aged ; Neoplasms/nursing ; Quality of Life/psychology ; Risk Factors ; Social Support
    Language English
    Publishing date 2019-07-08
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1118536-3
    ISSN 1099-1611 ; 1057-9249
    ISSN (online) 1099-1611
    ISSN 1057-9249
    DOI 10.1002/pon.5147
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Illness perceptions and perceived stress in patients with advanced gastrointestinal cancer.

    Miceli, Jessica / Geller, David / Tsung, Allan / Hecht, Carol Lynn / Wang, Yisi / Pathak, Ritambhara / Cheng, Hannah / Marsh, Wallis / Antoni, Michael / Penedo, Frank / Burke, Lora / Ell, Kathleen / Shen, Shutian / Steel, Jennifer

    Psycho-oncology

    2019  Volume 28, Issue 7, Page(s) 1513–1519

    Abstract: Objective: According to the Common-Sense Model of Self-Regulation, when faced with a health threat, we make cognitive and emotional assumptions about the illness. The aims of this study were to (a) examine the role of sociodemographic and disease- ... ...

    Abstract Objective: According to the Common-Sense Model of Self-Regulation, when faced with a health threat, we make cognitive and emotional assumptions about the illness. The aims of this study were to (a) examine the role of sociodemographic and disease-specific factors on illness perception and perceived stress and (b) test the association between perceived stress and illness perception in participants diagnosed with gastrointestinal cancer.
    Methods: Participants completed a battery of questionnaires including a Sociodemographic and Disease-Specific Questionnaire, the Illness Perception Questionnaire, Brief Version (Brief-IPQ), and the Perceived Stress Scale (PSS-14). Descriptive statistics, Pearson correlations, analysis of variance (ANOVA), and linear regression were performed to test the hypotheses.
    Results: Of the 627 participants, the mean age was 62 years (SD = 11); the majority were male (63.3%) and Caucasian (90.9%). Younger (F
    Conclusions: Our findings suggest that participants who negatively perceived their illness experienced greater levels of perceived stress. Interventions that aim to adjust patients' illness perceptions in order to facilitate a reduction of stress and improvement in quality of life are needed.
    MeSH term(s) Adaptation, Psychological ; Aged ; Attitude to Health ; Female ; Gastrointestinal Neoplasms/complications ; Gastrointestinal Neoplasms/psychology ; Humans ; Illness Behavior ; Male ; Middle Aged ; Patient Compliance/psychology ; Quality of Life/psychology ; Severity of Illness Index ; Stress, Psychological/etiology ; Stress, Psychological/psychology ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2019-06-04
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1118536-3
    ISSN 1099-1611 ; 1057-9249
    ISSN (online) 1099-1611
    ISSN 1057-9249
    DOI 10.1002/pon.5108
    Database MEDical Literature Analysis and Retrieval System OnLINE

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