The Impact of COVID-19 Outbreak on Emotional and Cognitive Vulnerability in Iranian Women With Breast Cancer

Frontiers in Psychology

Bethany Chapman¹  Elizabeth A. Grunfeld¹  Nazanin Derakshan¹  Mohammad H. Choobin²  Ali Reza Moradi³  Vida Mirabolfathi⁴ 

[1] Centre for Building Resilience in Breast Cancer; Department of Psychological Sciences, Birkbeck, University of London, London, United Kingdom;Department of Clinical Psychology, Kharazmi University, Tehran, Iran;Department of Clinical Psychology, Kharazmi University, Tehran, Iran;Department of Cognitive Psychology, Institute for Cognitive Science Studies (ICSS), Tehran, Iran;Department of Cognitive Psychology, Institute for Cognitive Science Studies (ICSS), Tehran, Iran;

关键词: breast cancer;    COVID-19;    emotional vulnerability;    cognitive function;    psychological health;   

DOI  :  10.3389/fpsyg.2021.663310

来源: Frontiers

【 摘 要 】

The psychological cost on emotional well-being due to the collateral damage brought about by COVID-19 in accessing oncological services for breast cancer diagnosis and treatment has been documented by recent studies in the United Kingdom. The current study set out to examine the effect of delays to scheduled oncology services on emotional and cognitive vulnerability in women with a breast cancer diagnosis in Iran, one of the very first countries to be heavily impacted by COVID-19. One hundred thirty-nine women with a diagnosis of primary breast cancer answered a series of online questionnaires to assess the current state of rumination, worry, and cognitive vulnerability as well as the emotional impact of COVID-19 on their mental health. Results indicated that delays in accessing oncology services significantly increased COVID related emotional vulnerability. Regression analyses revealed that after controlling for the effects of sociodemographic and clinical variables, women’s COVID related emotional vulnerability explained higher levels of ruminative response and chronic worry as well as poorer cognitive function. This study is the first in Iran to demonstrate that the effects of COVID-19 on emotional health amongst women affected by breast cancer can exaggerate anxiety and depressive related symptoms increasing risks for clinical levels of these disorders. Our findings call for an urgent need to address these risks using targeted interventions exercising resilience.

【 授权许可】

CC BY