Organization of psychosocial factors associated with worry about acquiring SARS-CoV-2 among women undergoing cancer treatment: an empirical network comparison approach

J Psychosoc Oncol. 2024;42(3):315-332. doi: 10.1080/07347332.2023.2246126. Epub 2023 Aug 26.

Abstract

Objectives: Pandemic-induced anxiety can have adverse mental and somatic health consequences on cancer patients (CP). This study aimed to (1) explore the intricate relationships between worry related to potential SARS-CoV-2 infection, COVID-19 perception, sociodemographic factors, and the perceived effectiveness of lockdown measures and (2) investigate if these relationships differ between cancer patients and individuals without a history of cancer (IWHC).

Methods: We conducted a cross-sectional quantitative study in France between December 1 and 14, 2020. Network analysis was employed on a sample of 1889 women, including 282 cancer patients and 1607 noncancer individuals.

Results: Our findings indicate that CP were 20% more likely to express worry than IWHC. Anxiety is embedded within a complex network involving sociodemographic, cognitive, and emotional factors. The emotional components related to COVID-19 perception were found to play a crucial role. The networks for both groups were observed to be identical.

Conclusions: Our study underscores the heightened vulnerability of cancer patients to pandemic-induced anxiety, emphasizing the crucial role of emotional components related to COVID-19 perception. The observed similarities in the anxiety network between cancer patients and those without a history of cancer suggest that universal approaches might be effective across groups.

Implications: Utilizing the Causal Attitude Network Model, we propose potential methods for managing and reducing individual anxiety levels.

Keywords: anxiety reduction; cancer; network analysis; psychosocial correlates; woman.

MeSH terms

  • Adult
  • Aged
  • Anxiety* / epidemiology
  • Anxiety* / psychology
  • COVID-19* / psychology
  • Cross-Sectional Studies
  • Female
  • France
  • Humans
  • Middle Aged
  • Neoplasms* / psychology
  • Neoplasms* / therapy