Abstract

Purpose

Feelings of loneliness are likely to exacerbate risk of depression in people living with cancer during COVID-19.

Design and Methods

Five hundred and eighteen people with cancer with data extracted from two waves (2017–19 and April 2020) of the Understanding Society UK dataset participated.

Findings

An increased risk of depression was observed for cancer of the breast, prostate, blood, but not other cancers (e.g., lung, melanoma). After controlling for prior depression and other factors, it was loneliness during COVID-19, and not previous loneliness, that was predictive. Those currently lonely had a 4.5-fold increased risk of depression. These findings demonstrate that people living with cancer are at increased risk of developing depression during COVID-19, and that feelings of isolation help explain this risk.

Implications

These particular findings have implications for health promotion and intervention work and how best to support people who may feel lonely in this vulnerable group.

中文翻译：

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COVID-19期间癌症患者的孤独和抑郁

摘要

目的

在 COVID-19 期间，孤独感可能会加剧癌症患者患抑郁症的风险。

设计和方法

518 名癌症患者参与了从英国理解协会数据集的两波（2017-19 年和 2020 年 4 月）中提取的数据。

发现

乳腺癌、前列腺癌、血液癌而非其他癌症（例如肺癌、黑色素瘤）观察到抑郁风险增加。在控制了先前的抑郁症和其他因素之后，可以预测的是 COVID-19 期间的孤独感，而不是之前的孤独感。那些目前孤独的人患抑郁症的风险增加了 4.5 倍。这些发现表明，癌症患者在 COVID-19 期间患抑郁症的风险增加，而孤立感有助于解释这种风险。

影响

这些特殊的发现对健康促进和干预工作以及如何最好地支持在这个弱势群体中可能感到孤独的人有影响。