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After an Earthquake: The Comparison of Psychological Status of Resident and Earthquake Survivor Cancer Patients

Published online by Cambridge University Press:  02 April 2024

Ismail Beypinar Open the ORCID record for Ismail Beypinar [Opens in a new window]
Ismail Beypinar*
Affiliation:
Department of Medical Oncology, Alanya Alaaddin Keykubat University, Alanya, Turkey
*
Corresponding author: Ismail Beypinar; Email: ibeypinar@yahoo.com.
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Abstract

Objective:

Natural disasters such as earthquakes can have a significant impact on cancer treatment and care. The objective of the study was to evaluate the psychological effect of the earthquake on survivor cancer patients compared to regular cancer patients.

Methods:

Cancer patients who were evacuated from earthquake sites and referred for the continuation of their treatment, as well as regular resident patients were included in the study. The resident cancer patients were compared with the study population as a control group. DASS-21 forms were filled based on patients’ declarations.

Results:

Forty-six patients were earthquake survivors and 55 were resident cancer patients. Stress scores were significantly higher in earthquake survivors (P = 0.021). In contrast, there was no difference in stratified groups due to DASS-21 categorization in stress scores while depression and anxiety subgroups had significant differences (P = 0.012; P < 0.001). Also, women significantly had a worse outcome in the depression and anxiety categories (P = 0.028; P = 0.021) while no difference was observed in men.

Conclusion:

Recent earthquakes in Turkey had psychological negative effects on oncology patients. The increased stress, depression, and anxiety levels were observed in earthquake survivors who were evacuated from the disaster zone and compared to the control group.

Keywords

earthquakecancerdepressionanxietystressdisaster
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e54
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

Man, RX, Lack, D, Wyatt, C, et al. The effect of natural disasters on cancer care: a systematic review. Prehosp Disaster Med. 2019;34(s1):s48-s48. doi: 10.1017/S1049023X19001146 CrossRefGoogle Scholar
Ozaki, A, Tsubokura, M. Radiation oncology and related oncology fields in the face of the 2011 “triple disaster” in Fukushima, Japan. Int J Radiat Oncol Biol Phys. 2018;100(4):845-848. doi: 10.1016/J.IJROBP.2017.12.285 CrossRefGoogle Scholar
Ozaki, A, Leppold, C, Sawano, T, et al. Social isolation, and cancer management - advanced rectal cancer with patient delay following the 2011 triple disaster in Fukushima, Japan: a case report. J Med Case Rep. 2017;11(1). doi: 10.1186/S13256-017-1306-3 CrossRefGoogle ScholarPubMed
Ozaki, A, Tsubokura, M, Leppold, C, et al. The importance of family caregiving to achieving palliative care at home: a case report of end-of-life breast cancer in an area struck by the 2011 Fukushima nuclear crisis: a case report. Medicine. 2017;96(46). doi: 10.1097/MD.0000000000008721 CrossRefGoogle Scholar
Ozaki, A, Nomura, S, Leppold, C, et al. Breast cancer patient delay in Fukushima, Japan following the 2011 triple disaster: a long-term retrospective study. BMC Cancer. 2017;17(1). doi: 10.1186/S12885-017-3412-4 CrossRefGoogle ScholarPubMed
ReliefWeb. Türkiye: 2023 earthquakes situation report No. 8. Published March 9, 2023. Accessed July 3, 2023. https://reliefweb.int/report/turkiye/turkiye-2023-earthquakes-situation-report-no-8-9-march-2023 Google Scholar
Anadolu Ajansi. Sağlık Bakanı Koca: 10 ilde 17 bin 929’u hekim olmak üzere 143 bin 829 personelimiz hizmet veriyor. Accessed July 3, 2023. https://www.aa.com.tr/tr/asrin-felaketi/saglik-bakani-koca-10-ilde-17-bin-929u-hekim-olmak-uzere-143-bin-829-personelimiz-hizmet-veriyor/2813793# Google Scholar
Ileri Haber. ‘Depremde hastanelerin çoğu kullanılamaz hale geldi.’ Accessed July 7, 2023. https://www.ilerihaber.org/icerik/depremde-hastanelerin-cogu-kullanilamaz-hale-geldi-151283 Google Scholar
Yilmaz, V. A statistical analysis of the effects on survivors of the 1999 earthquake in Turkeys. Soc Behav Pers. 2004;32(6):551-558. doi: 10.2224/SBP.2004.32.6.551 CrossRefGoogle Scholar
Sato, D, Sato, D. Evaluation of the long-term changes in fatigue of cancer survivors who received outpatient chemotherapy in the area affected by the Great East Japan Earthquake. Open J Nurs. 2021;11(7):566-577. doi: 10.4236/OJN.2021.117048 CrossRefGoogle Scholar
Hopkinson, J. Psychosocial support in Cancer Cachexia Syndrome: the evidence for supported self-management of eating problems during radiotherapy or chemotherapy treatment. Asia Pac J Oncol Nurs. 2018;5(4):358-368. doi: 10.4103/APJON.APJON_12_18 CrossRefGoogle ScholarPubMed
Berger, W, Coutinho, ESF, Figueira, I, et al. Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Soc Psychiatry Psychiatr Epidemiol. 2012;47(6):1001-1011. doi: 10.1007/S00127-011-0408-2 CrossRefGoogle Scholar
Johnson, H, Thompson, A. The development and maintenance of post-traumatic stress disorder (PTSD) in civilian adult survivors of war trauma and torture: a review. Clin Psychol Rev. 2008;28(1):36-47. doi: 10.1016/J.CPR.2007.01.017 CrossRefGoogle ScholarPubMed
Cardoso, F, Kyriakides, S, Ohno, S, et al. Early breast cancer: ESMO clinical practice guidelines for diagnosis, treatment, and follow-up. Ann Oncol. 2019;30(8):1194-1220. doi: 10.1093/ANNONC/MDZ173 CrossRefGoogle ScholarPubMed
Charalampopoulou, M, Kritseli, E, Chrousos, GP, et al. Efficacy of stress management and psychosocial interventions on body image in breast cancer survivors - a systematic review. Dialogues in Clin Neuro Mental Health. 2019;2(4):237-242. doi: 10.26386/OBRELA.V2I4.136 Google Scholar
Shim, EJ, Lee, JW, Cho, J, et al. Association of depression and anxiety disorder with the risk of mortality in breast cancer: a National Health Insurance Service study in Korea. Breast Cancer Res Treat. 2020;179(2):491-498. doi: 10.1007/S10549-019-05479-3 CrossRefGoogle ScholarPubMed
Peng, L, Huang, W, Zhang, W, et al. Psychometric properties of the short form of the fear of cancer recurrence inventory (FCRI) in Chinese breast cancer survivors. Front Psych. 2019;10:537. doi: 10.3389/FPSYT.2019.00537 CrossRefGoogle ScholarPubMed
Tang, Y, Fu, F, Gao, H, et al. Art therapy for anxiety, depression, and fatigue in females with breast cancer: a systematic review. J Psychosoc Oncol. 2019;37(1):79-95. doi: 10.1080/07347332.2018.1506855 CrossRefGoogle ScholarPubMed
LeVasseur, N, Li, H, Cheung, W, et al. Effects of high anxiety scores on surgical and overall treatment plan in patients with breast cancer treated with Neoadjuvant therapy. Oncologist. 2019;25(3):212-217. doi: 10.1634/theoncologist.2019-0512 CrossRefGoogle ScholarPubMed
Hashemi, SM, Hormozi, M, Allahyari, A, et al. The prevalence of depression, anxiety, and stress in patients with breast cancer in Southeast Iran in 2019: a cross-sectional study. Oncol Clinic Pract. 2020;16(3):104-108. doi: 10.5603/OCP.2020.0015 CrossRefGoogle Scholar
DASS-21. The psychometric properties of the Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. [Depresyon Anksiyete Stres-21 Ölçeğinin (DASÖ-21) Normal ve Klinik Örneklemde Türkçe Versiyonun Psikometrik Özellikleri]. Accessed April 7, 2023. https://www.researchgate.net/publication/322238323_The_Psychometric_Properties_of_Turkish_Version_of_Depression_Anxiety_Stress_Scale-21_DASS-21_in_Health_Control_and_Clinical_Samples_Depresyon_Anksiyete_Stres-21_Olceginin_DASO-21_Normal_ve_Klinik_Orne Google Scholar
Alacacioglu, A, Tarhan, O, Alacacioglu, I, et al. Depression and anxiety in cancer patients and their relatives. www.jbuon.com. Accessed October 31, 2023.Google Scholar
Shi, P-J. Theory and practice on disaster system research in a fifth time. J Nat Disast. 2009;18:1-9. https://www.researchgate.net/publication/285753303_Theory_and_practice_on_disaster_system_research_in_a_fifth_time. Accessed February 24, 2023.Google Scholar
Raeissi, P, Sharifi, M, Khosravizadeh, O, et al. Survey of cancer patient safety culture: a comparison of chemotherapy and oncology departments of Teaching Hospitals of Tehran. Asian Pac J Cancer Prev. 2017;18(10):2775-2780. doi: 10.22034/APJCP.2017.18.10.2775. Accessed February 24, 2023.Google ScholarPubMed
Kessler, RC, Wang, PS, Kendrick, D, et al. Hurricane Katrina’s impact on the care of survivors with chronic medical conditions. J Gen Intern Med. 2007;22(9):1225-1230. doi: 10.1007/S11606-007-0294-1 Google ScholarPubMed
Heidari, M, Ghodusi, M. The relationship between body esteem and hope and mental health in breast cancer patients after mastectomy. Indian J Palliat Care. 2015;21(2):198-202. doi: 10.4103/0973-1075.156500 Google ScholarPubMed
Tang, B, Liu, X, Liu, Y, et al. A meta-analysis of risk factors for depression in adults and children after natural disasters. BMC Public Health. 2014;14(1):1-12. doi: 10.1186/1471-2458-14-623/FIGURES/2 CrossRefGoogle ScholarPubMed
Ünsal, O, Yazici, O, Özdemir, N, et al. Earthquake disaster impact on health care of cancer patients: single center experience. Turkish J Internal Med. 2023;5(4):234-239. doi: 10.46310/TJIM.1327111 CrossRefGoogle Scholar
Hashemi, SM, Rafiemanesh, H, Aghamohammadi, T, et al. Prevalence of anxiety among breast cancer patients: a systematic review and meta-analysis. Breast Cancer. 2020;27(2):166-178. doi: 10.1007/S12282-019-01031-9 CrossRefGoogle ScholarPubMed
Nakaya, N, Saito-Nakaya, K, Bidstrup, PE, et al. Increased risk of severe depression in male partners of women with breast cancer. Cancer. 2010;116(23):5527-5534. doi: 10.1002/CNCR.25534 CrossRefGoogle ScholarPubMed
Nakaya, N, Nakamura, T, Tsuchiya, N, et al. The association between medical treatment of physical diseases and psychological distress after the Great East Japan Earthquake: the Shichigahama Health Promotion Project. Disaster Med Public Health Prep. 2015;9(4):374-381. doi: 10.1017/DMP.2015.52 CrossRefGoogle ScholarPubMed
Nakaya, N, Narita, A, Tsuchiya, N, et al. Partners’ ongoing treatment for chronic disease and the risk of psychological distress after the Great East Japan Earthquake. Tohoku J Exp Med. 2016;239(4):307-314. doi: 10.1620/TJEM.239.307 CrossRefGoogle ScholarPubMed
Rodriguez-Rabassa, M, Hernandez, R, Rodriguez, Z, et al. Impact of a natural disaster on access to care and biopsychosocial outcomes among Hispanic/ Latino cancer survivors. Sci Reports. 2020;10(1):1-12. doi: 10.1038/s41598-020-66628-z Google ScholarPubMed
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