Changes of Symptoms of Anxiety, Depression, and Fatigue in Cancer Patients 3 Months after a Video-Based Intervention

Int J Environ Res Public Health. 2023 Oct 17;20(20):6933. doi: 10.3390/ijerph20206933.

Abstract

During the COVID-19 pandemic, social distancing restricted psycho-oncological care. Therefore, this secondary analysis examines the changes in anxiety, fear of progression, fatigue, and depression in cancer patients after a video-based eHealth intervention. We used a prospective observational design with 155 cancer patients with mixed tumor entities. Data were assessed before and after the intervention and at a three-month follow-up using self-reported questionnaires (GAD-7, FOP-Q-SF, PHQ-8, and EORTC QLQ-FA12). The eight videos included psychoeducation, Acceptance and Commitment Therapy elements, and yoga and qigong exercises. The results showed that three months after finishing the video-based intervention, participants showed significantly reduced fear of progression (d = -0.23), depression (d = -0.27), and fatigue (d = -0.24) compared to the baseline. However, there was no change in anxiety (d = -0.09). Findings indicated marginal improvements in mental distress when using video-based intervention for cancer patients for up to three months, but long-term effectiveness must be confirmed using a controlled design.

Keywords: cancer; distress; eHealth; mind–body intervention; psycho-oncology; psychoeducation; supportive care intervention.

Publication types

  • Observational Study

MeSH terms

  • Acceptance and Commitment Therapy*
  • Anxiety / epidemiology
  • Anxiety / therapy
  • Depression / epidemiology
  • Depression / therapy
  • Fatigue / therapy
  • Humans
  • Neoplasms* / complications
  • Neoplasms* / therapy
  • Pandemics
  • Quality of Life

Grants and funding

This research received no external funding. This publication was supported by the Open Access Publication Fund of the University of Wuerzburg.