Well-being and stress vulnerability in ovarian cancer survivors during the COVID-19 pandemic

Rachel Telles, Sharaf Zia, Breanna Greteman, Premal Thaker, Frank Penedo, Mary Charlton, Michael Goodheart, Jessica Armer, Alyssa Noble, Anil Sood, Susan Lutgendorf

Research output: Contribution to journalArticlepeer-review


Objective: This study was designed to examine (1) whether ovarian cancer (OC) survivors would have greater well-being vs. elevated distress compared to community members during a universal health stressor (COVID-19) and (2) how resources and risk factors at diagnosis predicted vulnerability to a subsequent health-related stressor. Methods: One hundred seventeen OC survivors were recruited from two academic medical centers and compared to a community-based sample on COVID-related distress and disruption. Latent class analysis identified differentially impacted groups of survivors. Results: Survivors reported lower distress than community members. Predictors of higher distress included shorter-term survivorship, greater disruption, and poorer emotional well-­being (EWB) at diagnosis. Survivors were divided into high- and low-COVID-19-impact subgroups; high-impact individuals endorsed higher perceived stress and lower EWB at diagnosis. Conclusion: Survivors reported lower COVID-related distress than community participants. While depression at diagnosis did not predict later distress, EWB was a strong predictor of response to a novel health-related stressor.

Original languageEnglish
JournalJournal of Psychosocial Oncology
StateAccepted/In press - 2023


  • COVID-19
  • distress
  • ovarian cancer
  • stress
  • well-being


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