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Title: Psychological distress and quality of life in lung cancer: the role of health‐related stigma, illness appraisals and social constraints
Authors: Chambers SK; Baade P; Youl P; Aitken J; Occhipinti S; Vinod S; Valery P; Garvey G; Fong KM; Ball D; Zorbas H; Dunn J; O'Connell DL
Categories: Cancer Type - Lung Cancer
Cancer Control, Survivorship, and Outcomes Research - Population –based Behavioural Factors
Year: 2015
Journal Title: Psycho-Oncology
Volume: 24
Issue: 11
Page number start: 1569
Page number end: 1577
Abstract: Objective Health‐related stigma is associated with negative psychological and quality of life outcomes in lung cancer patients. This study describes the impact of stigma on lung cancer patients' psychological distress and quality of life and explores the role of social constraints and illness appraisal as mediators of effect. Methods A self‐administered cross‐sectional survey examined psychological distress and quality of life in 151 people (59% response rate) diagnosed with lung cancer from Queensland and New South Wales. Health‐related stigma, social constraints and illness appraisals were assessed as predictors of adjustment outcomes. Results Forty‐nine percent of patients reported elevated anxiety; 41% were depressed; and 51% had high global distress. Health‐related stigma was significantly related to global psychological distress and quality of life with greater stigma and shame related to poorer outcomes. These effects were mediated by illness appraisals and social constraints. Conclusions Health‐related stigma appears to contribute to poorer adjustment by constraining interpersonal discussions about cancer and heightening feelings of threat. There is a need for the development and evaluation of interventions to ameliorate the negative effects of health‐related stigma among lung cancer patients.
Division: Cancer Research Division
Funding Body: This research was commissioned by Cancer Australia. S. K. C. is supported by an Australian Research Council Future Fellowship. P. B. was supported by a National Health and Medical Research Council Career Development Fellowship. P. C. V. is supported by an Australian Research Council Future Fellowship. K. M. F. is supported by an NHMRC Practitioner Fellowship.
Grant ID: SK Chambers
Peter Baade
P. C. Valery
K. M. Fong
DOI: 10.1002/pon.3829
Appears in Collections:Research Articles

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