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  • Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints

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    Author(s)
    Chambers, Suzanne K
    Baade, Peter
    Youl, Philippa
    Aitken, Joanne
    Occhipinti, Stefano
    Vinod, Shalini
    Valery, Patricia C
    Garvey, Gail
    Fong, Kwun M
    Ball, David
    Zorbas, Helen
    Dunn, Jeff
    O'Connell, Dianne L
    Griffith University Author(s)
    Occhipinti, Stefano
    Chambers, Suzanne K.
    Youl, Philippa
    Baade, Peter D.
    Dunn, Jeffrey
    Aitken, Joanne
    Year published
    2015
    Metadata
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    Abstract
    Objective: Health-related stigma is associated with negative psychological and quality of life outcomes in lung cancer patients. Thisstudy 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 ...
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    Objective: Health-related stigma is associated with negative psychological and quality of life outcomes in lung cancer patients. Thisstudy 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.
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    Journal Title
    Psycho-Oncology
    Volume
    24
    Issue
    11
    DOI
    https://doi.org/10.1002/pon.3829
    Copyright Statement
    © 2015 The Authors. Psycho-Oncology Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
    Subject
    Clinical sciences
    Oncology and carcinogenesis
    Oncology and carcinogenesis not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/101380
    Collection
    • Journal articles

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