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dc.contributor.authorChambers, Suzanne
dc.contributor.authorBaade, Peter
dc.contributor.authorYoul, Philippa
dc.contributor.authorAitken, Joanne
dc.contributor.authorOcchipinti, Stefano
dc.contributor.authorVinod, Shalini
dc.contributor.authorValery, Patricia C
dc.contributor.authorGarvey, Gail
dc.contributor.authorFong, Kwun M.
dc.contributor.authorBall, David
dc.contributor.authorZorbas, Helen
dc.contributor.authorDunn, Jeffrey
dc.contributor.authorO'Connell, Dianne L.
dc.date.accessioned2018-05-09T04:58:20Z
dc.date.available2018-05-09T04:58:20Z
dc.date.issued2015
dc.identifier.issn1099-1611en_US
dc.identifier.doi10.1002/pon.3829en_US
dc.identifier.urihttp://hdl.handle.net/10072/101380
dc.description.abstractObjective: 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.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherJohn Wiley & Sonsen_US
dc.relation.ispartofpagefrom1569en_US
dc.relation.ispartofpageto1577en_US
dc.relation.ispartofissue11en_US
dc.relation.ispartofjournalPsycho-Oncologyen_US
dc.relation.ispartofvolume24en_US
dc.subject.fieldofresearchOncology and Carcinogenesis not elsewhere classifieden_US
dc.subject.fieldofresearchcode111299en_US
dc.titlePsychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraintsen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.description.versionPublisheden_US
gro.facultyGriffith Health, School of Applied Psychologyen_US
gro.rights.copyright© 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.en_US
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