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dc.contributor.authorOcchipinti, Stefanoen_US
dc.contributor.authorDunn, Jeffreyen_US
dc.contributor.authorO'Connell, Dianneen_US
dc.contributor.authorGarvey, Gailen_US
dc.contributor.authorValery, Patriciaen_US
dc.contributor.authorBall, Daviden_US
dc.contributor.authorFong, Kwunen_US
dc.contributor.authorVinod, Shalinien_US
dc.contributor.authorChambers, Suzanneen_US
dc.date.accessioned2019-06-07T01:44:22Z
dc.date.available2019-06-07T01:44:22Z
dc.date.issued2018en_US
dc.identifier.issn1556-0864en_US
dc.identifier.doi10.1016/j.jtho.2018.06.015en_US
dc.identifier.urihttp://hdl.handle.net/10072/381976
dc.description.abstractObjective: To examine the personal experiences of people with lung cancer and their caregivers and how stigma is manifested throughout a patient’s social network. Methods: A qualitative thematic analysis of interviews with 28 patients with lung cancer and their caregivers was conducted. Telephone interviews were conducted and transcribed verbatim. Data analysis was guided by contemporary stigma theory. Results: Patients and caregivers reported feeling high levels of felt stigma and concomitant psychological distress in response to the diagnosis of lung cancer. Three overarching themes emerged: the nexus of lung cancer and smoking, moralization, and attacking the link between lung cancer and smoking. Stigma was inevitably linked to smoking, and this formed the hub around which the other themes were organized. Caregivers reported feeling invisible and noted a lack of support systems for families and caregivers. In addition, there was evidence that caregivers experienced stigma by association as members of the patients’ close networks. Both groups responded ambivalently to stigmatizing antismoking advertisements. Conclusions: The qualitative analysis demonstrated the complex interplay of the social and personal domains in the experience and outcomes of stigma in lung cancer. There is a significant potential for caregivers of patients with lung cancer to experience exacerbations of psychosocial distress as a consequence of widely shared negative views about lung cancer and its prognosis. It remains for researchers and practitioners to incorporate such complexity in addressing stigma and psychosocial distress in both patients and caregivers.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherElsevieren_US
dc.publisher.placeUnited Statesen_US
dc.relation.ispartofpagefrom1443en_US
dc.relation.ispartofpageto1453en_US
dc.relation.ispartofissue10en_US
dc.relation.ispartofjournalJournal of Thoracic Oncologyen_US
dc.relation.ispartofvolume13en_US
dc.subject.fieldofresearchOncology and Carcinogenesis not elsewhere classifieden_US
dc.subject.fieldofresearchClinical Sciencesen_US
dc.subject.fieldofresearchCardiorespiratory Medicine and Haematologyen_US
dc.subject.fieldofresearchcode111299en_US
dc.subject.fieldofresearchcode1103en_US
dc.subject.fieldofresearchcode1102en_US
dc.titleLung Cancer Stigma across the Social Network: Patient and Caregiver Perspectivesen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dc.type.codeC - Journal Articlesen_US
dc.description.versionPost-printen_US
gro.facultyGriffith Health, School of Applied Psychologyen_US
gro.rights.copyright© 2018 Lippincott Williams & Wilkins. This is a non-final version of an article published in final form in Journal of Thoracic Oncology, Volume 13, Issue 10, 2018. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal link for access to the definitive, published version.en_US
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