Psychological wellness and health-related stigma : a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer
Journal article
Chambers, Suzanne, Morris, Bronwyn, Clutton, Samantha, Foley, Elizabeth, Giles, Lynne, Schofield, Penelope, O' Connell, Dianne L and Dunn, Jeffery. (2015). Psychological wellness and health-related stigma : a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer. European Journal of Cancer Care. 24(1), pp. 60-70. https://doi.org/10.1111/ecc.12221
Authors | Chambers, Suzanne, Morris, Bronwyn, Clutton, Samantha, Foley, Elizabeth, Giles, Lynne, Schofield, Penelope, O' Connell, Dianne L and Dunn, Jeffery |
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Abstract | People with lung cancer experience health-related stigma that is related to poorer psychosocial and quality of life outcomes. The present Phase 1 study applied mixed methods to test the acceptability of an acceptance focused cognitive behavioural intervention targeting stigma for this patient group. Fourteen lung cancer patients completed a 6-week Psychological Wellness intervention with pre- and post-test outcome measures of psychological and cancer-specific distress, depression, health-related stigma and quality of life. In-depth interviews applying interpretative phenomenological analysis assessed participants’ experiences of the intervention. Moderate to large improvements were observed in psychological (ηp 2 = 0.182) and cancer-specific distress (ηp 2 = 0.056); depression (ηp 2 = 0.621); health-related stigma (ηp 2 = 0.139). In contrast, quality of life declined (ηp 2 = 0.023). The therapeutic relationship; self-management of distress; and relationship support were highly valued aspects of the intervention. Barriers to intervention included avoidance and practical issues. The lung cancer patients who completed the Psychological Wellness intervention reported improvements in psychological outcomes and decreases in stigma in the face of declining quality of life with patients reporting personal benefit from their own perspectives. A randomised controlled trial is warranted to establish the effectiveness of this approach. |
Keywords | lung cancer; psychological; quality of life |
Year | 01 Jan 2015 |
Journal | European Journal of Cancer Care |
Journal citation | 24 (1), pp. 60-70 |
Publisher | Hindawi |
ISSN | 1365-2354 |
Digital Object Identifier (DOI) | https://doi.org/10.1111/ecc.12221 |
Web address (URL) | https://onlinelibrary.wiley.com/doi/10.1111/ecc.12221 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 60-70 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 23 Jul 2014 |
Publication process dates | |
Accepted | 26 Jun 2014 |
Deposited | 22 May 2024 |
Additional information | © 2014 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd. |
Research funding - Australian Research Council Future Fellowship | |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/9081v/psychological-wellness-and-health-related-stigma-a-pilot-study-of-an-acceptance-focused-cognitive-behavioural-intervention-for-people-with-lung-cancer
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Publisher's version
OA_Chambers_2014_Psychological_wellness_and_health_related_stigma.pdf | |
License: CC BY-NC-ND 3.0 | |
File access level: Open |
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