Psychological distress and quality of life in lung cancer : The role of health-related stigma, illness appraisals and social constraints
Journal article
Chambers, Suzanne, Baade, Peter, Youl, Philippa, Aitken, Joanne, Occhipinti, Stefano, Vinod, Shalini, Valery, Patricia, Garvey, Gail, Fong, Kwun M., Ball, David, Zorbas, Helen, Dunn, Jeffery and O'Connell, Dianne L. (2015). Psychological distress and quality of life in lung cancer : The role of health-related stigma, illness appraisals and social constraints. Psycho-Oncology. 24(11), pp. 1569-1577. https://doi.org/10.1002/pon.3829
| Authors | Chambers, Suzanne, Baade, Peter, Youl, Philippa, Aitken, Joanne, Occhipinti, Stefano, Vinod, Shalini, Valery, Patricia, Garvey, Gail, Fong, Kwun M., Ball, David, Zorbas, Helen, Dunn, Jeffery and O'Connell, Dianne L |
|---|---|
| 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. |
| Keywords | lung cancer; stigma; health-related stigma ; interventions |
| Year | 01 Jan 2015 |
| Journal | Psycho-Oncology |
| Journal citation | 24 (11), pp. 1569-1577 |
| Publisher | John Wiley and Sons Ltd (UK) |
| ISSN | 1057-9249 |
| Digital Object Identifier (DOI) | https://doi.org/10.1002/pon.3829 |
| Web address (URL) | https://onlinelibrary.wiley.com/doi/10.1002/pon.3829 |
| Open access | Published as ‘gold’ (paid) open access |
| Research or scholarly | Research |
| Page range | 1569-1577 |
| Publisher's version | License File Access Level Open |
| Output status | Published |
| Publication dates | |
| Online | 29 Apr 2015 |
| Publication process dates | |
| Accepted | 27 Apr 2015 |
| Deposited | 30 May 2024 |
| Additional information | This research was commissioned by Cancer Australia. S. K. C. is supported by an Australian Research Council Future Fellowship. |
© 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. | |
| Place of publication | United Kingdom |
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| OA_Chambers_2015_Psychological_distress_and_quality_of_life.pdf | |
| License: CC BY-NC-ND 4.0 | |
| File access level: Open | |
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