Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints
Article
Article Title | Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints |
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ERA Journal ID | 6624 |
Article Category | Article |
Authors | Chambers, Suzanne K. (Author), Baade, Peter (Author), Youl, Philippa (Author), Aitken, Joanne (Author), Occhipinti, Stefano (Author), Vinod, Shalini (Author), Valery, Patricia C. (Author), Garvey, Gail (Author), Fong, Kwun M. (Author), Ball, David (Author), Zorbas, Helen (Author), Dunn, Jeff (Author) and O'Connell, Dianne L. (Author) |
Journal Title | Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer |
Journal Citation | 24 (11), pp. 1569-1577 |
Number of Pages | 9 |
Year | 2015 |
Publisher | John Wiley & Sons |
Place of Publication | United Kingdom |
ISSN | 1057-9249 |
1099-1611 | |
Digital Object Identifier (DOI) | https://doi.org/10.1002/pon.3829 |
Web Address (URL) | http://onlinelibrary.wiley.com/doi/10.1002/pon.3829/abstract |
Abstract | Psycho-Oncology Published by John Wiley & Sons Ltd. 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 | Chest Diseases, Thoracic Surgery and Tuberculosis; Cancer; Psychiatry; |
ANZSRC Field of Research 2020 | 321199. Oncology and carcinogenesis not elsewhere classified |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Griffith University |
Queensland University of Technology | |
Queensland Cancer Fund, Australia | |
University of New South Wales | |
Charles Darwin University | |
Department of Health, Queensland | |
Peter MacCallum Cancer Centre, Australia | |
Cancer Australia | |
Cancer Council Australia, Australia | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q42v5/psychological-distress-and-quality-of-life-in-lung-cancer-the-role-of-health-related-stigma-illness-appraisals-and-social-constraints
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