Psychological wellness and health-related stigma: a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer
Article
Article Title | 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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ERA Journal ID | 13513 |
Article Category | Article |
Authors | Chambers, S. K. (Author), Morris, B. A. (Author), Clutton, S. (Author), Foley, E. (Author), Giles, L. (Author), Schofield, P. (Author), O'Connell, D. (Author) and Dunn, J. (Author) |
Journal Title | European Journal of Cancer Care |
Journal Citation | 24 (1), pp. 60-70 |
Number of Pages | 11 |
Year | 2015 |
Publisher | John Wiley & Sons |
Place of Publication | United Kingdom |
ISSN | 0961-5423 |
1365-2354 | |
Digital Object Identifier (DOI) | https://doi.org/10.1111/ecc.12221 |
Web Address (URL) | http://onlinelibrary.wiley.com/doi/10.1111/ecc.12221/abstract;jsessionid=20051C6A03D3DE269D61601C2A590A26.f03t04 |
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; acceptance and commitment therapy; aged; avoidance behaviour; depression; female; follow up; human; lung tumour; male; mental health; mental stress; middle aged; physiology; pilot study; psychology; quality of life; self care; self report; social stigma; treatment outcome; acceptance and commitment therapy; avoidance learning; depression; follow-up studies; lung neoplasms; quality of life; stress, psychological |
ANZSRC Field of Research 2020 | 321104. Cancer therapy (excl. chemotherapy and radiation therapy) |
520599. Social and personality psychology not elsewhere classified | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Griffith University |
Cancer Council Australia, Australia | |
Mind Potential, Australia | |
University of Adelaide | |
Peter MacCallum Cancer Centre, Australia | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q443w/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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