Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints

Chambers, Suzanne K. and Baade, Peter and Youl, Philippa and Aitken, Joanne and Occhipinti, Stefano and Vinod, Shalini and Valery, Patricia C. and Garvey, Gail and Fong, Kwun M. and Ball, David and Zorbas, Helen and Dunn, Jeff 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. ISSN 1057-9249

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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.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty / Department / School: No Faculty
Date Deposited: 07 Jun 2017 02:35
Last Modified: 08 Jun 2017 01:38
Uncontrolled Keywords: Chest Diseases, Thoracic Surgery and Tuberculosis; Cancer; Psychiatry;
Fields of Research : 11 Medical and Health Sciences > 1112 Oncology and Carcinogenesis > 111299 Oncology and Carcinogenesis not elsewhere classified
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1002/pon.3829
URI: http://eprints.usq.edu.au/id/eprint/32025

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