Psychological wellness and health-related stigma: a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer

Chambers, S. K. and Morris, B. A. and Clutton, S. and Foley, E. and Giles, L. and Schofield, P. and O'Connell, D. and Dunn, J. (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. ISSN 0961-5423

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.


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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: 01 Jun 2017 23:37
Last Modified: 01 Jun 2017 23:37
Uncontrolled 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
Fields of Research : 11 Medical and Health Sciences > 1112 Oncology and Carcinogenesis > 111204 Cancer Therapy (excl. Chemotherapy and Radiation Therapy)
17 Psychology and Cognitive Sciences > 1701 Psychology > 170113 Social and Community Psychology
Identification Number or DOI: 10.1111/ecc.12221
URI: http://eprints.usq.edu.au/id/eprint/32460

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