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

Chambers, Suzanne K., Baade, Peter D., Youl, Philippa, Aitken, Joanne, Occhipinti, Stefano, Vinod, Shalini, Valery, Patricia C., Garvey, Gail, Fong, Kwun M., Ball, David, Zorbas, Helen, 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):1569-1577.

Document type: Journal Article
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IRMA ID 11381xPUB109
Title Psychological distress and quality of life in lung cancer: the role of health-related stigma, illness appraisals and social constraints
Author Chambers, Suzanne K.
Baade, Peter D.
Youl, Philippa
Aitken, Joanne
Occhipinti, Stefano
Vinod, Shalini
Valery, Patricia C.
Garvey, Gail
Fong, Kwun M.
Ball, David
Zorbas, Helen
Dunn, Jeff
O'Connell, Dianne L.
Journal Name Psycho-Oncology
Publication Date 2015
Volume Number 24
Issue Number 11
ISSN 1099-1611   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84946479671
Start Page 1569
End Page 1577
Total Pages 9
Place of Publication United Kingdom
Publisher John Wiley & Sons Ltd.
Field of Research MEDICAL AND HEALTH SCIENCES
HERDC Category C1 - Journal Article (DIISR)
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.
DOI http://dx.doi.org/10.1002/pon.3829   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Tue, 26 Jul 2016, 12:47:49 CST