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

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posted on 2025-05-11, 11:11 authored by Suzanne K. Chambers, Peter Baade, Helen Zorbas, Jeff Dunn, Dianne L. O'Connell, Philippa Youl, Joanne Aitken, Stefano Occhipinti, Shalini Vinod, Patricia C. Valery, Gail Garvey, Kwun M. Fong, David Ball
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.

History

Journal title

Psycho-Oncology

Volume

24

Issue

11

Pagination

1569-1577

Publisher

John Wiley & Sons

Language

  • en, English

College/Research Centre

Faculty of Health and Medicine

School

School of Medicine and Public Health

Rights statement

© 2015 The Authors. Psycho-Oncology Published by John Wiley and Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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