期刊
PSYCHO-ONCOLOGY
卷 30, 期 7, 页码 1137-1144出版社
WILEY
DOI: 10.1002/pon.5665
关键词
longitudinal; lung cancer; psychological distress; psycho‐ oncology; stigma
资金
- National Health and Medical Research Council (NHMRC) Partnerships for Better Health Grant [APP1055408]
- Hunter Medical Research Institute (HMRI)
- University of Newcastle Research Postgraduate Scholarship
- Hunter Cancer Research Alliance Statistical Support Grant
- NHMRC Career Development Fellowship [APP1061335]
- HMRI Fellowship
- NHMRC Early Career Fellowship [APP1073317]
- Cancer Institute NSW Early Career Fellowship [13/ECF/1-37]
This study found a significant relationship between baseline lung cancer stigma and psychological distress at 6-month follow-up among newly diagnosed lung cancer patients. It suggests that stigma-related experiences may have a delayed impact on psychological distress. Routine lung cancer stigma assessments are recommended to identify those at risk of psychological distress.
Objectives To examine if baseline stigma predicts psychological distress at 3 and 6 months follow-up among patients newly diagnosed with lung cancer. Methods This longitudinal study was nested within a larger randomised controlled trial. Eligible participants were recruited via respiratory and oncology out-patient clinics in Australia (n = 194). Consenting participants were asked to complete surveys at baseline, 3 and 6 months post-recruitment. Measures included lung cancer stigma (Cataldo Lung Cancer Stigma Scale) and psychological distress (General Health Questionnaire-12 [GHQ-12]). Results One-hundred and ninety-four participants were included for analysis. Most were male (57.7%) with a mean age of 68 years (SD = 8.8). A significant relationship between baseline lung cancer stigma and psychological distress at 6 months was found, where a one unit increase in lung cancer stigma increases psychological distress by 0.044 when adjusting for age, gender, smoking status, baseline GHQ-12 scores and intervention allocation (as part of the larger trial; p = 0.001; beta = 0.044, 95% CI = 0.010, 0.079). Conclusion Temporal links between lung cancer stigma and psychological distress was found at 6 months, suggesting stigma-related experiences may have a delayed impact. Development of routine lung cancer stigma assessments is recommended to identify those at risk of psychological distress.
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