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Lung cancer stigma: A concept with consequences for patients
Roma Maguire1, Liane Lewis1, Grigorios Kotronoulas2
1Department of Computing and Information Science, University of Strathclyde, Glasgow, UK.
Cancer Reports (Hoboken, N.J.)
|July 29, 2020
Summary
Lung cancer stigma significantly impacts patients' quality of life and mental health. Addressing this stigma through targeted interventions is crucial for improving patient well-being.
Area of Science:
- Oncology
- Psychosocial Oncology
- Public Health
Background:
- Patients with lung cancer (LC) experience lower quality of life (QoL) and higher psychological distress than other cancer patients.
- Lung cancer stigma (LCS) is a potential contributing factor to these disparities.
- Understanding the prevalence and impact of LCS is vital for patient care.
Purpose of the Study:
- To determine the prevalence of patient-perceived lung cancer stigma (LCS).
- To examine the relationships between LCS, symptom burden, depression, and health-related quality of life (HR-QoL).
Main Methods:
- A descriptive, observational, cross-sectional study involving 201 lung cancer patients.
- Utilized validated questionnaires: Cataldo Lung Cancer Stigma Scale (CLCSS), Lung Cancer Symptom Scale, Centre for Epidemiologic Studies-Depression Scale, and Quality of Life Inventory.
- Statistical analyses to assess correlations and variance explained.
Main Results:
- LCS was significantly correlated with younger age, social deprivation, unemployment, depression, symptom burden, and reduced HR-QoL.
- Symptom burden explained 18% of the variance in LCS.
- LCS explained 8.5% of the variance in depression and 14.3% in HR-QoL.
Conclusions:
- Lung cancer patients are vulnerable to LCS, which is influenced by symptom burden.
- Increased LCS is directly associated with higher depression levels and lower HR-QoL.
- Tailored screening and interventions are necessary to address LCS and improve psychosocial well-being in lung cancer patients.
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