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

Chambers, S. K., Morris, B. A., Clutton, S., Foley, E., Giles, L., Schofield, P., 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: 60-70. doi:10.1111/ecc.12221


Author Chambers, S. K.
Morris, B. A.
Clutton, S.
Foley, E.
Giles, L.
Schofield, P.
O'Connell, D.
Dunn, J.
Title Psychological wellness and health-related stigma: a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer
Journal name European Journal of Cancer Care   Check publisher's open access policy
ISSN 0961-5423
1365-2354
Publication date 2015-01
Year available 2014
Sub-type Article (original research)
DOI 10.1111/ecc.12221
Open Access Status
Volume 24
Issue 1
Start page 60
End page 70
Total pages 11
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2015
Language eng
Formatted 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.
Keyword Lung cancer
Psychological
Quality of life
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online ahead of print 23 July 2014

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Social Science Publications
 
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