Daily diary study of hope, stigma, and functioning in lung cancer patients
Autor: | Martin J. Edelman, Gregory N. Gan, Bruce W. Smith, Kevin E. Vowles, Laurie E. Steffen |
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Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty Lung Neoplasms Social stigma Social Stigma MEDLINE PsycINFO Disease Daily diary Article 03 medical and health sciences Hope 0302 clinical medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine Psychiatry Lung cancer Applied Psychology Aged Multilevel model medicine.disease Stigma (anatomy) Diaries as Topic Psychiatry and Mental health 030220 oncology & carcinogenesis Quality of Life Female Psychology Clinical psychology |
Zdroj: | Health psychology : official journal of the Division of Health Psychology, American Psychological Association. 37(3) |
ISSN: | 1930-7810 |
Popis: | Objective Given its lethality, associated stigma, and symptom burden, a lung cancer diagnosis poses a substantial challenge for patients. The goal of this study was to examine how daily hope, defined as goal-directed effort and planning to meet goals, and daily stigma were related to same- and next-day functioning in lung cancer patients receiving cancer treatment. Methods Fifty lung cancer patients (39 non-small-cell stages IIIa-IV; 11 limited and extensive small cell) completed a baseline questionnaire and 21 daily diaries (n = 1,042) assessing hope, stigma, physical symptoms, treatment factors, and functioning. Hypotheses were tested in same- and next-day models with multilevel modeling. Results Patients who reported more daily hope reported higher social and role functioning in same- and next-day models. On days that patients reported more hope than usual (compared with their own across-day average), they had higher social, role, and physical functioning; this effect did not carry into the next day. Treatment days were associated with lower social and role functioning when patients reported lower hope and associated with higher functioning when patients reported higher hope. Within-person hope was not predicted by disease symptoms. On days that patients reported more stigma than usual, they reported lower social and role functioning. Conclusions Hope is associated with functioning in lung cancer patients, regardless of physical symptoms from disease and treatment. Hope and stigma may therefore be appropriate intervention targets to support daily social and role functioning during lung cancer treatment. (PsycINFO Database Record |
Databáze: | OpenAIRE |
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