Assessment of guilt and shame in patients with non-small-cell lung cancer compared with patients with breast and prostate cancer

Assessment of guilt and shame in patients with non-small-cell lung cancer compared with patients with breast and prostate cancer
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DOI:
10.3816/clc.2008.n.026
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发表时间:
2008-05-01
影响因子:
3.6
通讯作者:
Schiller, Joan H.
Schiller, Joan H.
中科院分区:
医学3区
文献类型:
--
作者:
LoConte, Noelle K.;Else-Quest, Nicole A.;Schiller, Joan H.

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PURPOSE: Patients with lung cancer might feel more guilt and shame resulting from previous smoking. This study was designed to determine the levels of guilt and shame among patients with non-small-cell lung cancer (NSCLC) compared with breast and prostate cancer. PATIENTS AND METHODS: Surveys were sent to participants 3 times (at enrollment, 2 months, and 6 months). Patients were eligible if they had stage IV NSCLC, breast cancer, or prostate cancer. The survey included tests of generalized guilt, shame, depression, and anxiety as well as guilt, shame, and embarrassment related to one's cancer. RESULTS: One hundred seventy-two participants completed >= 1 questionnaire: 96 patients with NSCLC, 30 patients with breast cancer, and 46 patients with prostate cancer. Of the patients with NSCLC, 91.7% were current or former smokers versus 67.1% of the comparison patients. A composite score of embarrassment related to one's cancer (perceived cancer-related stigma; PCRS) was higher in patients with NSCLC (P