Dispositional shame and guilt as predictors of depressive symptoms and anxiety among adults with lung cancer: The mediational role of internalized stigma Journal Article

   

Authors:	Williamson, T. J.; Ostroff, J. S.; Haque, N.; Martin, C. M.; Hamann, H. A.; Banerjee, S. C.; Shen, M. J.
Article Title:	Dispositional shame and guilt as predictors of depressive symptoms and anxiety among adults with lung cancer: The mediational role of internalized stigma
Abstract:	The current study investigated whether dispositional tendencies to experience shame and guilt (i.e., shame- and guilt-proneness) were associated with higher levels of internalized stigma and, in turn, higher depressive symptoms and anxiety in adults with lung cancer. Participants (N = 50; 56.0% female) were men and women who received a clinical consultation for lung cancer and completed validated questionnaires. Mediation modeling using bootstrapping was used to characterize relationships between shame- and guilt-proneness, lung cancer stigma, depressive symptoms, and anxiety. Higher guilt-proneness was associated significantly with higher anxiety (b = 0.69, SE = 0.28, 95% confidence interval [CI: 0.13, 1.26]), and higher shame-proneness was associated significantly with higher depressive symptoms (b = 0.56, SE = 0.19, 95% CI [0.18, 0.93]), beyond sociodemographic, medical, and smoking-related characteristics. Higher lung cancer stigma also significantly mediated the relationship between guilt-proneness and anxiety (indirect effect = 0.43, SE = 0.20, 95% CI [0.08, 0.89]) but not between shame-proneness and depressive symptoms. Shame- and guilt-proneness were associated significantly with depressive symptoms and anxiety, respectively, and the relationship between guilt-proneness and anxiety was explained in part by internalized stigma in a sample of newly diagnosed lung cancer patients. Findings carry implications for the early identification of lung cancer patients in need of additional supportive care services and highlight internalized stigma as a target for psychosocial intervention. (PsycInfo Database Record (c) 2020 APA, all rights reserved) © 2020 American Psychological Association
Keywords:	lung cancer; anxiety; stigma; guilt; depressive symptoms
Journal Title:	Stigma and Health
Volume:	5
Issue:	4
ISSN:	2376-6972
Publisher:	Educational Publishing Foundation American Psychological Assoc
Date Published:	2020-11-01
Start Page:	425
End Page:	433
Language:	English
DOI:	10.1037/sah0000214
PROVIDER:	scopus
PMCID:	PMC8132596
PUBMED:	34027060
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111350343&doi=10.1037%2fsah0000214&partnerID=40&md5=eddc5fdb2979d0bbe4156f27c74ffc8d
Notes:	Article -- Export Date: 1 September 2021 -- Source: Scopus

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