Body image mediates the effect of cancer-related stigmatization on depression: A new target for intervention
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Body image mediates the effect of cancer-related stigmatization on depression : A new target for intervention. / Esser, Peter; Mehnert, Anja; Johansen, Christoffer; Hornemann, Beate; Dietz, Andreas; Ernst, Jochen.
I: Psycho-Oncology, Bind 27, Nr. 1, 2018, s. 193-198.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Body image mediates the effect of cancer-related stigmatization on depression
T2 - A new target for intervention
AU - Esser, Peter
AU - Mehnert, Anja
AU - Johansen, Christoffer
AU - Hornemann, Beate
AU - Dietz, Andreas
AU - Ernst, Jochen
N1 - Copyright © 2017 John Wiley & Sons, Ltd.
PY - 2018
Y1 - 2018
N2 - OBJECTIVE: Because cancer-related stigmatization is prevalent but difficult to change, research on its impact on psychological burden and respective intervening variables is needed. Therefore, we investigated the effect of stigmatization on depressive symptomatology and whether body image mediates this relationship.METHODS: This bicentric study assessed patients of 4 major tumor entities. We measured stigmatization (SIS-D), depressive symptomatology (PHQ-9), and body image (FKB-20). Applying multiple mediator analyses, we calculated the total effect of stigmatization on depressive symptomatology and the indirect effects exerted via the 2 body image scales rejecting body evaluation and vital body dynamics.RESULTS: Among the 858 cancer patients recruited (breast: n = 297; prostate: n = 268; colorectal: n = 168; lung: n = 125), stigmatization showed total effects on depressive symptomatology across all stigma dimensions (all ptotal sample < .001). Except for lung cancer patients, this result was replicated for each cancer group. Body image as a whole was shown to mediate the effect across all samples (γtotal sample = .04, 95%-CI: 0.03-0.06). Among the total sample and prostate cancer patients, the mediating effect of rejecting body evaluation was significantly larger than the effect of vital body dynamics (dtotal sample = .02, 95%-CI: 0.01-0.04).CONCLUSIONS: Perceived stigmatization is an important and generalizable risk factor for depressive symptomatology among cancer patients. Apart from interventions addressing stigmatization, improving body image could additionally help to reduce the psychological burden in stigmatized patients.
AB - OBJECTIVE: Because cancer-related stigmatization is prevalent but difficult to change, research on its impact on psychological burden and respective intervening variables is needed. Therefore, we investigated the effect of stigmatization on depressive symptomatology and whether body image mediates this relationship.METHODS: This bicentric study assessed patients of 4 major tumor entities. We measured stigmatization (SIS-D), depressive symptomatology (PHQ-9), and body image (FKB-20). Applying multiple mediator analyses, we calculated the total effect of stigmatization on depressive symptomatology and the indirect effects exerted via the 2 body image scales rejecting body evaluation and vital body dynamics.RESULTS: Among the 858 cancer patients recruited (breast: n = 297; prostate: n = 268; colorectal: n = 168; lung: n = 125), stigmatization showed total effects on depressive symptomatology across all stigma dimensions (all ptotal sample < .001). Except for lung cancer patients, this result was replicated for each cancer group. Body image as a whole was shown to mediate the effect across all samples (γtotal sample = .04, 95%-CI: 0.03-0.06). Among the total sample and prostate cancer patients, the mediating effect of rejecting body evaluation was significantly larger than the effect of vital body dynamics (dtotal sample = .02, 95%-CI: 0.01-0.04).CONCLUSIONS: Perceived stigmatization is an important and generalizable risk factor for depressive symptomatology among cancer patients. Apart from interventions addressing stigmatization, improving body image could additionally help to reduce the psychological burden in stigmatized patients.
KW - Adult
KW - Aged
KW - Body Image/psychology
KW - Breast Neoplasms/psychology
KW - Colorectal Neoplasms/psychology
KW - Depression/psychology
KW - Female
KW - Humans
KW - Lung Neoplasms/psychology
KW - Male
KW - Middle Aged
KW - Prostatic Neoplasms/psychology
KW - Risk Factors
KW - Social Stigma
KW - Stereotyping
U2 - 10.1002/pon.4494
DO - 10.1002/pon.4494
M3 - Journal article
C2 - 28685499
VL - 27
SP - 193
EP - 198
JO - Psycho-Oncology
JF - Psycho-Oncology
SN - 1057-9249
IS - 1
ER -
ID: 213040265