{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:52:13Z","timestamp":1786978333271,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,7,2]],"date-time":"2022-07-02T00:00:00Z","timestamp":1656720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004917","name":"Cancer Prevention and Research Institute of Texas","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004917","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007314","name":"Duncan Family Institute for Cancer Prevention and Risk Assessment","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007314","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Lung cancer patients, particularly women, are vulnerable to experience disease\u2010related stigma, which is linked to greater psychological distress and worse treatment outcomes. To inform future stigma\u2010resilience interventions, we examined if mindfulness, self\u2010compassion, and social support might buffer the associations between perceived lung cancer stigma and psychological and cancer\u2010related symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, women with recently diagnosed non\u2010small cell lung cancer undergoing cancer treatment completed measures of Cataldo Lung Cancer Stigma Scale, depressive (Center for Epidemiologic Studies Depression Scale), stress (Impact of Events Scale) and cancer\u2010related (MD Anderson Symptom Inventory\u2010Lung Cancer) symptoms, mindfulness (Mindful Attention Awareness Scale), self\u2010compassion (Self\u2010Compassion Scale), and social support (Social Provisions Scale).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample included 56 women (mean age\u00a0=\u00a065\u00a0years; 71% non\u2010Hispanic White; 50% college educated; 74% advanced stage) who had consented to participate in an online support group study. Most (70%) had a smoking history and reported moderate levels of stigma (\n                      <jats:italic>M<\/jats:italic>\n                      \u00a0=\u00a036.28, SD\u00a0=\u00a010.51). Based on general linear modeling, mindfulness moderated the associations between stigma and depressive symptoms (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a05.78,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.02), cancer\u2010related stress (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a012.21,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002), and cancer\u2010related symptom severity (\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a04.61,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.04), such that, only for women scoring low in mindfulness, the associations between stigma and symptoms were significant. For those scoring high in mindfulness, the associations between stigma and symptoms were not significant supporting a buffering effect. Self\u2010compassion and social support did not significantly moderate the stigma and symptom associations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher levels of mindfulness may protect women from psychological and cancer\u2010related symptoms typically associated with the stigmatizing experience of a lung cancer diagnosis. Yet, longitudinal studies and randomized controlled designs are needed to identify mindfulness as a causal protective factor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.5982","type":"journal-article","created":{"date-parts":[[2022,6,21]],"date-time":"2022-06-21T02:27:37Z","timestamp":1655778457000},"page":"1581-1588","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Moderators of the association between stigma and psychological and cancer\u2010related symptoms in women with non\u2010small cell lung cancer"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8061-3848","authenticated-orcid":false,"given":"Stella","family":"Snyder","sequence":"first","affiliation":[{"name":"Department of Behavioral Science The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8873-7239","authenticated-orcid":false,"given":"Juliet L.","family":"Kroll","sequence":"additional","affiliation":[{"name":"Department of Behavioral Science The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aileen B.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara B.","family":"Antonoff","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire Chunyi","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2605-3592","authenticated-orcid":false,"given":"Kathrin","family":"Milbury","sequence":"additional","affiliation":[{"name":"Department of Behavioral Science The University of Texas MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,2]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Key Statistics for Lung 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