{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T07:27:36Z","timestamp":1786606056570,"version":"build-2736575974"},"reference-count":43,"publisher":"Korean Neuropsychiatric Association","issue":"8","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004735","name":"Hunan Provincial Natural Science Foundation","doi-asserted-by":"crossref","award":["2026JJ81738"],"award-info":[{"award-number":["2026JJ81738"]}],"id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004735","name":"Hunan Provincial Natural Science Foundation","doi-asserted-by":"crossref","award":["2026JJ82377"],"award-info":[{"award-number":["2026JJ82377"]}],"id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Hunan Provincial Department of Education","award":["24B0367"],"award-info":[{"award-number":["24B0367"]}]},{"name":"Hunan Cancer Hospital","award":["20260630-1001"],"award-info":[{"award-number":["20260630-1001"]}]}],"content-domain":{"domain":["psychiatryinvestigation.org"],"crossmark-restriction":true},"short-container-title":["Psychiatry Investig"],"published-print":{"date-parts":[[2026,8,25]]},"abstract":"<jats:p>Objective To explore the current status and associated factors of stigma among postoperative thyroid cancer patients, and the association and potential pathways of post-traumatic growth (PTG) on stigma.Methods We adopted a mixed-methods design based on an explanatory sequential approach, encompassing both quantitative and qualitative methods. Quantitative analysis was performed utilizing the convenience sampling method, involving 184 post-operative patients with thyroid cancer from a tertiary hospital in Hunan Province for a cross-sectional survey. Data were collected via demographic questionnaires, the Social Impact Scale, and the Post-Traumatic Growth Inventory. Qualitative analysis was conducted through purposive sampling, and semi-structured in-depth interviews were conducted with 12 of the patients.Results The recruited patients had mean stigma and PTG scores of 61.62\u00b113.33 and 60.54\u00b114.78, respectively. We also found that PTG correlated significantly negatively with stigma (p&lt;0.05). Hierarchical regression analysis further revealed that PTG accounted for 21.7% of the variance in stigma scores (p&lt;0.05). Additionally, the qualitative analysis yielded three major themes and six subthemes: 1) reconstructing a positive mindset amid psychological struggles; 2) reconstructing illness cognition through social support; and 3) behavioral adaptation and self-identity reconstruction.Conclusion Thyroid cancer patients may experience some level of stigmatization post-surgery, which may be inversely correlated with their PTG levels. Therefore, researchers should develop clinical interventions to improve PTG via emotional regulation, cognitive restructuring, social support, and health behavior promotion.<\/jats:p>","DOI":"10.30773\/pi.2025.0254","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:55:31Z","timestamp":1785887731000},"page":"994-1004","update-policy":"https:\/\/doi.org\/10.30773\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Post-Traumatic Growth and Stigma Among Post-Thyroidectomy Patients: An Explanatory Sequential Mixed-Methods Study"],"prefix":"10.30773","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7293-7585","authenticated-orcid":true,"given":"Minghong","family":"Chen","sequence":"first","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine, Changsha, China"},{"name":"Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4345-5692","authenticated-orcid":true,"given":"Li","family":"Li","sequence":"additional","affiliation":[{"name":"Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2841-0526","authenticated-orcid":true,"given":"Susu","family":"He","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine, Changsha, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2105-5614","authenticated-orcid":true,"given":"Jiaqian","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine, Changsha, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7724-6650","authenticated-orcid":true,"given":"Shanshan","family":"Xiao","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine, Changsha, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8354-417X","authenticated-orcid":true,"given":"Wen","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine, Changsha, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6166-9679","authenticated-orcid":true,"given":"Hongtao","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Hunan University of Chinese Medicine, Changsha, China"},{"name":"Integrated Traditional Chinese and Western Medicine Second Hospital Affiliated with Hunan University of Chinese Medicine 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