Distancing, self-esteem, and subjective well-being in head and neck cancer.

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Title: Distancing, self-esteem, and subjective well-being in head and neck cancer.
Authors: Devins, Gerald M., Wong, Janice C., Payne, Ada Y. M., Lebel, Sophie, Lee, Ruth N. F., Mah, Kenneth, Irish, Jonathan, Rodin, Gary
Source: Psycho-Oncology. Nov2015, Vol. 24 Issue 11, p1506-1513. 8p. 1 Chart, 3 Graphs.
Subjects: Head & neck cancer treatment, Self-esteem, Well-being, Stereotypes, Social stigma, Alcohol drinking, Mental health, Quality of life, Head tumors, Neck tumors, Adaptability (Personality), Comparative studies, Mental depression, Research methodology, Medical cooperation, Research, Research funding, Self-perception, Social skills, Psychological stress, Evaluation research, Psychological factors, Psychology, Tumor treatment
Abstract: Background: Distancing (i.e. construing oneself as dissimilar to a negatively-stereotyped group) preserves self-esteem and may benefit other domains of subjective well-being. Head and neck cancer (HNC) is stigmatized because major risk factors include avoidable lifestyle variables (smoking, alcohol consumption, and human papilloma virus). Because the benefits of coping efforts, such as distancing, are most evident when people are under stress, we hypothesize that the psychosocial benefits of distancing will be most pronounced when cancer and its treatment interfere substantially with participation in valued activities and interests (i.e. high illness intrusiveness).Objective: To test whether distancing preserves self-esteem and other domains of subjective well-being (SWB) in HNC, especially when illness intrusiveness is high.Methods: Five hundred and twenty-two HNC outpatients completed a semantic-differential measure of perceived similarity to the 'cancer patient' and measures of illness intrusiveness, self-esteem, depressive symptoms, and psychological well-being in structured interviews. Evaluations of the 'cancer patient' reflected cancer stereotypes.Results: A statistically significant interaction supported the central hypothesis: When people held negative stereotypes, those who construed themselves as similar to the 'cancer patient' reported lower self-esteem than those who construed themselves as dissimilar. Distancing did not benefit other SWB variables. Some results were counter-intuitive: e.g. Emotional distress increased with increasing illness intrusiveness when people did not hold negative cancer stereotypes, but when they held highly negative stereotypes, distress decreased with increasing illness intrusiveness.Conclusions: Overall, distancing preserved self-esteem in people with HNC and was associated with benefits in other SWB domains. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Distancing, self-esteem, and subjective well-being in head and neck cancer.
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– Name: Abstract
  Label: Abstract
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  Data: <bold>Background: </bold>Distancing (i.e. construing oneself as dissimilar to a negatively-stereotyped group) preserves self-esteem and may benefit other domains of subjective well-being. Head and neck cancer (HNC) is stigmatized because major risk factors include avoidable lifestyle variables (smoking, alcohol consumption, and human papilloma virus). Because the benefits of coping efforts, such as distancing, are most evident when people are under stress, we hypothesize that the psychosocial benefits of distancing will be most pronounced when cancer and its treatment interfere substantially with participation in valued activities and interests (i.e. high illness intrusiveness).<bold>Objective: </bold>To test whether distancing preserves self-esteem and other domains of subjective well-being (SWB) in HNC, especially when illness intrusiveness is high.<bold>Methods: </bold>Five hundred and twenty-two HNC outpatients completed a semantic-differential measure of perceived similarity to the 'cancer patient' and measures of illness intrusiveness, self-esteem, depressive symptoms, and psychological well-being in structured interviews. Evaluations of the 'cancer patient' reflected cancer stereotypes.<bold>Results: </bold>A statistically significant interaction supported the central hypothesis: When people held negative stereotypes, those who construed themselves as similar to the 'cancer patient' reported lower self-esteem than those who construed themselves as dissimilar. Distancing did not benefit other SWB variables. Some results were counter-intuitive: e.g. Emotional distress increased with increasing illness intrusiveness when people did not hold negative cancer stereotypes, but when they held highly negative stereotypes, distress decreased with increasing illness intrusiveness.<bold>Conclusions: </bold>Overall, distancing preserved self-esteem in people with HNC and was associated with benefits in other SWB domains. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.3760
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        Text: English
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        Type: general
      – SubjectFull: Self-esteem
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      – SubjectFull: Well-being
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      – SubjectFull: Stereotypes
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      – SubjectFull: Head tumors
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      – SubjectFull: Neck tumors
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