Evidence map›Paper›PMID 21954081›Full record

ArticlePsycho-oncology2013

Stigma, perceived blame, self-blame, and depressive symptoms in men with colorectal cancer.

Sean M Phelan, Joan M Griffin, George L Jackson, S Yousuf Zafar, Wendy Hellerstedt, Mandy Stahre, David Nelson, Leah L Zullig, Diana J Burgess, Michelle van Ryn

Open access · bronzeAbstract read
In one paragraph

Article in Psycho-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 4 pooled it
1.5field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 4 syntheses or guidelines pooled it, 178 citations in OpenAlex.

  1. Assessment tools for stigma in breast cancer patients based on COSMIN guidelines: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Correlates of stigma for patients with cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  3. A systematic review of psychosocial interventions for colorectal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Pooled it
  4. Pooled it
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17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Sean M PhelanUniversity of Minnesota, Family Medicine and Community Health, Minneapolis, MN 55414, USA. phel0085@umn.edu
Joan M Griffin
George L Jackson
S Yousuf Zafar
Wendy Hellerstedt
Mandy Stahre
David Nelson
Leah L Zullig
Diana J Burgess
Michelle van Ryn
University of Minnesota · USMinnesota Department of Health · USVeterans Health Administration · USDuke Medical Center · USDurham VA Health Care System · USDurham VA Medical Center · US

Funding

Cancer Training GrantR25CA116339 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BASCH, ETHAN M., REEVE, BRYCE B · 2008 to 2017
$4.0M
NCI NIH HHS R25 CA116339
6 · The paper itself

Abstract

backgroundWe measured the prevalence of stigma, self-blame, and perceived blame from others for their illness among men with colorectal cancer (CRC) and examined whether these factors were associated with depressive symptoms, independent of clinical and sociodemographic factors.

methodsSelf-administered questionnaires were returned in the fall of 2009 by 1109 eligible male US veterans who were diagnosed with CRC at any Veterans Affairs facility in 2008. Questionnaires assessed stigma, feelings of blame, and depressive symptoms as well as other facets of health, cancer characteristics, and quality and type of medical care. We report the prevalence of cancer stigma, self-blame, and perceived blame from others. We used multivariate linear regression to assess the association between these factors and a measure of depressive symptoms. Covariates included several measures of overall health, cancer progression, symptom severity, and sociodemographic factors.

resultsThirty one percent of respondents endorsed at least one item in a measure of cancer stigma and 25% reported feeling that it was at least 'a little true' that they were to blame for their illness. All three independent variables were associated with depressive symptoms in bivariate models; cancer stigma and self-blame were significantly associated with depressive symptoms in the multivariate model.

conclusionsCancer stigma and self-blame are problems for a significant minority of men with CRC and are independent predictors of depressive symptoms. They may represent an important source of stress in men with CRC.

Indexed as

GuiltInternal-External ControlSocial StigmaStereotypingStress, PsychologicalAgedAged, 80 and overColorectal NeoplasmsDepressionHumansMaleMiddle AgedPerceptionPrevalenceRegistriesRegression Analysis

Identifiers

PMID21954081
PMCPMC6000725
OpenAlexW2155442014

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.