ArticleJournal of cancer survivorship : research and practice2025
Linking stigma to social isolation among colorectal cancer survivors with permanent stomas: the chain mediating roles of stoma acceptance and valuable actions.
Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Body esteem and sexual life in Turkish patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Construction and validation of a machine learning-based prediction model for social isolation in patients with colorectal cancer after stoma surgery.BMC gastroenterology · 2026Article
- Impact of Ostomy on Quality of Life in Patients with Colorectal Cancer: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2026Review
- Experiences of colorectal cancer patients in Australia: a qualitative study on specialised nursing and supportive care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Stigma, stoma acceptance, quality of life among patients with colorectal cancer intestinal ostomy: a cross-sectional study.Frontiers in oncology · 2026Article
- Reliability and validity of the Chinese version of the patient self-advocacy scale among colorectal cancer patients.Frontiers in psychology · 2026Article
- Double-tube end ileostomy: an alternative to classical defunctioning stoma in rectal surgery.Techniques in coloproctology · 2025Article
- Trajectories and predictors of benefit finding among patients with colorectal cancer undergoing chemotherapy: A longitudinal observational study.Asia-Pacific journal of oncology nursing · 2025Article
- Profiles of resilience and patient activation among patients with colorectal cancer and an enterostomy: A latent profile analysis.Asia-Pacific journal of oncology nursing · 2025Article
- Acceptance of illness and its relationship with benefit finding among patients with colorectal cancer undergoing chemotherapy: A latent profile analysis.Asia-Pacific journal of oncology nursing · 2025Article
- The impact of ostomy on colorectal cancer patients and caregivers: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Social Isolation Among Individuals with Incontinence: A Scoping Review.Nursing reports (Pavia, Italy) · 2025Review
- The dual burden of stigma: a scoping review of its impact on colorectal cancer patients and screening participants.BMC public health · 2025Article
- Hear My Voice! The Experience of Self-Advocacy Among Patients with Enterostomy: A Qualitative Study.Nursing reports (Pavia, Italy) · 2025Article
- Is the social withdrawal subscale a valid instrument to assess social withdrawal among colorectal cancer survivors with permanent stomas? A validation study.BMC psychiatry · 2025Article
- Physical activity levels and influencing factors among colorectal cancer patients: A cross-sectional study.BMC psychology · 2025Article
- Stigma and social withdrawal among colorectal cancer survivors with permanent stomas: the mediating role of social motivation in psychosocial adaptation.Frontiers in psychiatry · 2025Article
- Integrating psychological resilience into community health strategies: addressing stigma-induced social alienation in postoperative colorectal cancer patients.Frontiers in public health · 2025Article
- Stoma Acceptance Mediates Body Image Distress and Mental Health-Related Quality of Life: A Single-Center Study on Radical Cystectomy Patients with Ureterostomy.Journal of clinical medicine · 2024Article
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Authors and funding
6 authors.
Funding
Abstract
purposeColorectal cancer (CRC) survivors with permanent stomas might be at higher risk of social isolation, and stigma can play an important role in the development of social isolation. However, the underlying psychological mechanisms are understudied. The current study examined how stoma acceptance and valuable actions mediated the relationships between stigma and social isolation among CRC survivors with permanent stomas.
methodsA cross-sectional survey was conducted with a sample of 303 CRC survivors with permanent stomas. The chain mediation models were conducted using the PROCESS macro for SPSS to explore the pathways through which stigma can be associated with CRC survivors' social isolation, mediated by stoma acceptance and valuable actions.
resultsThe results indicated that higher stigma was related to lower stoma acceptance, less personal values enactment, and higher social isolation, as well as lower objective social connectedness and subjective social belongingness among CRC survivors with permanent stomas. Additionally, the mediational analyses revealed that stoma acceptance and valuable actions jointly mediated the relationships between stigma and social isolation.
conclusionSocial isolation among CRC survivors during the adjustment to both stoma and stigma may be alleviated through tailored interventions that improve stoma acceptance and valuable actions. IMPLICATIONS FOR CANCER SURVIVORS: The chain mediating roles of stoma acceptance and valuable actions highlight that tailored interventions, such as acceptance and commitment therapy, can be targeted for this population, considering this population's unique needs.
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