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First published online January 21, 2021

Depressive symptoms among patients with lung cancer: Elucidating the roles of shame, guilt, and self-compassion

Abstract

The link between smoking and lung cancer predisposes patients to feeling shame and guilt, which increases risk for depression. To test the hypothesis shame would have a stronger association with depressive symptoms than guilt, a hierarchical regression was conducted. Three regressions were run to examine the associations of self-compassion with shame, guilt, and depressive symptoms. The best model to explain depressive symptoms included shame, but not guilt. Greater self-compassion was associated with less shame and fewer depressive symptoms, but not guilt. Results point to interventions targeting shame via enhancing self-compassion among patients with lung cancer and histories of smoking.

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Published In

Article first published online: January 21, 2021
Issue published: April 2022

Keywords

  1. depression
  2. guilt
  3. lung cancer
  4. self-compassion
  5. shame

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© The Author(s) 2021.
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PubMed: 33478252

Authors

Affiliations

Chelsea J Siwik
University of Louisville, USA
University of California, USA
Kala Phillips
University of Louisville, USA
University of Washington, USA
Lauren Zimmaro
University of Louisville, USA
Fox Chase Cancer Center, USA
Paul Salmon
University of Louisville, USA
Sandra E Sephton
University of Louisville, USA
James Graham Brown Cancer Center, USA

Notes

Sandra E Sephton, Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY 40292, USA. Email: [email protected]

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