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Asia Pac J Oncol Nurs. 2019 Oct 23;7(1):95-102. doi: 10.4103/apjon.apjon_45_19. eCollection 2020 Jan-Mar.

Cancer-Related Stigma and Depression in Cancer Patients in A Middle-Income Country.

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Department of Nursing, Faculty of Health Sciences, University of Izmir Katip Celebi, Izmir, Turkey.
Medical Oncology Unit, Atatürk Training and Research Hospital, University of Izmir Kâtip Celebi, Izmir, Turkey.
Department İzmir Public Association, University of Izmir Kâtip Celebi, Cigli, Izmir, Turkey.



The aim of the current study are to determine the depression levels of adult oncology patients in the cancer treatment phase and identify both cancer-related stigma and the factors affecting their depression levels.


In this correlational study, 303 adult patients who had been treated at a medical outpatient clinic were surveyed using the convenience sampling method. The "questionnaire for measuring attitudes toward cancer - patient version," a sociodemographic characteristics questionnaire, and the beck depression inventory were used. A multivariable linear regression model was used for the analysis.


The questionnaire and its subscale scores indicated a positive relationship between depression and attitudes toward cancer. The predictive variables for depression were "being younger than 40-year-old" and "feelings of social exclusion," which accounted for 4% of the total variance. Four factors indicating negative attitudes toward cancer were "being more than 60-year-old," "higher education," "low income," and "feelings of social exclusion," which accounted for 11% of the total variance.


Cancer-related stigma, which underlies patients' emotional and behavioral outlooks, should be reduced in cancer patients. Members of health teams should be sensitive to cancer-related stigma.


Attitude; cancer; depression; stigma

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