Clinical psychology

Background. A cancer diagnosis is a powerful, unanticipated, and occasionally traumatic event which impacts an individual with evidence of a life-threatening illness. As a potentially terminal illness, cancer entails substantial physical, emotional, and psychological costs. Even though psychological resources such as social support and resilience promote post-traumatic growth, chronic stressors experienced by cancer patients have the potential to weaken the function of such positive resources. Therefore, it is crucial to assess how stress impacts post-traumatic growth among cancer patients. 

Objective. The present study aimed to examine the moderating effect of stress on post-traumatic growth and resilience among cancer patients mediated by perceived social support. 

Design. A cross-sectional research design and purposive sampling technique was used to collect data on Urdu versions of the Short Form of the Post-traumatic Growth Inventory, Brief Resilience Scale, Multidimensional Scale of Perceived Social Support, and Stress subscale of the Depression, Anxiety, Stress Scale. Cancer patients (N = 200) were approached and recruited from public and private hospitals in Rawalpindi, Islamabad, and Gilgit Baltistan to participate in the research. 

Results. Post-traumatic growth had a positive association with resilience and perceived social support. However, stress was negatively related to all study variables. Moderated mediation analysis highlighted that high levels of stress decrease the indirect impact of resilience on post-traumatic growth through perceived social support.

Conclusion. The study’s findings imply that stress must be given considerable attention while fostering post-traumatic growth among cancer patients. Based on these findings, future studies should also take into account specific age range of the sample, types of cancer (and other terminal illnesses), the cross-sectional nature of the study, and individual differences in coping with illness for a comprehensive understanding of post-traumatic growth among cancer patients.

Background. Mental health stigma and mental health literacy can be potential targets of public education and health development. These areas are culturally specific and have so far been almost unexplored in Russia.

Objective. This study aimed at examining mental health stigma and mental health literacy in Russia, their prevalence, and their associations with somatic, anxiety, and depressive symptoms.

Design. The participants were 1,068 Russian adults. They completed the online questionnaire with measures assessing their mental health stigma (Perceived Devaluation and Discrimination Scale; Link et al., 2001); somatic symptoms (Somatic Symptom Scale-8; Gierk et al., 2014); anxiety symptoms (Generalized Anxiety Disorder-7; Spitzer et al., 2006); and depressive symptoms (Patient Health Questionnaire-9; Kroenke et al., 2001). To examine their mental health literacy, we used a series of questions exploring a person’s awareness of mental health and mental health problems.

Results. Mental health stigma was found in 67% of the participants, who were less confident that most mental disorders can be prevented and more confident that mental disorders can be cured in most cases. Higher devaluation, discrimination, and mental health stigma were related to more severe somatic symptoms. Lower mental health literacy and higher devaluation, discrimination, and mental health stigma were associated with more severe anxiety and depressive symptoms. These associations were the same when adding covariates such as sex, age, partnership, parenthood, and educational background.

Conclusion. This study highlighted the obvious need for measures to reduce mental health stigma and improve mental health literacy in Russian society. In general, these measures can contribute to the promotion of better mental health in Russia.