The question arises why the psychol

提出了一个问题，为什么在肺癌患者中受到耻辱的心理影响似乎比其他癌症患者要少。一个可能的解释可能是我们主要纳入了有吸烟史的肺癌患者。这个假设是基于对213名肺癌患者进行的一项横断面研究而得出的，该结果显示，吸烟者的耻辱感和抑郁症状之间的相关性要比从未吸烟者低得多[34]。对此现象的一种解释是，非吸烟者需要寻找其疾病的因果归因，使他们更容易受到社会负面定型观念的影响34。<br>关于我们的调解假说，以前没有研究调查身体形象作为污名化和抑郁症状之间关系的调解人。我们可以证明身体形象实际上介导了这种关系。考虑到身体图像和抑郁症状之间存在负相关，可以认为更好的身体图像可以帮助减轻这种影响。

The question arises why the psychological impact of stigmatization among lung cancer patients seems less than among other cancer patients. A possible explanation could be that we primarily included lung cancer patients with a smoking history. This assumption is based on a cross-sectional study in 213 lung cancer patients showing that the correlation between stigmatization and depressive symptomatology is considerably lower in ever smokers than in never smokers34. An explanation for this phenomenon is that non-smokers need to search for causal attributions for their disease, rendering them more susceptible towards negative stereotypes in society34. <br>With respect to our mediation hypothesis, no previous study investigated body image as a mediator in the relationship between stigmatization and depressive symptomatology. We could show that body image in fact mediated this relationship. Given that body image and depressive symptomatology were shown to be negatively associated, it can be supposed that a better body image could help to reduce this effect.

问题是，为什么肺癌患者中的耻辱感对心理的影响似乎小于其他癌症患者。一个可能的解释是我们主要包括有吸烟史的肺癌患者。在这项研究中，吸烟患者的症状与吸烟的相关性比吸烟患者低得多。这一现象的一个解释是，不吸烟者需要寻找疾病的因果关系，使他们更容易受到社会中消极成见的影响34。<br>关于我们的中介假说，以前的研究没有调查身体形象作为中介在耻辱化和抑郁症状之间的关系。我们可以证明，身体意象实际上调节了这种关系。鉴于身体意象与抑郁症状呈负相关，我们可以假设一个更好的身体意象可以帮助减少这种影响。<br>