While the managing of negative emotions has been identified as a central adaptive task for those living with chronic illnesses such as HIV/AIDS, little is known about the specific coping strategies used to achieve this task. The present study employed unstructured interviews to examine illnessspecific cognitive strategies used by an ethnically diverse sample of HIV-infected men who have sex with men (MSM) in their attempts to manage the negative emotions associated with the illness. Fourteen specific cognitive strategies were identified, many of which were specific to coping with chronic illness or HIV/AIDS. These strategies were categorized into four major conceptual categories: (1) distancing the threat of death; (2) reducing the sense of victimization; (3) gaining a sense of control; and (4) mentally preparing for emotional upset. The findings have implications for what coping assessments may be neglecting and may provide insights for therapeutic application.
Blaney, P. H. (1985). Stress and depression in adults: A critical review. In T. M. Fields, P. M. McCabe, & N. Schneiderman (Eds.), Stress and coping. Hillsdale, NJ: Lawrence Erlbaum.
2.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically-based approach. Journal of Personality and Social Psychology, 56, 267–283.
3.
Cohen, F., & Lazarus, R. S. (1979). Coping with the stress of illness. In G. Stone, F. Cohen, & N. Adler (Eds.), Health psychology—A handbook (pp. 217–254). San Francisco: Jossey-Bass.
4.
Coyne, J. C. (1997). Improving coping research: Raze the slum before any more building!Journal of Health Psychology, 2, 153–155.
5.
Coyne, J. C., & Gottlieb, B. H. (1996). The mismeasure of coping by checklist. Journal of Personality, 64, 959–991.
6.
Danoff-Burg, S., Ayala, J., & Revenson, T. A. (2000). Researcher knows best? Toward a closer match between the concept and the measurement of coping. Journal of Health Psychology, 5, 183–194.
7.
Folkman, S., Chesney, M. A., & Christopher-Richards, A. (1994). Stress and coping in caregiving partners of men with AIDS. Psychiatric Clinics of North America, 17, 35–53.
8.
Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in middle-aged community sample. Journal of Health and Social Behavior, 21, 219–239.
9.
Gotay, C. C. (1985). Why me? Attributions and adjustment by cancer patients and their mates at two stages in the disease process. Social Science and Medicine, 20, 825–831.
10.
Hendin, H., & Siegel, K. (1981). Psychodynamic and structured interviewing. Comprehensive Psychiatry, 22, 153–161.
11.
Jenkins, R. A., & Pargament, P. (1988). Cognitive appraisals in cancer patients. Social Science and Medicine, 26, 625–633.
12.
Kalichman, S. C. (1995). Understanding AIDS: A guide for mental health professionals. Washington DC: American Psychological Association.
13.
Lazarus, R. S. (1990). Stress, coping, and illness. In H. S. Friedman (Ed.), Personality and disease(pp. 97–120). New York: Wiley.
14.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
15.
Leventhal, E. A., Leventhal, H., & Robitaille, C. (1998). Enhancing self-care research: Exploring the theoretical underpinnings of self-care. In M. G. Ory & G. H. DeFriese (Eds.), Self-care in later life(pp. 118–141). New York: Springer.
16.
Merton, R. K., Fiske, M., & Kendall, P. (1956). The focused interview. Glencoe, IL: Free Press.
17.
Miller, J. F. (1983). Coping with chronic illness: Over-coming powerlessness. Philadelphia: FA Davis.
18.
Moos, R. H., & Schaefer, J. A. (1984). The crisis of physical illness: An overview and conceptual approach. In R. H. Moos (Ed.), Coping with physical illness 2: New perspectives (pp. 3–25). New York: Plenum.
19.
Nannis, E. D., Temoshok, L. R., Smith, M., & Jenkins, R. A. (1993). Perceptions of AZT: Implications for adherence to medical regimens. Journal of Applied Biobehavioral Research, 1, 39–54.
20.
Norem, J. K., & Cantor, N. (1986). Defensive pessimism: Harnessing anxiety as motivation. Journal of Personality and Social Psychology, 51, 1208–1217.
21.
Pakenham, K. I., Dadds, M. R., & Terry, D. J. (1996). Adaptive demands along the HIV disease continuum. Social Science and Medicine, 42, 245–256.
22.
Schiaffino, K. M., & Revenson, T. A. (1995). Why me? The persistence of negative appraisals over the course of illness. Journal of Applied Social Psychology, 25(7), 601–618.
23.
Shontz, F. (1965). Research methods in personality. New York: Appleton-Century-Crofts.
24.
Siegel, K., Karus, D., Epstein, J., & Raveis, V. H. (1996). Psychological and psychosocial adjustment of HIV-infected gay/bisexual men: Disease stage comparisons. Journal of Community Psychology, 24, 229–243.
25.
Siegel, K., & Krauss, B. J. (1991). Living with HIV infection: Adaptive tasks of seropositive gay men. Journal of Health and Social Behavior, 32, 17–32.
26.
Siegel, K., Lune, H., & Meyer, I. H. (1998). Stigma management among gay/bisexual men with HIV/AIDS. Qualitative Sociology, 21, 3–24.
27.
Siegel, K., Raveis, V. H., & Gorey, E. (1998). Barriers and pathways to testing among HIV-infected women. AIDS Education and Prevention, 10, 114–127.
28.
Siegel, K., Raveis, V. H., & Krauss, B. J. (1992). Factors associated with urban gay men's treatment initiation decisions for HIV infection. AIDS Education and Prevention, 4, 135–142.
29.
Somerfield, M. R. (1996). On the use of checklist measures of coping in studies of adaptation to cancer. Journal of Psychosocial Oncology, 14, 21–40.
30.
Somerfield, M. R. (1997). The utility of systems models of stress and coping for applied research. Journal of Health Psychology, 2, 133–151.
31.
Stone, A. A., Greenberg, M. A., Kennedy-Moore, E., & Newman, M. G. (1991). Self-report, situation specific coping questionnaires: What are they measuring?Journal of Personality and Social Psychology, 61, 648–658.
32.
Tait, R., & Silver, R. C. (1989). Coming to terms with major negative life events. In J. S. Uleman & J. A. Bargh (Eds.), Unintended thought (pp. 351–382). New York: Guilford Press.
33.
Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161–1173.
34.
Taylor, S. E., Helgeson, V. S., Reed, G. M., & Skokan, L. A. (1991). Self-generated feelings of control and adjustment to physical illness. Journal of Social Issues, 47(4), 91–109.
35.
Thompson, S. C., Sobolew-Shubin, A., Galbraith, M. E., Schwankovsky, L., & Cruzen, D. (1993). Maintaining perceptions of control: Finding perceived control in low-control circumstances. Journal of Personality and Social Psychology, 64, 293–304.
