The predictive utility of emotional distress, social support, and satisfaction with health care for use of particular coping strategies (confrontation, avoidance, acceptance-resignation) was examined in 130 adults with cancer. Analysis indicated that emotional distress was the most salient predictor of adults' use of coping strategies characterized by avoidance and acceptance-resignation, after controlling for the effects of duration of disease and relevant demographic characteristics. Emotional distress, social support, and satisfaction with health care did not account for a significant percentage of the variance in coping strategies characterized by confrontation.
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References
1.
BurgessC.MorrisT.PettingaleK. W. (1988) Psychological response to cancer diagnosis: II. Evidence for coping styles (coping styles and cancer diagnosis). Journal of Psychosomatic Research, 32, 263–272.
2.
CohenS.WillsT. A. (1985) Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357.
3.
CooperC. L.WatsonM. (Eds.) (1991) Cancer and stress: Psychological, biological, and coping studies. New York: Wiley.
4.
DerogatisL. R. (1983) SCL-90—R: Administration, scoring, and procedures manual: 2. Baltimore, MD: Clinical Psychometric Research.
5.
Dunkel-SchetterC.FeinsteinL. G.TaylorS. E.FalkeR. L. (1992) Patterns of coping with cancer. Health Psychology, 11, 79–87.
6.
FeifelH.StrackS.NagyV. T. (1987a) Coping strategies and associated features of medically ill patients. Psychosomatic Medicine, 49, 616–625.
7.
FeifelH.StrackS.NagyV. T. (1987b) Degree of life-threat and differential use of coping modes. Journal of Psychosomatic Research, 31, 91–99.
8.
HollingsheadA. B. (1975) Four-factor Index of Social Status. New Haven, CT: Yale Univer., Department of Sociology.
9.
NorušisM. J. (1986) SPSS/PC + . Chicago, IL: SPSS, Inc.
10.
RodrigueJ. R.BehenJ. M.TumlinT. (in press) Multidimensional determinants of psychological adjustment to cancer. Psycho-Oncology.
11.
RodrigueJ. R.BoggsS. R.WeinerR. S.BehenJ. (1993) Mood, coping style, and personality functioning among adult bone marrow transplant candidates. Psychosomatics, 34, 159–165.
12.
SarasonI. G.LevineH. M.BashamR. B.SarasonB. R. (1983) Assessing social support: The Social Support Questionnaire. Journal of Personality and Social Psychology, 44, 127–139.
13.
SpielbergerC. D. (1983) Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
14.
SpielbergerC. D. (1988) Manual for the State-Trait Anger Expression Inventory. Palo Alto, CA: Consulting Psychologists Press.
15.
WeismanA. D.WordenJ. W. (1976–1977) The existential plight in cancer: Significance of the first 100 days. International Journal of Psychiatry in Medicine, 7, 1–15.
16.
WortmanC. B. (1984) Social support and cancer. Cancer (Suppl.), 53, 2339–2360.
17.
ZyzanskiS. J.HulkaB. S.CasselJ. C. (1974) Scale for the measurement of satisfaction with medical care: Modification in content, format, and scoring. Medical Care, 12, 611–620.
