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Psychological distress and well-being in advanced cancer: The effects of optimism and coping

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Abstract

This study examined the relations among optimism, coping, functional status, and psychological adjustment in 75 adults diagnosed with cancer. Both the positive and the negative aspects of psychological adjustment were assessed. All participants had been diagnosed with advanced stages of cancer (i.e., Stages II, III, and IV). Participants completed three assessments across a 4-month time period. Both optimism and coping were associated with psychological adjustment, even after controlling for functional status and prior adjustment. Additionally, optimism and coping were differentially related to distress and well-being. Optimism was strongly and positively associated with well-being and inversely related to distress. Escape-Avoidance coping was positively associated with distress and Accepting Responsibility coping was negatively associated with well-being. Comparisons between the current and prior studies indicated that individuals who are diagnosed with more advanced stages of cancer or who have survived bone marrow transplantation exhibit higher levels of optimism than do healthy individuals and individuals with early-stage disease.

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References

  • Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., Ketcham, A. S., Moffat, F. L., & Clark, K. C. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer.Journal of Personality and Social Psychology, 65 375–390.

    PubMed  Google Scholar 

  • Carver, C. S., Pozo-Kaderman, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., Ketcham, A. S., Moffat, F. L., & Clark, K. C. (1994). Optimism versus pessimism predicts the quality of women's adjustment to early stage breast cancer.Cancer, 73 1213–1220.

    PubMed  Google Scholar 

  • Cohen, J., & Cohen, P. (1983).Applied multiple regression/correlation analysis for the behavioral sciences. London: Lawrence Erlbaum Associates.

    Google Scholar 

  • Curbow, B., Somerfield, M. R., Baker, F., Wingard, J. R., & Legro, M. W. (1993). Personal changes, dispositional optimism, and psychological adjustment to bone marrow transplantation.Journal of Behavioral Medicine, 16 423–443.

    PubMed  Google Scholar 

  • Diener, E., & Emmons, R. (1984). The independence of positive and negative affect.Journal of Personality and Social Psychology, 47 1105–1117.

    PubMed  Google Scholar 

  • Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping with cancer.Health Psychology, 11 79–87.

    PubMed  Google Scholar 

  • Folkman, S., Lazarus, R., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. (1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.Journal of Personality and Social Psychology, 50 992–1003.

    PubMed  Google Scholar 

  • Friedman, L. C., Nelson, D. V., Baer, P. E., Lane, M., Smith, F. E., & Dworkin, R. J. (1992). The relationship of dispositional optimism, daily life stress, and domestic environment to coping methods used by cancer patients.Journal of Behavioral Medicine, 15 127–141.

    PubMed  Google Scholar 

  • Manne, S. L. (1995). Couples coping with cancer: Research issues and recent findings.Journal of Clinical Psychology in Medical Settings, 1 317–330.

    Google Scholar 

  • Manne, S. L., Sabbioni, M., Bovbjerg, D. H., Jacobsen, P. B., Taylor, K. L., & Redd, W. H. (1994). Coping with chemotherapy for breast cancer.Journal of Behavioral Medicine, 17 41–55.

    PubMed  Google Scholar 

  • Mroczek, D. K., Spiro, A., Aldwin, C. M., Ozer, D. J., & Bosse, R. (1993). Construct validation of optimism and pessimism in older men: Findings from the normative aging study.Health Psychology, 12 406–409.

    PubMed  Google Scholar 

  • Schag, C., & Heinrich, R. (1988).CARES: Cancer rehabilitation evaluation system. Santa Monica, CA: Cares Consultants.

    Google Scholar 

  • Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies.Health Psychology, 4 219–247.

    PubMed  Google Scholar 

  • Scheier, M. F., & Carver, C. S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update.Cognitive Therapy and Research, 16 201–228.

    Google Scholar 

  • Scheier, M. F., Weintraub, J. K., & Carver, C. S. (1986). Coping with stress: Divergent strategies of optimists and pessimists.Journal of Personality and Social Psychology, 51 1257–1264.

    PubMed  Google Scholar 

  • Scheier, M. F., Matthews, K. A., Owens, J. F., Magovern, G. J., Lefebvre, R. C., Abbott, R. A., & Carver, C. S. (1989). Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being.Journal of Personality and Social Psychology, 57 1024–1040.

    PubMed  Google Scholar 

  • Taylor, S. E., Kemeny, M. E., Aspinwall, L. G., Schneider, S. G., Rodriguez, R., & Herbert, M. (1992). Optimism, coping, Psychological distress, and high-risk sexual behavior among men at risk for Acquired Immunodeficiency Syndrome (AIDS).Journal of Personality and Social Psychology, 63 460–473.

    PubMed  Google Scholar 

  • Veit, C., & Ware, J. (1983). The structure of psychological distress and well-being in general populations.Journal of Consulting and Clinical Psychology, 51 730–742.

    PubMed  Google Scholar 

  • Watson, D. (1988). Intraindividual and interindividual analyses of positive and negative affect: Their relation to health complaints, perceived stress, and daily activities.Journal of Personality and Social Psychology, 54 1020–1030.

    PubMed  Google Scholar 

  • Watson, D., & Tellegen, A. (1985). Toward a consensual structure of mood.Psychological Bulletin, 98 219–235.

    PubMed  Google Scholar 

  • Zautra, A., & Reich, J. (1983). Life events and perceptions of life quality: Developments in a two-factor approach.Journal of Community Psychology, 11 121–132.

    Google Scholar 

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Miller, D.L., Manne, S.L., Taylor, K. et al. Psychological distress and well-being in advanced cancer: The effects of optimism and coping. J Clin Psychol Med Settings 3, 115–130 (1996). https://doi.org/10.1007/BF01996132

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