Coping among older‐adult, long‐term cancer survivors

Psycho-Oncology - Tập 15 Số 2 - Trang 143-159 - 2006
Gary T. Deimling1, Louis J. Wagner1, Karen F. Bowman1, Samantha Sterns1, Kyle Kercher1, Boaz Kahana2
1Department of Sociology, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH 44106‐7124, USA
2Department of Psychology, Cleveland State University, Cleveland, OH, USA

Tóm tắt

AbstractThis research focuses on the coping behavior of older adult, long‐term cancer survivors. Specifically, it identifies the personal (including race and gender) and illness/treatment characteristics of survivors that are significantly associated with the use of specific coping styles: planning, acceptance, venting, denial and seeking social support. It also examines the mediating role that these forms of coping play in terms of psychological distress: anxiety, depression and cancer‐related worries. Multivariate analysis of data from a random sample of 321 long‐term survivors in a major cancer center tumor registry is used to address the above issues. The most prominent forms of coping used by long‐term survivors were planning and acceptance; least used were venting and denial. Increased age was associated with lower use of all forms of coping, but cancer type was not. Denial as a form of coping was associated with higher anxiety, depression and cancer‐related worries. While race was not found to be a significant predictor of coping style, it was a significant predictor of three dimensions of psychological distress, anxiety, depression and cancer‐related worries, with African Americans exhibiting lower levels of distress than Whites. The relevance of these findings for health and social service practitioners is discussed. Copyright © 2005 John Wiley & Sons, Ltd.

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