Coping, efficacy, and perceived control in acute vs chronic illnesses

Abstract This study investigated differences in illness-specific coping strategies, self-efficacy, and perceived control over illnesses in adults (18–72 years) reporting acute ( n =137; 41 males, 96 females) and chronic ( n =137; 41 males, 96 females) health problems. Analyses showed that individuals with acute illnesses scored higher on general self-efficacy than individuals with chronic illnesses. No differences between illness groups were observed in perceived control, although severity of illness ratings were found to be negatively related to perceived control. People with chronic illnesses were more likely to use a combination of emotional preoccupation, instrumental and distraction coping strategies, whereas people with acute illnesses used palliative coping strategies to a greater extent. Self-efficacy was found to be negatively related to emotional preoccupation coping, regardless of illness category (i.e., acute vs chronic). Results are discussed in terms of the importance of each of the variables for the two categories of illnesses.

[1]  G. Lockwood,et al.  A relationship between perceived self-efficacy and quality of life in cancer patients. , 1991, Patient education and counseling.

[2]  N. Endler,et al.  Coping with coping assessment: A critical review , 1992 .

[3]  A. Alonzo An illness behavior paradigm: a conceptual exploration of a situational-adaptation perspective. , 1984, Social science & medicine.

[4]  K. Horner Locus of control, neuroticism, and stressors: Combined influences on reported physical illness , 1996 .

[5]  R. W. Rogers,et al.  The Self-Efficacy Scale: Construction and Validation , 1982 .

[6]  A. Bandura Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[7]  J. V. Wood,et al.  Attributions, beliefs about control, and adjustment to breast cancer. , 1984, Journal of personality and social psychology.

[8]  Tracey A. Revenson,et al.  Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. , 1984, Journal of consulting and clinical psychology.

[9]  D. Turk,et al.  Noninvasive approaches to pain control in terminal illness: the contribution of psychological variables. , 1992, The Hospice journal.

[10]  Nancy L. Kocovski,et al.  Controllability in cognitive and interpersonal tasks: is control good for you? , 2000 .

[11]  G. Flett,et al.  Controllability, coping, efficacy, and distress , 2000 .

[12]  D. Turk,et al.  Chronic pain and depression: toward a cognitive-behavioral mediation model , 1988, Pain.

[13]  Norman S. Endler,et al.  General self-efficacy and control in relation to anxiety and cognitive performance , 2001 .

[14]  V. Helgeson Moderators of the relation between perceived control and adjustment to chronic illness. , 1992, Journal of personality and social psychology.

[15]  A. Bandura Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[16]  D. Terry,et al.  Appraised controllability as a moderator of the effectiveness of different coping strategies: A test of the goodness of fit hypothesis , 1992 .

[17]  J. Parker,et al.  Coping with health problems: conceptual and methodological issues , 1993 .

[18]  N. Endler,et al.  Coping with Health Problems: Developing a Reliable and Valid Multidimensional Measure. , 1998 .