Avoidant Coping with Health Problems is Related to Poorer Quality of Life among Lung Transplant Candidates
Context Lung transplant candidates face numerous health-related stressors. Although previous work has described the range of coping strategies candidates may use, whether those strategies are related to quality of life in physical functioning, emotional, and social domains has rarely been examined....
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| Veröffentlicht in: | Progress in transplantation (Aliso Viejo, Calif.) Calif.), 2003-09, Vol.13 (3), p.183-192 |
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| container_title | Progress in transplantation (Aliso Viejo, Calif.) |
| container_volume | 13 |
| creator | Myaskovsky, Larissa Dew, Mary Amanda Switzer, Galen E. Hall, Martica Kormos, Robert L. Goycoolea, Jean M. DiMartini, Andrea F. Manzetti, Jan D. McCurry, Kenneth R. |
| description | Context
Lung transplant candidates face numerous health-related stressors. Although previous work has described the range of coping strategies candidates may use, whether those strategies are related to quality of life in physical functioning, emotional, and social domains has rarely been examined.
Methods
Adult lung transplant candidates (N=128) participated in semistructured interviews that included questions regarding global and domain-specific quality of life and a multidimensional assessment of coping with health-related problems. Demographic characteristics, health status, and other psychosocial variables were also assessed, and their effects were examined and controlled in multivariate analyses of the coping–quality-of-life relationship.
Results
Respondents were most likely to use active, acceptance, and support-seeking strategies to cope with health problems. Self-blame or avoidance were rarely used. Although used least often, avoidant coping was the most strongly and consistently related to quality of life. With demographic and psychosocial variables controlled, higher avoidant coping remained associated with significantly poorer global quality of life, bodily pain, difficulty with daily work or activities as a function of emotional problems, and depressive symptomatology. Avoidant coping accentuated the association of poor health status and lower quality of life. Among respondents with lower health status, using more avoidant coping was associated with greater difficulty functioning in daily activities as a result of emotional problems. Those with higher health status had less difficulty functioning in daily activities as a result of emotional problems.
Conclusions
Transplant team members are encouraged to be aware of and help patients refrain from using avoidant coping strategies. |
| doi_str_mv | 10.1177/152692480301300304 |
| format | Article |
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Lung transplant candidates face numerous health-related stressors. Although previous work has described the range of coping strategies candidates may use, whether those strategies are related to quality of life in physical functioning, emotional, and social domains has rarely been examined.
Methods
Adult lung transplant candidates (N=128) participated in semistructured interviews that included questions regarding global and domain-specific quality of life and a multidimensional assessment of coping with health-related problems. Demographic characteristics, health status, and other psychosocial variables were also assessed, and their effects were examined and controlled in multivariate analyses of the coping–quality-of-life relationship.
Results
Respondents were most likely to use active, acceptance, and support-seeking strategies to cope with health problems. Self-blame or avoidance were rarely used. Although used least often, avoidant coping was the most strongly and consistently related to quality of life. With demographic and psychosocial variables controlled, higher avoidant coping remained associated with significantly poorer global quality of life, bodily pain, difficulty with daily work or activities as a function of emotional problems, and depressive symptomatology. Avoidant coping accentuated the association of poor health status and lower quality of life. Among respondents with lower health status, using more avoidant coping was associated with greater difficulty functioning in daily activities as a result of emotional problems. Those with higher health status had less difficulty functioning in daily activities as a result of emotional problems.
Conclusions
Transplant team members are encouraged to be aware of and help patients refrain from using avoidant coping strategies.</description><identifier>ISSN: 1526-9248</identifier><identifier>EISSN: 2164-6708</identifier><identifier>DOI: 10.1177/152692480301300304</identifier><identifier>PMID: 14558632</identifier><identifier>CODEN: PTRRBT</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Activities of Daily Living ; Adaptation, Psychological ; Avoidance Learning ; Cross-Sectional Studies ; Depression - etiology ; Depression - psychology ; Emotions ; Female ; Health Status ; Humans ; Lung Transplantation - adverse effects ; Lung Transplantation - psychology ; Male ; Middle Aged ; Pennsylvania ; Problem Solving ; Quality of Life - psychology ; Regression Analysis ; Social Support ; Socioeconomic Factors ; Stress, Psychological - etiology ; Stress, Psychological - psychology ; Surveys and Questionnaires</subject><ispartof>Progress in transplantation (Aliso Viejo, Calif.), 2003-09, Vol.13 (3), p.183-192</ispartof><rights>2003 NATCO: The Organization for Transplant Professionals</rights><rights>Copyright North American Transplant Coordinators Organization Sep 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2134-9396ed0c626eda7bfd7748b9a2a6a607f94473b63ca8587ba2f1e5fc434292a3</citedby><cites>FETCH-LOGICAL-c2134-9396ed0c626eda7bfd7748b9a2a6a607f94473b63ca8587ba2f1e5fc434292a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/152692480301300304$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/152692480301300304$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14558632$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Myaskovsky, Larissa</creatorcontrib><creatorcontrib>Dew, Mary Amanda</creatorcontrib><creatorcontrib>Switzer, Galen E.</creatorcontrib><creatorcontrib>Hall, Martica</creatorcontrib><creatorcontrib>Kormos, Robert L.</creatorcontrib><creatorcontrib>Goycoolea, Jean M.</creatorcontrib><creatorcontrib>DiMartini, Andrea F.</creatorcontrib><creatorcontrib>Manzetti, Jan D.</creatorcontrib><creatorcontrib>McCurry, Kenneth R.</creatorcontrib><title>Avoidant Coping with Health Problems is Related to Poorer Quality of Life among Lung Transplant Candidates</title><title>Progress in transplantation (Aliso Viejo, Calif.)</title><addtitle>Prog Transplant</addtitle><description>Context
Lung transplant candidates face numerous health-related stressors. Although previous work has described the range of coping strategies candidates may use, whether those strategies are related to quality of life in physical functioning, emotional, and social domains has rarely been examined.
Methods
Adult lung transplant candidates (N=128) participated in semistructured interviews that included questions regarding global and domain-specific quality of life and a multidimensional assessment of coping with health-related problems. Demographic characteristics, health status, and other psychosocial variables were also assessed, and their effects were examined and controlled in multivariate analyses of the coping–quality-of-life relationship.
Results
Respondents were most likely to use active, acceptance, and support-seeking strategies to cope with health problems. Self-blame or avoidance were rarely used. Although used least often, avoidant coping was the most strongly and consistently related to quality of life. With demographic and psychosocial variables controlled, higher avoidant coping remained associated with significantly poorer global quality of life, bodily pain, difficulty with daily work or activities as a function of emotional problems, and depressive symptomatology. Avoidant coping accentuated the association of poor health status and lower quality of life. Among respondents with lower health status, using more avoidant coping was associated with greater difficulty functioning in daily activities as a result of emotional problems. Those with higher health status had less difficulty functioning in daily activities as a result of emotional problems.
Conclusions
Transplant team members are encouraged to be aware of and help patients refrain from using avoidant coping strategies.</description><subject>Activities of Daily Living</subject><subject>Adaptation, Psychological</subject><subject>Avoidance Learning</subject><subject>Cross-Sectional Studies</subject><subject>Depression - etiology</subject><subject>Depression - psychology</subject><subject>Emotions</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Lung Transplantation - adverse effects</subject><subject>Lung Transplantation - psychology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pennsylvania</subject><subject>Problem Solving</subject><subject>Quality of Life - psychology</subject><subject>Regression Analysis</subject><subject>Social Support</subject><subject>Socioeconomic Factors</subject><subject>Stress, Psychological - etiology</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><issn>1526-9248</issn><issn>2164-6708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU9Lw0AQxRdRbK1-AQ-yePAWu_-ymxxLUSsErNJ7mCSbmpJk626i9Nu7sYWCgpd5l99785hB6JqSe0qVmtKQyZiJiHBCOfFTnKAxo1IEUpHoFI0HIBiIEbpwbkMIU54-RyMqwjCSnI3RZvZpqgLaDs_NtmrX-Kvq3vFCQ-1laU1W68bhyuE3XUOnC9wZvDTGaotfe6irbodNiZOq1Bga4_1J78fKQuu29U8stIVf0Gl3ic5KqJ2-OugErR4fVvNFkLw8Pc9nSZAzykUQ81jqguSSeQGVlYXyrbMYGEiQRJWxEIpnkucQhZHKgJVUh2UuuGAxAz5Bd_vYrTUfvXZd2lQu17Vvo03vUkWHK3Duwdtf4Mb0tvXVUsZULAVhwkNsD-XWOGd1mW5t1YDdpZSkwxfSv1_wpptDcp81ujhaDmf3wHQPOFjr49p_Ir8B3IyOjA</recordid><startdate>200309</startdate><enddate>200309</enddate><creator>Myaskovsky, Larissa</creator><creator>Dew, Mary Amanda</creator><creator>Switzer, Galen E.</creator><creator>Hall, Martica</creator><creator>Kormos, Robert L.</creator><creator>Goycoolea, Jean M.</creator><creator>DiMartini, Andrea F.</creator><creator>Manzetti, Jan D.</creator><creator>McCurry, Kenneth R.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>200309</creationdate><title>Avoidant Coping with Health Problems is Related to Poorer Quality of Life among Lung Transplant Candidates</title><author>Myaskovsky, Larissa ; Dew, Mary Amanda ; Switzer, Galen E. ; Hall, Martica ; Kormos, Robert L. ; Goycoolea, Jean M. ; DiMartini, Andrea F. ; Manzetti, Jan D. ; McCurry, Kenneth R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2134-9396ed0c626eda7bfd7748b9a2a6a607f94473b63ca8587ba2f1e5fc434292a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Activities of Daily Living</topic><topic>Adaptation, Psychological</topic><topic>Avoidance Learning</topic><topic>Cross-Sectional Studies</topic><topic>Depression - etiology</topic><topic>Depression - psychology</topic><topic>Emotions</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Lung Transplantation - adverse effects</topic><topic>Lung Transplantation - psychology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pennsylvania</topic><topic>Problem Solving</topic><topic>Quality of Life - psychology</topic><topic>Regression Analysis</topic><topic>Social Support</topic><topic>Socioeconomic Factors</topic><topic>Stress, Psychological - etiology</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Myaskovsky, Larissa</creatorcontrib><creatorcontrib>Dew, Mary Amanda</creatorcontrib><creatorcontrib>Switzer, Galen E.</creatorcontrib><creatorcontrib>Hall, Martica</creatorcontrib><creatorcontrib>Kormos, Robert L.</creatorcontrib><creatorcontrib>Goycoolea, Jean M.</creatorcontrib><creatorcontrib>DiMartini, Andrea F.</creatorcontrib><creatorcontrib>Manzetti, Jan D.</creatorcontrib><creatorcontrib>McCurry, Kenneth R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Progress in transplantation (Aliso Viejo, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Myaskovsky, Larissa</au><au>Dew, Mary Amanda</au><au>Switzer, Galen E.</au><au>Hall, Martica</au><au>Kormos, Robert L.</au><au>Goycoolea, Jean M.</au><au>DiMartini, Andrea F.</au><au>Manzetti, Jan D.</au><au>McCurry, Kenneth R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Avoidant Coping with Health Problems is Related to Poorer Quality of Life among Lung Transplant Candidates</atitle><jtitle>Progress in transplantation (Aliso Viejo, Calif.)</jtitle><addtitle>Prog Transplant</addtitle><date>2003-09</date><risdate>2003</risdate><volume>13</volume><issue>3</issue><spage>183</spage><epage>192</epage><pages>183-192</pages><issn>1526-9248</issn><eissn>2164-6708</eissn><coden>PTRRBT</coden><abstract>Context
Lung transplant candidates face numerous health-related stressors. Although previous work has described the range of coping strategies candidates may use, whether those strategies are related to quality of life in physical functioning, emotional, and social domains has rarely been examined.
Methods
Adult lung transplant candidates (N=128) participated in semistructured interviews that included questions regarding global and domain-specific quality of life and a multidimensional assessment of coping with health-related problems. Demographic characteristics, health status, and other psychosocial variables were also assessed, and their effects were examined and controlled in multivariate analyses of the coping–quality-of-life relationship.
Results
Respondents were most likely to use active, acceptance, and support-seeking strategies to cope with health problems. Self-blame or avoidance were rarely used. Although used least often, avoidant coping was the most strongly and consistently related to quality of life. With demographic and psychosocial variables controlled, higher avoidant coping remained associated with significantly poorer global quality of life, bodily pain, difficulty with daily work or activities as a function of emotional problems, and depressive symptomatology. Avoidant coping accentuated the association of poor health status and lower quality of life. Among respondents with lower health status, using more avoidant coping was associated with greater difficulty functioning in daily activities as a result of emotional problems. Those with higher health status had less difficulty functioning in daily activities as a result of emotional problems.
Conclusions
Transplant team members are encouraged to be aware of and help patients refrain from using avoidant coping strategies.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>14558632</pmid><doi>10.1177/152692480301300304</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1526-9248 |
| ispartof | Progress in transplantation (Aliso Viejo, Calif.), 2003-09, Vol.13 (3), p.183-192 |
| issn | 1526-9248 2164-6708 |
| language | eng |
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| source | SAGE Publications; MEDLINE |
| subjects | Activities of Daily Living Adaptation, Psychological Avoidance Learning Cross-Sectional Studies Depression - etiology Depression - psychology Emotions Female Health Status Humans Lung Transplantation - adverse effects Lung Transplantation - psychology Male Middle Aged Pennsylvania Problem Solving Quality of Life - psychology Regression Analysis Social Support Socioeconomic Factors Stress, Psychological - etiology Stress, Psychological - psychology Surveys and Questionnaires |
| title | Avoidant Coping with Health Problems is Related to Poorer Quality of Life among Lung Transplant Candidates |
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