Title

The role of optimism, coping, and distress: A prospective study of men facing a prostate cancer diagnosis

Date of Award

1999

Availability

Article

Degree Name

Doctor of Philosophy (Ph.D.)

Department

Psychology

First Committee Member

Charles S. Carver, Committee Chair

Abstract

Guided by Carver and Scheier's expectancy based model of motivation, this study followed 77 men age 46 to 86 regarding optimism, coping, and emotional distress before biopsy and after diagnosis of prostate cancer. Upon biopsy, 31 patients received a cancer diagnosis and 46 patients received a benign diagnosis. The two groups did not differ significantly on demographics, optimism, coping, or affect before diagnosis. Cancer patients, however, reported more emotional distress at postdiagnosis than did benign patients. Optimism was a unique predictor of postdiagnosis anxiety among cancer patients. At prebiopsy, optimism and coping accounted for 35% of the variability in emotional distress. Prebiopsy variables also predicted postdiagnosis emotional distress. Regardless of cancer status, venting and behavioral disengagement were particularly important predictors of high distress.

Keywords

Health Sciences, Mental Health; Psychology, Clinical; Health Sciences, Oncology

Link to Full Text

http://access.library.miami.edu/login?url=http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:9938332