Objective and subjective stressors and the psychological adjustment of melanoma survivors

Y. Hamama-Raz*, Z. Solomon, J. Schachter, E. Azizi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

This study of 300 melanoma survivors examines the relative contributions of objective illness-related factors (stage of illness at diagnosis, time since diagnosis, and change in physical condition) and of subjective factors (cognitive appraisal) to their psychological adjustment. The findings show that lower appraisal of their situation as a threat, higher appraisal of it as a challenge, and higher appraisal of their subjective ability to cope with it all increased their well-being, while lower threat appraisal and higher appraisal of subjective ability to cope also reduced their distress. These findings, which are consistent with Lazarus and Folkman's stress coping theory, suggest that subjective factors may be more important than objective medical factors in predicting patients' adjustment. With this, more advanced stage at diagnosis contributed to reducing distress, while being married contributed both to higher well-being and reduced distress.

Original languageEnglish
Pages (from-to)287-294
Number of pages8
JournalPsycho-Oncology
Volume16
Issue number4
DOIs
StatePublished - Apr 2007

Keywords

  • Cancer survivors
  • Cognitive appraisal
  • Objective stress
  • Oncology
  • Psychological adjustment

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