Article Text

Download PDFPDF
Review: limited evidence exists on the effect of psychological coping styles on cancer survival or recurrence

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

OpenUrlAbstract/FREE Full Text

QUESTION: In patients with cancer, do psychological coping styles such as fighting spirit, helplessness/hopelessness, denial, and avoidance improve survival or prevent recurrence?

Data sources

Studies up to June 2002 were identified by searching Medline, PsycINFO, ASSIA, EMBASE/Excerpta Medica, Cancerlit, CINAHL, and Dissertation Abstracts. Bibliographies of relevant articles were reviewed, and experts were contacted for unpublished information.

Study selection

Studies published in any language were selected if they were cohort studies, patients had cancer, and outcomes included mortality, survival, or recurrence. Exclusion criteria included studies of the association between coping and immune responses or other biochemical markers (if this was the only outcome reported) and studies …

View Full Text


  • Source of funding: The Scottish Executive Department of Health.

  • For correspondence:Dr M Petticrew, MRC Social and Public Health Sciences Unit, Glasgow, UK. mark{at}