http://archpsyc.jamanetwork.com/ en-us Thu, 01 Nov 2012 00:00:00 GMT Tue, 01 Jan 2013 00:48:26 GMT Silverchair editor@archpsyc.jamanetwork.com webmaster@archpsyc.jamanetwork.com http://archpsyc.jamanetwork.com/article.aspx?articleID=205176 Sun, 01 Aug 1999 00:00:00 GMT Faller H, Bülzebruck H, Drings P, et al. <span class="paragraphSection"><div class="boxTitle">Background</div>This study addresses the question of whether coping and emotional state are predictors of survival among patients with lung cancer. The hypotheses were (1) active coping is linked with longer survival time and (2) depressive coping, emotional distress, and depression are linked with shorter survival.<div class="boxTitle">Methods</div>The study was based on a sample of 103 patients who were investigated after their diagnosis and before the beginning of primary treatment. The psychological variables were assessed by means of self-reports and interviewer ratings. After follow-up of 7 to 8 years, 92 patients had died; survival data were censored for the remaining 11 patients. The prediction of the survival time was performed by the Cox regression, while adjusting for biomedical risk factors (tumor stage, histological classification, and Karnofsky performance status).<div class="boxTitle">Results</div>The self-reported depressive coping (<span style="font-style:italic;">P</span>=.007) and the interviewer-rated emotional distress (<span style="font-style:italic;">P</span>=.04) were significantly associated with shorter survival, independent of the influence of the biomedical prognostic factors.<div class="boxTitle">Conclusions</div>Both coping and emotional distress had a statistically independent effect on survival among patients with lung cancer. However, the naturalistic design of the study does not allow for any causal interpretation. Thus, the nature of this relationship warrants further investigation.</span> 56 8 756 762 10.1001/archpsyc.56.8.756 http://archpsyc.jamanetwork.com/article.aspx?articleID=205176