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Journal of Health Psychology
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Positive and Negative Health Behavior Changes in Cancer Survivors

A Stress and Coping Perspective

Crystal L. Park

University of Connecticut, USA, crystal.park{at}uconn.edu

Donald Edmondson

University of Connecticut, USA

Juliane R. Fenster

University of Connecticut, USA

Thomas O . Blank

University of Connecticut, USA

Cancer survivors often make health behavior changes in response to their increased risk for subsequent health problems. However, little is known about the mechanisms underlying these changes or whether they differ for positive and negative changes. This cross-sectional study applied a stress and coping model to examine both positive and negative health behavior changes in 250 middle-aged cancer survivors. A structural equation model showed that social support, sense of control over illness course, life meaning, and approach coping were related to positive health behavior changes; a lack of life meaning and avoidance coping were related to negative health behavior changes.

Key Words: Health behaviours • Cancer survivors • Behavior change • Coping • Life meaning

Journal of Health Psychology, Vol. 13, No. 8, 1198-1206 (2008)
DOI: 10.1177/1359105308095978
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J. A. Litman and G. D. Lunsford
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J Health Psychol, October 1, 2009; 14(7): 982 - 991.
[Abstract] [PDF]