Coping styles, health status and advance care planning in patients with hematologic malignancies.


Journal Article

This study evaluated whether measures of psychological well-being, including coping style, are associated with advance care planning (ACP). Data were from the Hematology Communications Study (HEMA-COMM), a prospective observational study of physician-patient communication in patients with hematologic malignancies. ACP was defined as having a living will, having a health care proxy, discussing life support with family or friends and discussing life support with a doctor or nurse. A total of 293 patients participated: only 45 (15%) had all the elements of ACP; 215 (73%) had at least one element of ACP, while 33 (11%) did not engage in ACP. In multivariate analysis, specific coping styles but not other measures of psychosocial well-being were associated with having written ACP. Verbal ACP was associated with patient-reported health and physician estimate of life expectancy. Our study suggests that tailoring ACP discussions to a patient's coping style may increase engagement in ACP.

Full Text

Cited Authors

  • Loberiza, FR; Swore-Fletcher, BA; Block, SD; Back, AL; Goldman, RE; Tulsky, JA; Lee, SJ

Published Date

  • December 2011

Published In

Volume / Issue

  • 52 / 12

Start / End Page

  • 2342 - 2348

PubMed ID

  • 21851220

Pubmed Central ID

  • 21851220

Electronic International Standard Serial Number (EISSN)

  • 1029-2403

International Standard Serial Number (ISSN)

  • 1042-8194

Digital Object Identifier (DOI)

  • 10.3109/10428194.2011.601474


  • eng