title: A systems model for adaptation to somatic distress among cancer survivors.
abstract: Applied coping research has generally failed to fulfill its goal of providing an empirical basis for clinical interventions, and research on coping with cancer is no exception. This can be attributed in large measure to the wide gap between coping theory and coping research. Theories of stress and adaptation are complex systems formulations that present conceptual and methodological challenges and thus make testing comprehensive models difficult. The present paper reviews arguments for a microanalytic strategy through which researchers can increase coverage of relevant variables from broad systems models of stress and coping by concentrating their resources on selected, high-frequency, high-stress problems. The utility of this approach for formulating problem-specific systems models is illustrated using the example of coping with somatic distress among cancer survivors.
authors.affiliation: Health Services Research, American Society of Clinical Oncology, Alexandria, VA 2314, USA. somerfim@asco.org
authors.forename: M R
authors.initials: MR
authors.lastname: Somerfield
authors.forename: M E
authors.initials: ME
authors.lastname: Stefanek
authors.forename: T J
authors.initials: TJ
authors.lastname: Smith
authors.forename: J J
authors.initials: JJ
authors.lastname: Padberg
mesh_terms: D000223:Adaptation, Psychological; D006801:Humans; D008960:Models, Psychological; D009369:Neoplasms / Q000150:complications* / Q000523:psychology; D013315:Stress, Psychological; D017741:Survivors / Q000523:psychology