Table 3.
Participant Description of Strategies Used Keep FCR under control (N = 116).
Themes (n) | Definition | Supporting Quotes |
---|---|---|
1. Self-Sufficient Approach (98): Focused on problem solving. | ||
1a. Active Coping (38) | Active Coping is the process of taking active steps to try to remove or circumvent the stressor or to ameliorate its effects. | • “When I first found out that I had this lymphoma, I went to a stress management counselor.” • “…I started doing a lot of yoga, meditation, breathing exercises. I guess—I don’t know if I’d call it musical therapy, but, you know, found music that calmed me down. And, yeah, I did that, all that on a very regular basis.” |
1b. Religious and Spiritual Coping (27) | Religious and Spiritual coping is focused on using faith for support. | • “I would say faith, because I feel like before I didn’t—you know, I would—and I would—I don’t even know. I feel like before I was just like this negative person and I always—you know, didn’t even believe in God. And I felt like, you know, when everything happened, my mom was like, “Let’s go to church, let’s pray,” and then, you know, I felt like my faith grew like from a zero to like 100 now.” • “I read scripture and go to church. Um-, and I pray.” |
1c. Acceptance (14) | Acceptance coping is the opposite of denial and refers to accepting the reality of a stressful situation. | • “It’s one of those things where you don’t—if you don’t have control over it, I don’t worry about it.” • “What’s going to happen is going to happen, and you need to dwell on the positive rather than dwell on the negative. And worrying about cancer coming back is a negative. I can’t control it, so I’m not going to worry about it.” |
1d. Positive Reinterpretation (13) | Positive Reinterpretation coping is aimed at managing distress emotions rather than at dealing with the stressor per se. | • “The main thing I do is positive thinking. I don’t let myself; I don’t let myself think negatively. So, if I start going that way I just, you know, try to think of something else, think of the fact that we did the chemo and it worked the first time and I’ve been given a second chance and just being more appreciative.” • “…I also just actively take control of my thoughts. I try to identify and eliminate those (negative) thoughts instead of give way to thinking-- instead of meditate on them I try to just let them pass through my mind. I know they are going to come up.” |
1e. Planning (4) | Planning is thinking about how to cope with a stressor. | • “… if it comes back, I had sort of the first five, six steps I was going to do, and sort of how to manage, and— I had planned a little bit in my head.” |
1f. Restraint Coping (2) | Restraint coping is waiting until an appropriate opportunity to act presents itself, holding oneself back, and not acting prematurely. | • “I can sit here and worry for three months or I’ll worry a lot the day before. I’ll worry about it the day before. I don’t think about it until then, put it in the back of my head, and that’s my strategy for dealing with worry about the results of a test, or, you know…” |
2. Socially Supported Approach (30): Socially Supported coping is focused on seeking social support. | ||
2a. Emotional Social Support (18) | Emotional Social Support coping refers to seeking social support to be able to talk about how you feel, get emotional support, discuss feelings, and get sympathy and understanding. | • “I talk to my family and friends about it.” • “I have good friends too, who speak positively about my health.” |
2b. Instrumental Social Support (11) | Instrumental Social Support coping refers to seeking social support from persons who have had similar experiences, provide advice and information, and those who could do something concrete about the problem. | • “I have a really good friend. She used to be a nurse. She is really good. She is 91-years-old, she goes on the computer and looks it up and comes back to me. She really is so informative and she puts me at ease.” • “I am part of support groups, so talking about it there is helpful.” |
2c. Venting Emotions (1) | Venting Emotions coping refers to the tendency to focus on whatever distress or upset one is experiencing and to ventilate those feelings. | • “I yell a lot.” |
3. Avoidant Oriented (42): Removing oneself from thinking about the problem. | ||
3a. Mental Disengagement (42) | Mental Disengagement coping occurs via a wide variety of activities that serve to distract the person from thinking about the behavioral dimension or goal with which the stressor is interfering. | • “Working, yes, and recreation, you know, I take out—I’ve got two dogs. I take them out, I do stuff with them, you know? I try to stay busy. Just try to keep the mind off of that stuff. You know, the illness.” |