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

Fausto R. Loberiza, Barbara A. Swore-Fletcher, Susan D. Block, Anthony L. Back, Roberta E. Goldman, James A. Tulsky, Stephanie J. Lee

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


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 physicianpatient 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.

Original languageEnglish (US)
Pages (from-to)2342-2348
Number of pages7
JournalLeukemia and Lymphoma
Issue number12
StatePublished - Dec 2011


  • Advance care planning
  • Coping
  • Health status
  • Hematological cancer

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research


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