"Lazarus and Folkman's Stress and Coping Model (1984) ": 1.1 Conceptual Framework

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1.

1 Conceptual Framework

Lazarus and Folkmans Stress and Coping Model (1984)

Two concepts are central to any psychological stress theory: appraisal, i.e., individuals' evaluation of the significance of what is happening for their well-being, and coping, i.e., individuals' efforts in thought and action to manage specific demands (cf. Lazarus 1993).

The present study has used Lazarus and Folkmans stress and coping model as a theoretical framework. Lazarus and Folkman defined stress as a relationship between a person and the environment that the person evaluates as taxing or exceeding available resources and threatening well-being. Coping mechanisms reflect the activities and thoughts that people use in order to deal with the stress one is experiencing.

Lazarus and Folkman noted that individuals turn to emotion-focused coping strategies when they identify that they cant do anything to change a threatening condition. Emotion focused strategies include changing thoughts, making positive

comparisons, and finding positive value in negative events.

One therapeutic way of coping with stress while on chemotherapy is distraction, which is an emotion-focused coping strategy because it diverts the focus of attention away from unpleasant stimuli by manipulating the environment. Distraction interventions are effective

because individuals can concentrate on pleasant or interesting stimuli instead of focusing on unpleasant symptoms.

Techniques such as humor, relaxation, music and imagery are classified as distraction interventions, and they can relieve physical symptoms such as pain, anxiety, nausea, and stress. Distraction also can alleviate psychological symptoms.

The current study will evaluate the conceptual framework by testing the premise that distraction is an effective therapeutic communication skill by decreasing symptom distress associated with chemotherapy in pediatric patients.

SITUATION FACTORS

SITUATION PERSON INTERACTION

COGNITIVE APPRAISAL

COPING RESPONSE

ADAPTATIONAL OUTCOME

PERSON FACTORS
FIGURE 1.1 Lazarus and Folkmans Stress and Coping Model

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