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Denial, as a psychological construct, refers to both a coping strategy and a defense mechanism mobilized in the face of impending stressful situations and potentially traumatic life experiences [1]. Reported empirical data, obtained from research on the relationship between the use of denial-type coping and psychosocial adaptation to chronic illness and disability (CID), have typically shown that individuals who rely mostly on denial, as a coping strategy to reduce the impact of their CID (e.g. functional limitations, pain), largely demonstrate, although not exclusively, poor adaptation to their medical conditions [2-5]. More specifically, for people who have sustained traumatic injuries, such as spinal cord injuries, traumatic head injuries, stroke, and limb amputations [6-8], and those who were diagnosed with life threatening diseases, such as heart conditions, cancer, and multiple sclerosis (Kershaw, Northouse, [9-11] the use of denial, or avoidant-type coping, in the aftermath of their trauma or diagnosis, results in increased levels of depression, anxiety, and psychological distress. They have been also found to experience lower levels of psychological well-being, life satisfaction, and in general, poorer quality of life Findings of negative relationships between the use of denial coping and adaptation to CID must, however, be interpreted with extreme caution due to several conceptual, procedural, and psychometric weaknesses inherent in many of the reported studies. These weaknesses include, but are not restricted to, the following:

Issues Related to the Association between Denial-like Coping Strategies and Psychosocial Adaptation to Chronic Illness and Disability