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Why Me? The Persistence of Negative Appraisals Over the Course of Illness 1
Author(s) -
Schiaffino Kathleen M.,
Revenson Tracey A.
Publication year - 1995
Publication title -
journal of applied social psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 111
eISSN - 1559-1816
pISSN - 0021-9029
DOI - 10.1111/j.1559-1816.1995.tb01601.x
Subject(s) - attribution , psychology , rumination , depression (economics) , coping (psychology) , clinical psychology , mood , depressive mood , depressed mood , psychiatry , social psychology , cognition , economics , macroeconomics
This paper examines the relationship of illness appraisals and causal attributions to later psychological adjustment among individuals coping with a chronic illness. Data on threat and challenge appraisals, causal attributions, and depression were collected twice over an 18‐month period from patients with recently diagnosed rheumatoid arthritis (RA). Appraisals and attributions were differentially related to psychological adjustment. Challenge appraisals were stable over time but were unrelated to depression. Internal, stable, global attributions about the diagnosis were associated with greater depression at follow‐up for subjects who were initially high on the depression measure but were related to lowered depression for individuals with initially low depression. An interaction between initial threat appraisals and depression was also found for depression 18 months later. For individuals with low depression scores initially, threat appraisals were related to greater depression later; when initial depression was high, threat appraisals were unrelated to later depression. In addition, initial threat appraisals mediated the relationship between initial level of depression and rumination (continuing to ask, “Why me?”) 18 months later. These findings are discussed in terms of the failure to achieve some resolution about the place of the illness in one's life and of theories of dysphoric rumination that suggest that negative self‐focus contributes to a continuing depressed mood.