Quality of Life Research

, Volume 13, Issue 2, pp 509–518 | Cite as

The role of coping resources and coping style in quality of life of patients with asthma or COPD

  • A.E. Hesselink
  • B.W.J.H. Penninx
  • M.A.G. Schlösser
  • H.A.H. Wijnhoven
  • D.A.W.M. van der Windt
  • D.M.W. Kriegsman
  • J.Th.M. van Eijk


Objective: Sufficient psychosocial coping resources and an adequate coping style may have a beneficial influence on quality of life in patients with a chronic disease. Until now little research has been directed at these associations and particularly not among patients with asthma or chronic obstructive pulmonary disease (COPD). The objective of this study is to examine the association between psychosocial coping resources and coping style with HRQoL, for asthma and COPD separately. Methods: Fourteen general practitioners in the Netherlands recruited 273 adult patients with asthma (n = 220) or COPD (n = 53). Data were collected by a pulmonary function assessment, a face-to-face interview and validated questionnaires about psychosocial coping resources (self-efficacy, mastery, self-esteem, and social support), coping style (avoidant, rational and emotional), and health related quality of life (HRQoL). Results: A more emotional coping style (p < 0.01) was independently associated with poor HRQoL in both asthma and COPD patients. Furthermore, in asthma patients, less self-efficacy feelings (p < 0.01), less mastery feelings (p = 0.05), a more avoidant coping style (p = 0.04) and poor pulmonary function (p < 0.01) were independently associated with poor HRQoL. In COPD patients, a more rational coping style (p = 0.02) was independently associated with poor HRQoL. Conclusion: Our findings suggest that psychosocial coping resources and coping style are independently associated with HRQoL in patients with asthma or COPD. Further research should explore the possibilities of intervening on these factors, aiming to improve HRQoL in patients with asthma or COPD.

Asthma Chronic obstructive pulmonary disease (COPD) Coping resources Coping style Quality of life 


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Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • A.E. Hesselink
    • 1
  • B.W.J.H. Penninx
    • 2
  • M.A.G. Schlösser
    • 3
  • H.A.H. Wijnhoven
    • 1
  • D.A.W.M. van der Windt
    • 1
  • D.M.W. Kriegsman
    • 1
  • J.Th.M. van Eijk
    • 4
  1. 1.Institute for Research in Extramural Medicine (EMGO Institute), Department of General PracticeVU University Medical CenterAmsterdamThe Netherlands
  2. 2.Sticht Center on AgingWake Forest University School of MedicineWinston-SalemUSA
  3. 3.Department of Psychosocial Care, de Zorgboog Nursing HomeBakelThe Netherlands
  4. 4.Department of Medical SociologyUniversity of MaastrichtMaastrichtThe Netherlands

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