Abstract

Based on Taylor's theory of cognitive adaptation to cancer and on the distinction between psychological and social resources, we analyse whether optimism, internal health locus of control, self-esteem, purpose in life, and perceived availability of social support assessed prior to the commencement of chemotherapy predict concurrent subjective well-being (SWB), SWB at a 9-month follow-up, and change in SWB over time. Longitudinal data were collected from 163 cancer patients. Analyses showed that social support, self-esteem, and to a lesser extent, optimism and purpose in life showed concurrent associations with SWB. In addition, social support and purpose in life at T 1 predicted improvement in SWB over time. However, when resources at T 1 and T 2 are included in the analysis simultaneously, only concurrent resources were related to SWB at T 2 and to change in SWB over time. It is concluded that the effect of initial resources on change in SWB is mediated by the levels of later resources.

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