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Psychosomatic Medicine, Vol 53, Issue 5 566-575, Copyright © 1991 by American Psychosomatic Society

ORIGINAL ARTICLES

Coping and extreme response tendency in duodenal ulcer patients

GL Van Heck, AJ Vingerhoets and GC Van Hout
Department of Psychology, Tilburg University, The Netherlands.

In this study we examined problem- and emotion-focused coping in samples of 30 duodenal ulcer (DU) patients and 30 matched healthy controls. Coping processes were assessed for two stressful situations, viz, an interpersonal conflict and a difficult task or job. The results indicated that DU patients and controls did not differ in terms of preferred coping strategies: irrespective of type of stressor, no differences were found between the two samples, neither in terms of a more general inclination toward problem- or emotion-focused coping, nor in terms of separate, more fine-grained coping mechanisms. Furthermore, rating extremity was studied in both samples. It was found that DU patients have a tendency to endorse extreme positive responses ("Very characteristic of me") more often than controls. The latter finding is discussed in terms of competing explanations: (a) higher polarizing tendencies of DU patients vs. (b) higher meaningfulness of the questionnaire items for DU patients. Specific directions for future research are described.


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Copyright © 1991 by the American Psychosomatic Society