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The process of developing an advance statement may influence coping style and one's insight into illness.
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Although it is anticipated that coping style is a relatively stable personality characteristic, we do not have data on the stability of the defensive coping style and we cannot exclude the possibility that the severity of the disease may influence the coping style or modify its characteristics.
The socio-ecological model [ 12] used in this study provides a comprehensive understanding of factors that may influence IPV vulnerability, coping and consequences at different levels.
Moreover, personality traits may influence how individuals cope with life stress and adhere to treatment regimes [ 15- 17].
Also, the presence of other (noncancer) life events at the time of the illness has an effect on the cancer-related stress processes because patients often need to make efforts in order to cope with them, and this may influence or interfere with coping with cancer or affect the health outcomes (Dolbeaut et al, 1999).
Research shows that living in a partnership is an important determinant of psychological and social well-being in depressed individuals [ 33], and that poor family support may influence more dysfunctional coping styles [ 42].
28 In addition, ambulance workers may benefit from learning how to enhance levels of objectivity when attending to trauma given that this may influence their perception of coping.
Our results provide support for the idea that long-term exposure to pathogenic infections results in telomere attrition of WBCs, and also that telomere length of WBCs at early age may influence individuals' ability to cope with inflammatory infections later in life.
The quality of social relationships may influence females' ability to cope with the challenges of daily life.
While some insight has been provided into the nature of this distress [ 13- 16], relatively little is known about what may influence carers' ability to cope with such distress.
Although coping flexibly may influence HRQoL, it is equally possible that the reverse also holds.
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