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Journal of Pediatric Psychology Advance Access originally published online on August 14, 2007
Journal of Pediatric Psychology 2007 32(9):1055-1066; doi:10.1093/jpepsy/jsm060
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Adaptive Style in Children with Cancer: Implications for a Positive Psychology Approach

Sean Phipps, PhD

Division of Behavioral Medicine, St. Jude Children's Research Hospital, Memphis, TN

All correspondence concerning this article should be addressed to Sean Phipps, PhD, Member, Division of Behavioral Medicine, St. Jude Children's; Research Hospital, 332 N. Lauderdale, Memphis, E-mail: sean.phipps{at}stjude.org.


  Abstract

Objective To describe the adaptive style paradigm as a heuristic model for understanding the very positive psychosocial adjustment that has been observed in children with cancer, and to integrate findings regarding repressive adaptive style into a broader positive psychology framework. Method A selective review of the literature on adaptive style, and its’ relevance to outcomes of depressive symptoms, posttraumatic stress symptoms, somatic distress, and health-related quality of life in children with cancer. Results Studies have found children with cancer report low levels of psychological distress. Adaptive style is a much stronger predictor of psychosocial outcomes than is health history. Conclusion Children with cancer represent a flourishing population. A repressive adaptive style is one pathway to resilience in this population. Additional constructs from the domain of positive psychology are reviewed, and a positive psychology model is suggested as a framework for guiding future research in this area.

Key words: adaptive style; benefit finding; childhood cancer; optimism; positive psychology; repression; resilience.

Received January 28, 2007; revision received June 27, 2007; accepted July 9, 2007


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