[Quality of life and coping in the comparison of various groups of chronic illness during inpatient rehabilitation].

The concept of adaptation and quality of life has gained central importance in the research on chronically ill patients and their rehabilitation. This contribution examines the impact of psychological and behavioural factors on the quality of life and coping processes in two groups of chronically ill patients (i.e., n = 48 myocardial infarction survivors, and n = 48 patients with liver diseases). Coping responses and quality of life were measured using Janke et al.'s stress coping questionnaire SVF (1985), while other variables (psychosocial stress and social support) were determined by a variety of self-report data, test measures (von Zerssen's emotional state scale, 1976), as well as interview data, with repeat data compilation after three years (longitudinal study). Significant differences were found for each of the patient groups. Effectiveness of coping appeared to be negatively linked with frequent use of "avoidance", "denial", and "resignation" in patients with psychosocial strain and lack of information. The choice of coping strategy seems to be multi-determined and is related to illness state and sex, with changes occurring over time. The knowledge of coping strategy preferences is highly relevant for the relationship between physician and patient as well as for the process of rehabilitation.