Stress management and coping research in the health care setting: an overview and methodological commentary.

I argue that stress management and coping studies in the health care setting have not been sufficiently theoretically grounded. In particular, in formulating and evaluating intervention strategies, researchers have not adequately taken into account the nature of the stressor under study in terms of the degree to which it poses emotion-focused versus problem-focused coping demands for the individual. This theme is explored in examination of research in five essential areas: (a) effectiveness of problem- versus emotion-focused coping strategies, (b) effectiveness of interventions, (c) the role of individual difference variables, (d) timing of interventions, and (e) evaluation of treatment impact.