ERIC Number: ED243029
Record Type: RIE
Publication Date: 1983-Nov
Reference Count: 0
Illness Adaptation: Clarifying the Concept and Validating a Scale.
Young, Rosalie F.; Kahana, Eva
Traditionally, coping and adaptation have been considered synonymous in individual's responses to illness and other stressful situations. The Illness Adaptation Scale (IAS) is a 12-item instrument which was designed to assess adaptational outcomes in illness situations as well as four coping modes (instrumental-self oriented, instrumental-other oriented, affective, and escape) used to manage illness. Adults (N=284, 60 percent male), known to have chronic illness or substance abuse problems, were administered the IAS as part of a structured interview investigating health generated marital problems. An analysis of the results showed that this population sample had moderate success managing the illness adaptive tasks. Accepting being ill and uncertainty about the future, and keeping an emotional balance were found to be the most difficult tasks. The area of least difficulty was communication with medical or professional staff. The reliability coefficient of the IAS was 0.88. Item to total correlations were significantly related at medium to high levels. Attempts to ascertain criterion-related validity involving comparisons of respondents' marital and illness adaptation problems were significantly related but were low in correlation, indicating that marital difficulties during chronic illness or health problems are not good criteria for evaluating illness or health adaptational problems. Of the four coping modes which respondents could choose in adapting to illness, the majority of subjects employed instrumentally-oriented coping strategies. Overall, the IAS proved to be a reliable and valid measure, allowing the determination of coping strategies and adaptational outcomes. (The IAS is appended.) (BL)
Publication Type: Reports - Research; Speeches/Meeting Papers; Tests/Questionnaires
Education Level: N/A
Authoring Institution: N/A
Identifiers: Illness Adaptation Scale
Note: Paper presented at the Annual Scientific Meeting of the Gerontological Society (36th, San Francisco, CA, November 17-20, 1983).