Reserve-building activities attenuate treatment burden in chronic illness: The mediating role of appraisal and social support

Carolyn E. Schwartz, Jie Zhang, Wesley Michael, David T Eton, Bruce D. Rapkin

Research output: Contribution to journalArticle

2 Scopus citations


This study examines the importance of four psychosocial factors—personality, cognitive appraisal of quality of life, social support, and current reserve-building—in predicting treatment burden in chronically ill patients. Chronically ill patients (n = 446) completed web-based measures. Structural equation modeling was used to investigate psychosocial factors predicting treatment burden. Reserve-building activities indirectly reduced treatment burden by: (1) reducing health worries appraisals, (2) reducing financial difficulties, (3) increasing calm and peaceful appraisals, and (4) increasing perceived social support. These findings point to key behaviors that chronically ill people can use to attenuate their treatment burden.

Original languageEnglish (US)
JournalHealth Psychology Open
Issue number1
StatePublished - Jan 1 2018



  • appraisal
  • personality
  • reserve
  • social support
  • treatment burden

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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