Three questions about the role of perceived control in coping with a major life stressor were addressed in a sample of 71 cancer patients. As expected, those with greater perceptions of control were less depressed, even when physical functioning, marital satisfaction, and negative affectivity were controlled for. Consistent with a compensatory model of control, it was more important for patients to believe that they could control daily emotional reactions and physical symptoms than the course of the disease. Patients who endorsed irrational beliefs had lower overall perceptions of control. The results indicated that even patients who were physically or psychosocially worse off were better adjusted if they had higher perceptions of control.

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Several studies have suggested that chronically ill adults who receive overprotective care are more depressed and less motivated in rehabilitation therapy. However, for this area of research to proceed, a standard definition and measurement of perceptions of overprotection are needed. In the present study, long and short forms of a scale (the OPSA) to assess perceptions of being overprotected in chronically ill adults were developed. The scale's psychometric properties were tested with a sample of 161 community‐dwelling older adults. It was found to have good internal reliability, to correlate highly with an established retrospective measure of overprotection in adults, and to be distinct from ratings of quantity and quality of social support. As expected, overprotection was associated with poorer adjustment: Respondents who felt overprotected were more depressed.

Caregivers of the elderly and infirm are often under more stress and report lower life satisfaction than matched groups of noncaregivers. Forty caregivers of stroke patients (usually a spouse) were interviewed an average of 9 months poststroke to determine the factors associated with poorer caregiver adjustment. Four classes of variables were expected to be related to depression in caregivers: level of functioning of the patient, caregiver perceptions of increased work and burden due to the stroke, the quality of the patient‐caregiver relationship, and caregivers' interpretations of their situation. Background characteristics were also measured. As predicted, variables in each class were significantly related to depression. Multiple regression analysis showed three significant independent predictors of caregiver depression. Caregivers are more depressed if the patient is more physically impaired, if caregivers report disharmony in the family, and if they have lesser perceptions of hope Ways to apply these findings to the development of interventions to ameliorate caregiver depression are discussed.