Page Part II: Psychosocial Analysis . . . .. 90 Subjects . . . . . . . . .. 90 Instruments . . . . . . . .. 93 Procedure . . . . . . . . .. 99 Analysis . . . . . . . . .. 100 Limitations . . . . . . . .. 109 IV RESULTS . . . . . . . .. .. 111 Introduction . . . . . . . . 111 Determining Survival Expectations . . .. .112 Lung Cancer . . . . . . . .. 112 Breast Cancer . . . . . . ... 119 Rectocolon Cancer . . . . . . .. .122 Psychosocial Analysis . . . . . .. .125 Psychosocial Variables and Survival ... .125 Disease Variables and Psychosocial Status . 138 V DISCUSSION, CONCLUSIONS, AND RECOMMENDATIONS. 147 Discussion . . . . . . . . .. 147 Determining Survival Expectations . . .. .147 Psychosocial Analysis . . . . ... .153 Conclusions . . . . . . . .. 165 Determining Survival Expectations . . .. .165 Psychosocial Analysis . . . . . .. .167 Recommendations . . . . . . . .. 171 Determining Survival Expectations . . .. .171 Psychosocial Analysis . . . . . .. .174 APPENDICES A PSYCHOSOCIAL INTERVIEW . . . . ... .176 B INDEX OF VULNERABILITY . . . . . .. .178 C INDEX OF CO-MORBIDITY . . . . . ... 180 D CODE BOOK . . . . . . . ... 181 E PATIENT CONSENT FORM . . . . . ... .186 F DETERMINING SURVIVAL EXPECTATIONS: COMPARISON OF GROUPS USED IN REGRESSION ANALYSIS . . . . . . . ... 188 G MATRIX OF INTERCORRELATIONS: INDEPENDENT AND DEPENDENT VARIABLES . . .. .201 REFERENCES . . . . . . . . . .. . 205 BIOGRAPHICAL SKETCH . . . . . . ... 215