In addition, it was reported by Rogentine et al. (1979)

that individuals with a more favorable outcome as defined by

recurrence free survival one year after diagnosis and

treatment expected that a great deal of adjustment would be

required.

 Attitudes of those with advanced disease. During the

pre-terminal and terminal phase of the illness, patients with

advanced disease who had shorter survival were reported

(Weisman & Worden, 1975) to have expressed a sense of

pessimism, conflict, depression, and a desire to die. The

same authors reported that those with longer survival had a

realistic attitude about their illness without a sense of

hopelessness or fatalism.

 Disease variables and psychological status. An

additional dimension of these complex relationships was

suggested by the findings of both Davies et al. (1973) and

Derogatis et al. (1979). In the first case (Davies et al.,

1973) an attitude of "apathetic-given-up" was strongly

correlated with a shorter survival time but also with a

greater degree of illness. In the second case (Derogatis et

al., 1979) the attitudes of long and short-term survivors

differed, but so did their treatment history. The short-term

survivors had a longer duration of chemotherapy prior to the

evaluation. Both reports lend support to the idea that both

psychological status and shorter survival may be related to

disease variables.