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Longitudinal data on the coping strategies used by middle-aged and older adults faced with one of four different chronic illnesses (N ~ 151) were used to evaluate the role of coping in the explanation of psychological adjustment. The study distinguished between illnesses that offer few opportunities for control (rheumatoid arthritis and cancer) and those more responsive to individual and medical efforts at control (hypertension and diabetes) and evaluated the emotional consequences of two coping strategies, information seeking and wish-fulfilling fantasy, expected to play different roles in adjustment. Results showed information seeking to have salubrious effects on adjustment and wish-fulfilling fantasy to have deleterious consequences; contrary to expectation, neither strategy's effects were modified by illness controllability. Analyses of the direction of causation between coping and adjustment suggest that wish-fulfilling fantasy is linked to poor adjustment in a mutually reinforcing causal cycle. The modesty of the effects of coping, however, demand replication of results to confirm the conclusions drawn here. Physical health is closely related to emotional and mental health, particularly among middle-aged and older adults, a fact documented by a multitude of studies (see reviews by Larson, 1978; Palmore & Luikart, 1972). Individuals differ in their adjustment to both acute and chronic illness, however. Coping efforts have been proposed as one means of accounting for these differences in adaptation, and numerous studies have documented the importance of individual coping efforts in helping ill adults maintain reasonable levels of emotional well-being (e.g., Cohen & Lazarus, 1979; Moos, 1982). These studies have found typical coping strategies to include: denial, selective ignoring, information seeking, taking refuge in activity, avoidance, learning specific illness-related procedures, engaging in wish-fulfilling fantasy, blaming others, and seeking comfort from others. Unfortunately, many of the studies arguing the importance
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