Reconsidering illness-related goals: Is discrepancy resolved by confronting emotions?

The aim of this study was to examine prospectively whether patients with an illness imposing self-management demands (29 asthma patients and 23 diabetic patients) would adjust their evaluations of discrepant illness-related goals. Goals were considered discrepant when patients rated them as important but less attainable, or as less important but attainable. We hypothesized that discrepancy would be resolved by adjusting attainability evaluations and that shifts in these evaluations would be more present in important but less attainable goals. We also hypothesized that shifts in evaluations of discrepant goals would be promoted by engaging in confronting emotions associated with the goal as a first step in coming to terms with discrepant goals. Results confirmed the first, but not the second hypothesis as confronting emotions proved to increase discrepancy evaluations of illness-related goals. These findings are discussed with an emphasis on confronting emotions as a strategy for coming to terms with the experience of discrepancy.