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Coping with Health Injuries and Problems

Norman Endler, Ph.D., F.R.S.C. 
James D.A. Parker, Ph.D.


The CHIP (Coping with Health Injuries and Problems) is a self-report inventory that helps you quickly identify an individual’s typical coping styles and suggests strategies that will best help the individual cope with and overcome his or her health problems. The CHIP's 32 items can be rated be most individuals 16 and older in 5 - 10 minutes.

Research on the CHIP to Date makes the tool reliable for use with:
Older AdultsPain Patients
Cancer PatientsPsychiatric Patients
Cardiac PatientsSports Injury Patients

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Scales & Forms

CHIP Scales

In addition to an Inconsistency Index used for detecting an inconsistent response style, the CHIP is comprised of four main scales.

Distraction - The extent to which the respondent uses actions and cognitions that are aimed at avoiding preoccupation with the health problem. This involves thinking about other, usually more pleasant experiences, engaging in unrelated activities, and being in the company of others.
Palliative - Describes the "self-help" responses utilized to alleviate the unpleasantness of the situation. This type of coping response includes: making oneself comfortable by changing the surroundings, getting plenty of rest etc. These responses may involve lay beliefs about illness.

Instrumental - Focuses on various Task-Oriented strategies used to deal with the illness. Such coping strategies that can be categorized as active or problem-focused because they indicate that the individual is seeking help for the illness or trying to learn more about it.
Emotional Preoccupation - The extent to which the individual focuses on the emotional consequences of the health problem. These coping behaviors are related to Emotion-Oriented coping and include responses like self-preoccupation and fantasizing.Back to the top


Author Norman Endler, Ph.D., F.R.S.C. & James D.A. Parker, Ph.D.

Age Range 16 and older

Administration Time 5–10 minutes

Administration Type Self-report

Qualification Level B