Distribution of patients who were high utilizers of multiple approach-oriented coping domains: emotional support, reframe, active, and acceptance. The graphic displays the distribution of patients who were high utilizers of approach-oriented coping domains defined as patients who scored above the median on a coping domain. For the emotional support coping domain, “high utilizers” were patients who scored the median (8) because the median was the maximum score for that domain. Although 18% of patients scored below the median or median (for emotional support) for all approach-oriented coping domains, 20%, 25%, 22%, and 15% were patients with high approach-oriented coping strategies based on 1, 2, 3, and 4 domains, respectively.