This study applied social cognitive theory to help explain the differential
outcomes observed in conjugal bereavement. Specifically, a measure of bere
avement coping self-efficacy was created and relationships tested with psyc
hological, spiritual, and physical health outcomes. One hundred and one wom
en whose husbands had died from cancer within the last year served as parti
cipants. Mean age of this relatively well-educated, predominately Caucasian
sample was 54 years old. Median time since death was between 6 months and
a year. Results supported the hypotheses that bereavement coping self-effic
acy was a significant predictor of emotional distress, psychological well-b
eing, spiritual well-being, and physical health perceptions after controlli
ng for several other important factors. Theoretical and clinical ramificati
ons of those findings are discussed.