PMID- 23164368
OWN - NLM
STAT- MEDLINE
DCOM- 20141010
LR  - 20240318
IS  - 1751-7893 (Electronic)
IS  - 1751-7885 (Print)
IS  - 1751-7885 (Linking)
VI  - 8
IP  - 1
DP  - 2014 Feb
TI  - Coping styles of individuals at clinical high risk for developing psychosis.
PG  - 68-76
LID - 10.1111/eip.12005 [doi]
AB  - AIM: There is a wealth of evidence suggesting that patients with schizophrenia 
      tend to respond to life stressors using less effective coping skills, which are 
      in turn related to poor outcome. However, the contribution of coping strategies 
      to outcome in youth at clinical high risk (CHR) for developing psychosis has not 
      been investigated. METHODS: This longitudinal study followed CHR youth over a 
      12-month period, using the Brief COPE questionnaire. CHR subjects (n = 88) were 
      compared at baseline with a healthy control sample (n = 53), and then mixed 
      models were used to explore the relationship of coping strategies to clinical and 
      psychosocial outcomes in CHR subjects over time (n = 102). RESULTS: 
      Cross-sectional analyses revealed that, in comparison with healthy controls, CHR 
      youth reported using more maladaptive coping strategies (P < 0.001) and fewer 
      adaptive coping strategies (P < 0.01). Longitudinal analyses within the CHR group 
      showed significant decreases in maladaptive coping and symptom severity over 
      time, with corresponding improvements in social and role functioning. Adaptive 
      coping was associated with better concurrent social functioning and less severe 
      symptomatology (both P < 0.001). Over time, more maladaptive coping was 
      associated with more severe positive and negative symptoms (both P < 0.005). 
      CONCLUSIONS: Youth at risk for psychosis report using fewer adaptive and more 
      maladaptive coping strategies relative to healthy controls. Over 1-year 
      follow-up, more adaptive coping styles are associated with less severe clinical 
      symptomatology and better social functioning. These findings suggest that 
      teaching adaptive coping styles may be an important target for intervention in 
      youth at high risk for psychosis.
CI  - (c) 2012 Wiley Publishing Asia Pty Ltd.
FAU - Jalbrzikowski, Maria
AU  - Jalbrzikowski M
AD  - Department of Psychology, University of California, Los Angeles, California, USA.
FAU - Sugar, Catherine A
AU  - Sugar CA
FAU - Zinberg, Jamie
AU  - Zinberg J
FAU - Bachman, Peter
AU  - Bachman P
FAU - Cannon, Tyrone D
AU  - Cannon TD
FAU - Bearden, Carrie E
AU  - Bearden CE
LA  - eng
GR  - K23 MH074644/MH/NIMH NIH HHS/United States
GR  - MH65079/MH/NIMH NIH HHS/United States
GR  - R01 MH065079/MH/NIMH NIH HHS/United States
GR  - K23MH74644/MH/NIMH NIH HHS/United States
GR  - U01 MH081902/MH/NIMH NIH HHS/United States
GR  - P50 MH066286/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20121119
PL  - Australia
TA  - Early Interv Psychiatry
JT  - Early intervention in psychiatry
JID - 101320027
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adolescent
MH  - Adult
MH  - Case-Control Studies
MH  - Child
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Prodromal Symptoms
MH  - Psychotic Disorders/*psychology
MH  - Risk Factors
MH  - Social Adjustment
MH  - Symptom Assessment
MH  - Young Adult
PMC - PMC3582773
MID - NIHMS411318
OTO - NOTNLM
OT  - coping
OT  - psychosis prodrome
OT  - psychosocial functioning
OT  - ultra high risk
EDAT- 2012/11/21 06:00
MHDA- 2014/10/11 06:00
PMCR- 2015/02/01
CRDT- 2012/11/21 06:00
PHST- 2011/10/31 00:00 [received]
PHST- 2012/07/31 00:00 [accepted]
PHST- 2012/11/21 06:00 [entrez]
PHST- 2012/11/21 06:00 [pubmed]
PHST- 2014/10/11 06:00 [medline]
PHST- 2015/02/01 00:00 [pmc-release]
AID - 10.1111/eip.12005 [doi]
PST - ppublish
SO  - Early Interv Psychiatry. 2014 Feb;8(1):68-76. doi: 10.1111/eip.12005. Epub 2012 
      Nov 19.