PMID- 25726849
OWN - NLM
STAT- MEDLINE
DCOM- 20171113
LR  - 20191210
IS  - 1751-7893 (Electronic)
IS  - 1751-7885 (Linking)
VI  - 11
IP  - 2
DP  - 2017 Apr
TI  - Coping and the stages of psychosis: an investigation into the coping styles in 
      people at risk of psychosis, in people with first-episode and multiple-episode 
      psychoses.
PG  - 147-155
LID - 10.1111/eip.12223 [doi]
AB  - AIM: The concept of coping is central to recent models of psychosis. The aim of 
      the present paper is to explore whether specific coping styles relate to certain 
      stages of the disorder. METHODS: Thirty-nine clients at clinical high risk (CHR) 
      of first-episode psychosis, 19 clients with first-episode psychosis and 52 
      clients with multiple-episode psychosis completed a Stress Coping Questionnaire. 
      This questionnaire consists of 114 items defining one overall positive coping 
      scale (with three subscales) and one negative coping scale. Analyses of variance 
      with group as between-subject factor and coping behaviour as within-subject 
      factor were used to identify different coping patterns. RESULTS: On the level of 
      subscales no group differences could be detected, but analysis of variance 
      revealed slightly different patterns: CHR clients used significantly more 
      negative than positive coping styles (P = 0.001), followed by patients with 
      multiple-episode psychosis (P = 0.074). First-episode patients were most likely 
      to use negative as well as positive coping (P = 0.960). Across all stages of 
      illness, stress control was significantly preferred compared to the other 
      positive coping styles distraction and devaluation. Again, this pattern was 
      especially pronounced for at-risk clients and patients with multiple-episode 
      psychosis, whereas patients with first-episode psychosis were most likely to use 
      devaluation as well as distraction. CONCLUSIONS: The overall coping styles were 
      similar across the different stages of psychosis. However, at-risk persons 
      presented especially pronounced negative coping and a small range of strategies, 
      indicating a specific need for psychosocial support in this stage of the 
      disorder.
CI  - (c) 2015 Wiley Publishing Asia Pty Ltd.
FAU - Kommescher, Mareike
AU  - Kommescher M
AD  - Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, 
      Germany.
FAU - Gross, Sonja
AU  - Gross S
AD  - Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, 
      Germany.
FAU - Putzfeld, Verena
AU  - Putzfeld V
AD  - Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, 
      Germany.
FAU - Klosterkotter, Joachim
AU  - Klosterkotter J
AD  - Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, 
      Germany.
FAU - Bechdolf, Andreas
AU  - Bechdolf A
AD  - Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, 
      Germany.
LA  - eng
PT  - Journal Article
PT  - Validation Study
DEP - 20150226
PL  - Australia
TA  - Early Interv Psychiatry
JT  - Early intervention in psychiatry
JID - 101320027
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adolescent
MH  - Female
MH  - Health Services Needs and Demand/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Mass Screening/*statistics & numerical data
MH  - Psychometrics/statistics & numerical data
MH  - Psychotic Disorders/*diagnosis/*psychology/therapy
MH  - Recurrence
MH  - Reproducibility of Results
MH  - Risk Assessment/statistics & numerical data
MH  - Statistics as Topic
MH  - Students/psychology
MH  - *Surveys and Questionnaires
MH  - Young Adult
OTO - NOTNLM
OT  - coping
OT  - first-episode schizophrenia
OT  - high-risk research
OT  - prodrome
OT  - schizophrenia
EDAT- 2015/03/03 06:00
MHDA- 2017/11/14 06:00
CRDT- 2015/03/03 06:00
PHST- 2014/07/21 00:00 [received]
PHST- 2014/12/19 00:00 [accepted]
PHST- 2015/03/03 06:00 [pubmed]
PHST- 2017/11/14 06:00 [medline]
PHST- 2015/03/03 06:00 [entrez]
AID - 10.1111/eip.12223 [doi]
PST - ppublish
SO  - Early Interv Psychiatry. 2017 Apr;11(2):147-155. doi: 10.1111/eip.12223. Epub 
      2015 Feb 26.