Coping Strategies and Their Relationship to Psychopathologies in People at Ultra High-Risk for Psychosis and With Schizophrenia

被引:32
作者
Lee, Su Young [1 ,2 ]
Kim, Kyung Ran [1 ,2 ]
Park, Jin Young [2 ,3 ]
Park, Jong Suk [1 ,2 ]
Kim, Bora [1 ,2 ]
Kang, Jee In [2 ,4 ]
Lee, Eun [1 ,2 ]
An, Suk Kyoon [1 ,2 ]
Kwon, Jun Soo [5 ]
机构
[1] Yonsei Univ, Coll Med, Dept Psychiat, Seoul, South Korea
[2] Yonsei Univ, Coll Med, Inst Behav Sci Med, Sect Affect & Neurosci, Seoul, South Korea
[3] Gongju Natl Hosp, Dept Psychiat, Chungcheongnam Do, South Korea
[4] Natl Hlth Insurance Corp, Ilsan Hosp, Dept Psychiat, Gyeonggi Do, South Korea
[5] Seoul Natl Univ, Coll Med, Dept Psychiat, Seoul, South Korea
关键词
Coping; ultra high-risk for psychosis; schizophrenia; stress-vulnerability model; negative symptoms; INTERRATER RELIABILITY; PRODROMAL SYNDROMES; NEGATIVE SYMPTOMS; INITIAL PRODROME; SOCIAL SUPPORT; STRESS; ASSOCIATIONS; PERSONALITY; DEFINITION; ABILITIES;
D O I
10.1097/NMD.0b013e3182083b96
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study's aim was to investigate coping strategies and their relationship to symptoms in people at ultra high risk (UHR) for psychosis compared with recent-onset schizophrenia (SPR) and healthy controls. Thirty-three UHR participants, 22 SPR patients, and 33 healthy controls completed the Ways of Coping Questionnaire and other clinical measures. People at UHR for psychosis showed significantly more reliance on tension-reduction and less reliance on problem-focused coping than healthy controls. The SPR group showed more reliance on tension-reduction coping than healthy controls at a trend level. Maladaptive coping patterns were associated with higher levels of negative symptoms, depression, and anxiety in both the UHR and SPR groups. These findings suggest that maladaptive coping strategies might have already emerged in the (putative) prodromal stage and could influence symptom severities.
引用
收藏
页码:106 / 110
页数:5
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