Tags

Type your tag names separated by a space and hit enter

Longitudinal assessment of coping abilities at exacerbation and stabilization in schizophrenia.
Compr Psychiatry. 2005 May-Jun; 46(3):167-75.CP

Abstract

BACKGROUND

Coping strategies play an important role in one's ability to adapt to stressful life conditions such as schizophrenia. To better understand the nature of various coping mechanisms at various stages in schizophrenia, this study examined task-, emotion-, and avoidance-oriented coping strategies and explored associated clinical factors at exacerbation and stabilization phases of the illness.

METHOD

Patients with schizophrenia were examined twice (at exacerbation phase, N = 237 and at stabilization phase, N = 148) with the Coping Inventory for Stressful Situations, and standardized measures of psychopathology and emotional distress severity, side effects, insight, self-constructs, social support, and quality of life. Multiple regression analysis was performed with coping strategies as dependent variables at exacerbation and stabilization including analysis of any change during the 16-month follow-up period.

RESULTS

Analysis indicated that emotion coping strategies were used more at exacerbation than at stabilization phase. Regression analysis demonstrated emotional distress to be a strong predictor of emotion-oriented coping, with self-efficacy and social support being the best predictors of task and avoidance coping strategies, respectively. Individual changes in these variables also appear to be important predictors for fluctuations of these coping strategies over time. Severity of symptoms accounted for 3.5% and 5.5% to 9% of the total variance of emotion- and task-oriented coping strategies, respectively.

CONCLUSIONS

Emotion, task, and avoidance coping strategies and their predictors are influenced and may vary over the course of schizophrenia illness. Experienced emotional distress, self-efficacy, and social support are the best predictors of coping strategies both at exacerbation and stabilization phases of illness.

Authors+Show Affiliations

Beer Yaakov Medical Health Center, Israel. raels@post.tau.ac.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16021585

Citation

Strous, Rael D., et al. "Longitudinal Assessment of Coping Abilities at Exacerbation and Stabilization in Schizophrenia." Comprehensive Psychiatry, vol. 46, no. 3, 2005, pp. 167-75.
Strous RD, Ratner Y, Gibel A, et al. Longitudinal assessment of coping abilities at exacerbation and stabilization in schizophrenia. Compr Psychiatry. 2005;46(3):167-75.
Strous, R. D., Ratner, Y., Gibel, A., Ponizovsky, A., & Ritsner, M. (2005). Longitudinal assessment of coping abilities at exacerbation and stabilization in schizophrenia. Comprehensive Psychiatry, 46(3), 167-75.
Strous RD, et al. Longitudinal Assessment of Coping Abilities at Exacerbation and Stabilization in Schizophrenia. Compr Psychiatry. 2005 May-Jun;46(3):167-75. PubMed PMID: 16021585.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Longitudinal assessment of coping abilities at exacerbation and stabilization in schizophrenia. AU - Strous,Rael D, AU - Ratner,Yael, AU - Gibel,Anatoly, AU - Ponizovsky,Alexander, AU - Ritsner,Michael, PY - 2005/7/16/pubmed PY - 2005/8/27/medline PY - 2005/7/16/entrez SP - 167 EP - 75 JF - Comprehensive psychiatry JO - Compr Psychiatry VL - 46 IS - 3 N2 - BACKGROUND: Coping strategies play an important role in one's ability to adapt to stressful life conditions such as schizophrenia. To better understand the nature of various coping mechanisms at various stages in schizophrenia, this study examined task-, emotion-, and avoidance-oriented coping strategies and explored associated clinical factors at exacerbation and stabilization phases of the illness. METHOD: Patients with schizophrenia were examined twice (at exacerbation phase, N = 237 and at stabilization phase, N = 148) with the Coping Inventory for Stressful Situations, and standardized measures of psychopathology and emotional distress severity, side effects, insight, self-constructs, social support, and quality of life. Multiple regression analysis was performed with coping strategies as dependent variables at exacerbation and stabilization including analysis of any change during the 16-month follow-up period. RESULTS: Analysis indicated that emotion coping strategies were used more at exacerbation than at stabilization phase. Regression analysis demonstrated emotional distress to be a strong predictor of emotion-oriented coping, with self-efficacy and social support being the best predictors of task and avoidance coping strategies, respectively. Individual changes in these variables also appear to be important predictors for fluctuations of these coping strategies over time. Severity of symptoms accounted for 3.5% and 5.5% to 9% of the total variance of emotion- and task-oriented coping strategies, respectively. CONCLUSIONS: Emotion, task, and avoidance coping strategies and their predictors are influenced and may vary over the course of schizophrenia illness. Experienced emotional distress, self-efficacy, and social support are the best predictors of coping strategies both at exacerbation and stabilization phases of illness. SN - 0010-440X UR - https://www.unboundmedicine.com/medline/citation/16021585/Longitudinal_assessment_of_coping_abilities_at_exacerbation_and_stabilization_in_schizophrenia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010440X04001245 DB - PRIME DP - Unbound Medicine ER -