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Stress coping strategies and their clinical correlates in patients with psychosis at various stages of illness: A case-control study.

Abstract

AIMS

There is evidence that individuals with psychosis adopt inefficient coping styles. Moreover, it has been hypothesized that inefficient coping styles might serve as trait-dependent characteristics of psychosis. Therefore, we aimed to explore coping styles and their clinical correlates at various stages of psychosis.

METHODS

We recruited 37 individuals at familial high risk of psychosis (FHR-P), 42 individuals with first-episode psychosis (FEP), 28 acutely relapsed schizophrenia (SCZ-AR) subjects and 40 healthy controls. Coping strategies were assessed using the Coping Inventory for Stressful Situations.

RESULTS

Individuals with FEP were less likely to use task-focused coping, while SCZ-AR subjects preferred using distraction when compared to controls. Both groups of participants did not differ significantly in terms of using specific coping styles. No significant differences in the use of various coping strategies between FHR-P individuals and controls were found. Higher odds of using emotion-focused coping and distraction were associated with more severe depressive symptoms in individuals with psychosis. Moreover, higher frequency of using distraction was associated with worse functioning in individuals with psychosis. However, this association appeared to be insignificant after adjustment for multiple testing.

CONCLUSIONS

Coping styles are similar in FEP and SCZ-AR subjects. However, decreased use of task-focused coping is more specific for FEP individuals while a preference of distraction might be more typical for SCZ-AR individuals. The use of various coping styles is similar in FHR-P individuals and controls. Preference of distraction and emotion-focused coping might be related to more severe depressive symptoms and poor functioning in individuals with psychosis.

Authors+Show Affiliations

Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.Department of Nervous System Diseases, Wroclaw Medical University, Wroclaw, Poland.Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.Department of Psychiatry, Pomeranian Medical University, Szczecin, Poland.Department of Clinical Psychology, Institute of Psychology, University of Szczecin, Szczecin, Poland.Department of Psychiatry, Pomeranian Medical University, Szczecin, Poland.Department of Psychiatry, Pomeranian Medical University, Szczecin, Poland.Department of Genetics, Wroclaw Medical University, Wroclaw, Poland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31625284

Citation

Piotrowski, Patryk, et al. "Stress Coping Strategies and Their Clinical Correlates in Patients With Psychosis at Various Stages of Illness: a Case-control Study." Early Intervention in Psychiatry, 2019.
Piotrowski P, Rymaszewska J, Stańczykiewicz B, et al. Stress coping strategies and their clinical correlates in patients with psychosis at various stages of illness: A case-control study. Early Interv Psychiatry. 2019.
Piotrowski, P., Rymaszewska, J., Stańczykiewicz, B., Małecka, M., Kotowicz, K., Samochowiec, J., ... Misiak, B. (2019). Stress coping strategies and their clinical correlates in patients with psychosis at various stages of illness: A case-control study. Early Intervention in Psychiatry, doi:10.1111/eip.12880.
Piotrowski P, et al. Stress Coping Strategies and Their Clinical Correlates in Patients With Psychosis at Various Stages of Illness: a Case-control Study. Early Interv Psychiatry. 2019 Oct 18; PubMed PMID: 31625284.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stress coping strategies and their clinical correlates in patients with psychosis at various stages of illness: A case-control study. AU - Piotrowski,Patryk, AU - Rymaszewska,Joanna, AU - Stańczykiewicz,Bartłomiej, AU - Małecka,Monika, AU - Kotowicz,Kamila, AU - Samochowiec,Jerzy, AU - Samochowiec,Agnieszka, AU - Plichta,Piotr, AU - Kalinowska,Sylwia, AU - Misiak,Błażej, Y1 - 2019/10/18/ PY - 2019/05/27/received PY - 2019/08/13/revised PY - 2019/09/24/accepted PY - 2019/10/19/entrez PY - 2019/10/19/pubmed PY - 2019/10/19/medline KW - coping strategies KW - depression KW - early psychosis KW - psychotic disorder KW - stress JF - Early intervention in psychiatry JO - Early Interv Psychiatry N2 - AIMS: There is evidence that individuals with psychosis adopt inefficient coping styles. Moreover, it has been hypothesized that inefficient coping styles might serve as trait-dependent characteristics of psychosis. Therefore, we aimed to explore coping styles and their clinical correlates at various stages of psychosis. METHODS: We recruited 37 individuals at familial high risk of psychosis (FHR-P), 42 individuals with first-episode psychosis (FEP), 28 acutely relapsed schizophrenia (SCZ-AR) subjects and 40 healthy controls. Coping strategies were assessed using the Coping Inventory for Stressful Situations. RESULTS: Individuals with FEP were less likely to use task-focused coping, while SCZ-AR subjects preferred using distraction when compared to controls. Both groups of participants did not differ significantly in terms of using specific coping styles. No significant differences in the use of various coping strategies between FHR-P individuals and controls were found. Higher odds of using emotion-focused coping and distraction were associated with more severe depressive symptoms in individuals with psychosis. Moreover, higher frequency of using distraction was associated with worse functioning in individuals with psychosis. However, this association appeared to be insignificant after adjustment for multiple testing. CONCLUSIONS: Coping styles are similar in FEP and SCZ-AR subjects. However, decreased use of task-focused coping is more specific for FEP individuals while a preference of distraction might be more typical for SCZ-AR individuals. The use of various coping styles is similar in FHR-P individuals and controls. Preference of distraction and emotion-focused coping might be related to more severe depressive symptoms and poor functioning in individuals with psychosis. SN - 1751-7893 UR - https://www.unboundmedicine.com/medline/citation/31625284/Stress_coping_strategies_and_their_clinical_correlates_in_patients_with_psychosis_at_various_stages_of_illness:_A_case-control_study L2 - https://doi.org/10.1111/eip.12880 DB - PRIME DP - Unbound Medicine ER -