Components of schizophrenia liability are not uniformly associated with stress sensitivity, resilience, and coping

Ruzibiza, Christian; Grattan, Rebecca E.; Eder, Rebekah; Linscott, Richard J.

doi:10.1016/j.psychres.2017.11.039

Cited by 9 publications

(19 citation statements)

References 44 publications

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“…Participants reported using problemfocused coping strategies to try to improve the situation most often (40.3 %), followed by emotionally focused coping strategies to accept the reality as it happened (40.3 %). Positive coping strategies predicted relative decreases in symptoms over time in schizophrenia patients [23,24]. This finding was different from studies indicating that schizophrenia patients have difficulty dealing with stressful life events [24,25].…”

Section: Discussioncontrasting

confidence: 78%

“…Positive coping strategies predicted relative decreases in symptoms over time in schizophrenia patients [23,24]. This finding was different from studies indicating that schizophrenia patients have difficulty dealing with stressful life events [24,25]. They may possess a relatively limited repertoire of coping strategies and tend to avoid, rather than actively attempt to solve, problems [26][27][28].…”

Section: Discussioncontrasting

confidence: 66%

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A Path Analysis of Psychotic Symptoms among Persons with Schizophrenia using Methamphetamines

Imkome

Yunibhand

Chaiyawat

2018

Walailak J Sci & Tech

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Knowledge of psychotic symptoms among persons with schizophrenia influenced by methamphetamine use guides the design of nursing innovations to maximize positive patient outcomes. This cross-sectional, descriptive correlation study aimed to explore the relationships among coping, medication use self-efficacy, expressed emotions, stressful life events, social support, and social dysfunction, and to test a model that explained the influences of these factors on psychotic symptoms among persons with schizophrenia using methamphetamines.The stress-vulnerability model for schizophrenia guided this study. A sample of 313 persons with schizophrenia using methamphetamines in psychiatric hospitals and institutes for drug abuse treatment in Thailand was recruited by multi-stage sampling and responded to a Demographic Questionnaire, Brief Psychiatric Rating Scale, Brief COPE, Self-efficacy for Appropriate Medication Use Scale, Expressed Emotional Scale, Stressful Life Events Questionnaire, and Social Dysfunction Scale. A linear structural relationship was used to test the hypothesized path model.The hypothesized model was found to fit the empirical data and explained 54 % of variance in psychotic symptoms (χ2 = 8.28, df = 8, χ2 /df = 1.0, GFI = 0.99, AGFI = 0.96, RMSEA = 0.01). The highest total effect and factors directly affecting psychotic symptoms were emotionally focused coping strategies, medication use self-efficacy, social dysfunction, positively expressed emotions, and stressful life events.The findings recommend that emotionally focused coping strategies, self-efficacy in medication use, social dysfunction, positively expressed emotions, and stressful life events were important factors that influenced psychotic symptoms in patients. Nursing interventions designed to manage these factors are crucial for reducing psychotic symptoms.

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Section: Discussioncontrasting

confidence: 78%

Section: Discussioncontrasting

confidence: 66%

A Path Analysis of Psychotic Symptoms among Persons with Schizophrenia using Methamphetamines

Imkome

Yunibhand

Chaiyawat

2018

Walailak J Sci & Tech

View full text Add to dashboard Cite

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“…Coping had a positive effect on perceived stress. This can be interpreted as an effort to control the threat and reduce or overcome stress by implementing coping actions as an adaptation strategy to protect the ego when facing harmful stress [34]. Chisholm et al reported that the higher the stress, the more avoidant coping strategies were used as a response [35].…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Clinical High Risk for Psychosis

Jang

Han

2021

Korean J Str Res

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Background: For early detection of schizophrenia, we investigated the factors influencing young adults at clinical high risk (CHR) of psychosis and explained the structural model based on the Adolescent Resilience Model and the Stress Vulnerability Model. Methods: Based on web-based questionnaires, we measured perceived stress, family adaptability and cohesion, social support, coping, resilience, social function, and CHR in 907 cases. Results: Among 907 subjects, 102 (11.3%) were classified as CHR, and there was no difference according to demographic variables. Influencing factors of CHR were perceived stress, resilience, and social function. In the modified model, perceived stress, family adaptability and cohesion, and social support demonstrated a significant effect on coping. Perceived stress, family adaptability, cohesion, and coping demonstrated a significant influence on resilience. Perceived stress, coping, resilience, and social function demonstrated a significant influence on CHR. Conclusions: We suggest future research on the early stages of adolescence, and research that includes face-to-face surveys. Moreover, we recommend the development and selection of tools that can explain each influencing factor more lucidly.

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“…Mediators between childhood adversity, including a risky family environment, and psychosis risk are a central topic in current research. Although resilience has been previously investigated as a key psychological factor for psychosis risk and psychosis outcome (Mętel et al, 2020; Ruzibiza, Grattan, Eder, & Linscott, 2018), this is the first study that addresses in detail the differential role of two separate components of resilience as risk factors for PLEs. The main narrative in current research conceptualizes resilience as a rather stable protective factor against childhood adversity and poor mental health outcomes (Southwick, Bonanno, Masten, Panter-Brick, & Yehuda, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…According to this view, resilience should be modelled as a potential moderator, rather than a mediator, of the effect of stressful or traumatic events on psychotic risk. This hypothesis wasn't confirmed in a rather small sample of undergraduate students (Ruzibiza et al, 2018). On the other hand, invoking resilience as a mediator between childhood adversity and poor psychological outcomes implies the existence of a direct effect of early traumatic experiences on resilience itself, making low resilience a risk factor (Kraemer et al 2001) for stress-related outcomes.…”

Section: Previous Literaturementioning

confidence: 99%

Personal and Contextual components of Resilience mediate Risky Family Environment's effect on Psychotic-Like Experiences.

Rossi

Collazzoni

Talevi

et al. 2020

Preprint

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Background: Psychotic-like experiences index an increased risk for subsequent psychotic disorders. A risky family environment is a well-established risk factor for psychotic-like experiences, however different contextual and personal factors may differentially mediate their effect on psychotic-like experiences, including different aspects of resilience. Objective: In this study we propose a two-dimension model of resilience. Our aim is to address separately the mediational role of personal and contextual resilience factors between a risky family environment and PLE in a community sample. Methods and Materials: Five hundred University students completed an on-line questionnaire including the Resilience Scale for Adults, the 16-item version of the Prodromal Questionnaire and the Risky Family Questionnaire. Mediation was assessed using Structural Equation Modelling with bootstrapping estimation of indirect effect. Results: Direct effect of Personal and Contextual resilience on Psychotic-like experiences were respectively -0.69 [- 0.97, -0.41] (p<0.001) and -0.19 [-0.58, 0.20] (ns); indirect effects through personal resilience was 0.03[ 0.01, 0.04] (p<0.001). Personal resilience mediated 27.4% of the total effect of risky family environment on psychotic-like experiences. Discussion: Personal resilience, but not contextual resilience, mediated the effect of a risky family environment on Psychotic-like experiences. Poor personal resilience may represent an individual risk factor that transmits the effect of risky family environment on psychotic-like experiences, and could represent a central aspect of individualised prevention and treatment strategies.

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Components of schizophrenia liability are not uniformly associated with stress sensitivity, resilience, and coping

Cited by 9 publications

References 44 publications

A Path Analysis of Psychotic Symptoms among Persons with Schizophrenia using Methamphetamines

A Path Analysis of Psychotic Symptoms among Persons with Schizophrenia using Methamphetamines

Factors Affecting Clinical High Risk for Psychosis

Personal and Contextual components of Resilience mediate Risky Family Environment's effect on Psychotic-Like Experiences.

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