Coping patterns as a valid presentation of the diversity of coping responses in schizophrenia patients

Ritsner, Michael S.; Gibel, Anatoly; Ponizovsky, Alexander M.; Shinkarenko, Evgeny; Ratner, Yaël; Kurs, Rena

doi:10.1016/j.psychres.2005.09.017

Cited by 43 publications

(35 citation statements)

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“…A previous study found a significant relationship between different coping strategies and both severity of symptoms and emotional distress [34] : particularly avoidance-oriented coping strategies (e.g., distraction) were negatively correlated with paranoid symptoms. Another study of the same researchers reported that patients with schizophrenia used emotion-oriented coping significantly more frequently, and task-oriented and combined task-avoidance oriented coping patterns significantly less often than healthy controls [35] . Obviously, the vulnerable patients with high levels of trait emotional reactivity who use maladaptive emotion-oriented coping strategies are at an increased risk of psychotic relapse under stress conditions.…”

Section: Conceptual Foundation Emotion Regulationmentioning

confidence: 91%

“…In the present study, the patients were asked to indicate how often they currently used each of the 48 coping devices, on a 5-point Likert scale ranging from 1 ("not at all") to 5 ("very much"). The CISS has demonstrated high reliability, as well as convergent and concurrent validity [5,35] . The Cronbach's α for the present study ranged from 0.84 for the task-oriented coping scale to 0.77 for the avoidance-oriented coping scale.…”

Section: Comparison Groupmentioning

confidence: 99%

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Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia

Ponizovsky

Finkelstein²,

Poliakova³

et al. 2013

WJP

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AIM:To explore (1) intergroup differences in comfortable interpersonal distances (CIDs) and the use of coping strategies; (2) the association of these parameters with individual symptomatology; and (3) the interplay between CIDs and coping styles in patients with depression and schizophrenia. METHODS:The parameters of interest were assessed by means of standardized questionnaires: CID and Coping Inventory for Stressful Situations. Psychopathology was evaluated with the Beck Depression Inventory and Positive and Negative Syndromes Scale. ANOVA, Pearson's correlations and multiple regression analyses were used to examine relationships among the variables. RESULTS:Compared with controls, depressed patients were more distanced from family members, significant others and self-images, whereas patients with schizophrenia were less distanced from neutral and threatrelated stimuli. Distancing from self-images was mostly associated with depression severity in depressed patients, whereas distancing from hostile and threat-related stimuli with the severity of psychotic and affective symptoms in patients with schizophrenia. Both patient groups used more emotion-oriented than task-oriented and avoidance-oriented coping strategies. Self-distancing among patients with schizophrenia was positively associated with the use of the social diversion coping, implying social support seeking. CONCLUSION:Patients with depression and schizophrenia use different maladaptive emotion -regulation strategies to cope with their symptoms and related distress. Training in stress management might provide these patients with skills for more effective emotion regulation.© 2013 Baishideng Publishing Group Co., Limited. All rights reserved.Key words: Interpersonal distance; Coping strategies; Psychopathology; Depression; Schizophrenia Core tip: This paper takes a unique approach by investigating two emotion-regulation strategies, interpersonal distancing and coping with stress, in patients diagnosed with both adjustment disorder with depression and schizophrenia, and the relationships of these strategies to symptomatology of the disorders. The findings generally supported the hypotheses that the patient groups would display greater interpersonal distances from both positively and negatively valenced stimuli, and greater use of emotion-focused coping than controls. The findings suggest that patients with depression and schizophrenia use different maladaptive emotion-regulation BRIEF ARTICLE

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Section: Conceptual Foundation Emotion Regulationmentioning

confidence: 91%

Section: Comparison Groupmentioning

confidence: 99%

Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia

Ponizovsky

Finkelstein²,

Poliakova³

et al. 2013

WJP

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“…Coping skills have been widely associated with the amelioration or stabilization of psychotic symptoms, and the role of self-efficacy in this relationship has been explored in many studies (e.g. Hultman, Wieselgren, & Ohman, 1997;Jex, Bliese, Buzzel, & Primeau, 2001;Lecomte, Cyr, Lesage, Wilde, Leclerc, & Ricard, 1999;Lysaker, Clements, Wright, Evans, & Marks, 2001;MacDonald, Pica, McDonald, Hayes, & Baglioni, 1998;McDermott, 1995;Pratt, Mueser, Smith, & Lu, 2005;Ritsner & Blumenkrantz, 2007;Ritsner & Susser, 2004;Ritsner et al, 2000;Ritsner, Gibel, Ponizovsky, Shinkarenko, Ratner, & Kurs, 2006;Roe, Yanos, & Lysaker, 2006;Semple, Patterson, Shaw, Grant, Moscona, & Jeste, 1999;Solomon & Draine, 1995;Vauth, Kleim, Wirtz, & Corrigan, 2007;Ventura, Nuechterlein, Subotnik, Green, & Gitlin, 2004). Coping and coping skills may act as protective factors against the exacerbation of clinical symptoms, relapse risk, and a decline in patients' quality of life.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of a coping with stress training program among patients suffering from schizophrenia and schizoaffective disorder: a pilot study

Pérez

Godoy-Izquierdo

Godoy

2013

Anxiety, Stress & Coping

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This study evaluated the clinical effects of an intervention aimed at enhancing specific self-efficacy for coping with stress (CSSE) among patients with psychosis. Fourteen patients, 21-60 years old, diagnosed with schizophrenia or schizoaffective disorder voluntarily participated and were randomly assigned to a training and a control group. The Brief Psychiatric Rating Scale-24 was used to assess psychotic symptoms (primary outcomes) at baseline, post-intervention, and three- and six-month follow-ups. The participants also completed self-reports on well-being and satisfaction with intervention outcomes (secondary outcomes) at post-intervention and at the two follow-up assessments. Trained patients showed a significant decrease in all measures of psychotic symptoms (for disorientation, not significant (NS); effect sizes up to d=4.80). This decline in symptoms remained significant at the follow-ups, with clinical enhancements on some of the subscales. By contrast, control participants showed no significant change in their symptoms. Short- and long-term overall well-being and satisfaction with outcomes were higher among the participants who received the training program. Our findings point out the relevance of enhancing CSSE among patients with psychosis, along with enhancing their coping skills for managing their illness. We conclude that CSSE training should be considered in future therapeutic interventions for psychotic disorders.

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“…Factor solutions may differ depending on the coping strategies included in the scales, and no consensus has so far been achieved. As pointed by Ristner et al [32], one of the major problems of coping research is the lack of defined patters of coping behavior, their prevalence, and attribution among schizophrenic patients.…”

Section: Discussionmentioning

confidence: 99%

Heidelberg Coping Scales for Delusions: Psychometric Evaluation of an Expert Rating Instrument

Rückl

Büche²,

Gentner³

et al. 2012

Psychopathology

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Background: Coping is of substantial relevance in the treatment and course of psychiatric disorders. Standardized instruments to assess coping with psychotic symptoms, particularly delusions, are rare. The aim of this study was to develop and evaluate the psychometric properties of a new instrument to assess coping strategies in the context of delusional experiences: the Heidelberg Coping Scales for Delusions (HCSD). Methods: Two hundred and twelve inpatients with schizophrenia spectrum disorders and affective disorders currently experiencing delusions were interviewed with the HCSD and other coping assessment instruments. Psychometric properties and factor structure were analyzed. Results: The HCSD showed good inter-rater reliability and convergent validity. Factor analysis yielded an interpretable structure with five factors: resource-oriented coping, medical care, distraction, cognitive coping, and depressive coping. Symptomatic behavior, due to its particular characteristics, was considered apart. Conclusion: The HCSD is a reliable and valid instrument for the assessment of coping strategies in patients with delusions. Further research is needed to evaluate coping changes over time and their influence on treatment and clinical outcomes.

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Coping patterns as a valid presentation of the diversity of coping responses in schizophrenia patients

Cited by 43 publications

References 42 publications

Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia

Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia

Clinical outcomes of a coping with stress training program among patients suffering from schizophrenia and schizoaffective disorder: a pilot study

Heidelberg Coping Scales for Delusions: Psychometric Evaluation of an Expert Rating Instrument

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