Kommescher, Mareike, Wagner, Michael ORCID: 0000-0003-2589-6440, Puetzfeld, Verena, Berning, Julia, Janssen, Birgit, Decker, Petra, Bottlender, Ronald, Moeller, Hans-Juergen, Gaebel, Wolfgang, Maier, Wolfgang, Klosterkoetter, Joachim and Bechdolf, Andreas (2016). Coping as a predictor of treatment outcome in people at clinical high risk of psychosis. Early Interv. Psychiatry, 10 (1). S. 17 - 28. HOBOKEN: WILEY. ISSN 1751-7893

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Abstract

AimThe concept of coping is relevant to recent models of psychosis, and people with established psychotic disorders have been found to predominately use maladaptive coping strategies. This study aimed to examine the general coping patterns of people at clinical high risk of psychosis (CHR) and to investigate whether pre-therapy coping behaviour plays a role in predicting responsiveness to early interventions. MethodsOne hundred twenty-eight help-seeking CHR outpatients were randomized into two treatment groups: either receiving integrated psychological intervention (IPI), including cognitive behaviour therapy, or supportive counselling (SC) for 12 months. Of those, 91 persons completed a Stress Coping Questionnaire (SCQ) at intake: 45 in the IPI group and 46 in the SC group. General coping behaviour in this sample was analysed and several regressions were conducted separately for each treatment group to examine coping as a predictor of outcome after 12 months of different forms of treatment. ResultsParticipants relied significantly more on negative than on positive coping strategies, t(90)=-7.185, P<0.001, and within the positive strategies, stress control was the most preferred one, t(90)=10.979, P<0.001. Several pre-therapy coping strategies significantly predicted improvement in symptomatic outcome in both treatment groups, explaining between 16% and 25% of variance. The predictive value of coping was higher in the SC group. ConclusionsMaladaptive coping behaviours were found to emerge in the early stages of psychosis and coping behaviour contributed significantly to the prediction of post-treatment symptom improvement. These findings indicate a need for psychosocial support and coping strategy enhancement in people at risk of psychosis.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Kommescher, MareikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wagner, MichaelUNSPECIFIEDorcid.org/0000-0003-2589-6440UNSPECIFIED
Puetzfeld, VerenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Berning, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Janssen, BirgitUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Decker, PetraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bottlender, RonaldUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moeller, Hans-JuergenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gaebel, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maier, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klosterkoetter, JoachimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bechdolf, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-286200
DOI: 10.1111/eip.12130
Journal or Publication Title: Early Interv. Psychiatry
Volume: 10
Number: 1
Page Range: S. 17 - 28
Date: 2016
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1751-7893
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ULTRA-HIGH-RISK; COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CONTROLLED-TRIAL; OBSTETRIC COMPLICATIONS; SCHIZOPHRENIC-PATIENTS; 1ST-EPISODE PSYCHOSIS; PSYCHOLOGICAL THERAPY; STRATEGIES; SYMPTOMS; METAANALYSISMultiple languages
PsychiatryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/28620

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