Individuals with genetic high-risk for psychosis experience impaired coping styles compared with healthy controls

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2024-07-24 DOI:10.1111/eip.13598

Xiao-Yang He, Zhuo-Hui Huang, Fei Wang, Fujun Jia, Cai-Lan Hou

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引用次数: 0

Abstract

Background

Individuals with schizophrenia tend to have negative coping styles and low levels of self-esteem, but it is unclear whether coping styles and self-esteem levels are altered in people in the prodromal phase of psychosis.

Aims

The study was designed to assess the role of coping style and self-esteem in the context of different phases of schizophrenia.

Methods

Recurrent Schizophrenia (ReSch), first-episode schizophrenia patients (FEP), genetic-high risk for psychosis (GHR) patients, and healthy controls (HC) (40 per group) were subjected to in-person clinical interviews. The results of these interviews were then used to gauge coping style and self-esteem using the Coping Styles Questionnaire (CSQ) and the Rosenberg's Self-Esteem Scale (RSES). Data were analyzed through ANCOVAs and logistic regression analyses.

Results

The results found that positive coping style (CSQ problem-solving and CSQ seeking for help) generally decline with progression through the HC, GHR, and FEP groups, while negative coping style (CSQ fantasy, CSQ repression and CSQ self-blame) generally increase with progression through the HC, GHR, and FEP groups (except that GHR group was slightly lower than HC group in CSQ self-blame). Results for members of ReSch group were in line with those of members of the FEP group in coping style. At the level of self-esteem, the GHR group was similar to the HC group and significantly higher than the FEP group and the ReSch group. Logistic regression analyses indicated that GHR group patients exhibited increased negative coping styles (CSQ fantasy) relative to members of the HC group, but had greater Positive coping style (CSQ problem-solving) than did members of the FEP group.

Discussion

These findings suggest that both GHR individuals experience impaired negative coping styles which expands the understanding of the psychological characteristics of the prodromal group. Further explorations are warranted to develop optimal psychosocial interventions.

查看原文本刊更多论文

与健康对照组相比，精神病遗传高危人群的应对方式会受到损害。

背景：精神分裂症患者往往具有消极的应对方式和较低的自尊水平，但目前尚不清楚精神病前驱期患者的应对方式和自尊水平是否会发生改变。研究目的：本研究旨在评估应对方式和自尊在精神分裂症不同阶段背景下的作用：方法：对复发性精神分裂症（ReSch）、首发精神分裂症患者（FEP）、遗传性高危精神病患者（GHR）和健康对照组（HC）（每组 40 人）进行面对面临床访谈。然后根据访谈结果使用应对方式问卷（CSQ）和罗森伯格自尊量表（RSES）来评估应对方式和自尊。通过方差分析和逻辑回归分析对数据进行了分析：结果发现，积极应对方式（CSQ 问题解决和 CSQ 求助）在 HC 组、GHR 组和 FEP 组中普遍下降，而消极应对方式（CSQ 幻想、CSQ 压抑和 CSQ 自责）在 HC 组、GHR 组和 FEP 组中普遍上升（但 GHR 组在 CSQ 自责方面略低于 HC 组）。在应对方式方面，ReSch 组的结果与 FEP 组的结果一致。在自尊方面，GHR 组与 HC 组相似，但明显高于 FEP 组和 ReSch 组。逻辑回归分析表明，GHR 组患者的消极应对方式（CSQ 幻想）相对于 HC 组患者有所增加，但积极应对方式（CSQ 问题解决）则高于 FEP 组患者：讨论：这些研究结果表明，GHR 患者的消极应对方式都受到了损害，这加深了人们对前驱群体心理特征的理解。为制定最佳的社会心理干预措施，我们有必要进行进一步的探索。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.