Publication:
Dysfunctional coping with stress in psychosis. An investigation with the Maladaptive and Adaptive Coping Styles (MAX) questionnaire

cris.virtual.author-orcid0000-0002-4785-0024
cris.virtualsource.author-orcidb512e86a-37ca-4d55-a8c4-c644655d59e5
datacite.rightsrestricted
dc.contributor.authorMoritz, Steffen
dc.contributor.authorLüdtke, Thies
dc.contributor.authorWestermann, Stefan
dc.contributor.authorHermeneit, Joy
dc.contributor.authorWatroba, Jessica
dc.contributor.authorLincoln, Tania M.
dc.date.accessioned2024-10-24T18:59:52Z
dc.date.available2024-10-24T18:59:52Z
dc.date.issued2016-08
dc.description.abstractObjective: Psychotic episodes have long been conceptualized as inevitable incidents triggered by endogenous biological impairments. It is now well-accepted that the ability of an individual to deal with social and environmental challenges plays an important role in regard to whether or not a vulnerability to psychosis translates into symptoms. For the present study, we examined symptomatic correlates of dysfunctional coping in psychosis and aimed to elucidate a profile of coping strategies that distinguishes patients with schizophrenia from those with depression. Method: The newly devised Maladaptive and Adaptive Coping Styles Scale (MAX) was administered to 75 individuals with psychosis, 100 individuals with depression and 1100 nonclinical controls. Results: Schizophrenia patients showed compromised coping abilities relative to nonclinical controls, particularly a lack of engaging in adaptive coping. Depression was more closely tied to dysfunctional coping than were positive symptoms as indicated by group comparisons and correlational analyses. Correlations between positive symptoms, particularly paranoid symptoms, and avoidance and suppression remained significant when depression was controlled for. Conclusions: Although maladaptive and adaptive coping are unlikely to represent proximal mechanisms for the pathogenesis of positive symptoms, fostering coping skills may reduce positive symptoms via the improvement of depressive symptoms, which are increasingly regarded as risk factors for core psychotic symptoms. Furthermore, the reduction of avoidance and suppression may directly improve positive symptoms.
dc.description.numberOfPages7
dc.description.sponsorshipInstitut für Psychologie, Klinische Psychologie und Psychotherapie
dc.identifier.doi10.7892/boris.93313
dc.identifier.pmid27210727
dc.identifier.publisherDOI10.1016/j.schres.2016.04.025
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/148270
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofSchizophrenia Research
dc.relation.issn0920-9964
dc.relation.organizationDCD5A442BA84E17DE0405C82790C4DE2
dc.relation.organizationDCD5A442BD4DE17DE0405C82790C4DE2
dc.subjectCoping
dc.subjectDepression
dc.subjectEmotion regulation
dc.subjectPositive symptoms
dc.subjectSchizophrenia
dc.subject.ddc100 - Philosophy::150 - Psychology
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.titleDysfunctional coping with stress in psychosis. An investigation with the Maladaptive and Adaptive Coping Styles (MAX) questionnaire
dc.typearticle
dspace.entity.typePublication
dspace.file.typetext
oaire.citation.endPage135
oaire.citation.issue1-3
oaire.citation.startPage129
oaire.citation.volume175
oairecerif.author.affiliationInstitut für Psychologie, Klinische Psychologie und Psychotherapie
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unibe.description.ispublishedpub
unibe.eprints.legacyId93313
unibe.journal.abbrevTitleSCHIZOPHR RES
unibe.refereedtrue
unibe.subtype.articlejournal

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