Individuals with ultra high-risk for psychosis experience impaired
coping styles compared with healthy controls
Abstract
Background: 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), ultra-high risk
for psychosis (UHR) 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 result s found that positive
coping style (CSQ problem-solving and CSQ seeking for help) generally
decline with progression through the HC, UHR, and FEP groups,while
negative coping style(CSQ fantasy,CSQ repression and CSQ self-blame)
generally increase with progression through the HC, UHR,and FEP groups
(except that UHR 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 UHR group was similar to the HC group and significantly
higher than the FEP group and the ReSch group. Logistic regression
analyses indicated that UHR 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. Conclusion: These findings suggest that both UHR
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.