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Coping as a mediator of stress and psychotic-like experiences

Published online by Cambridge University Press:  23 March 2020

A. Ered ,
L.E. Gibson ,
S.D. Maxwell ,
S. Cooper  and
L.M. Ellman
A. Ered
Affiliation:
Department of Psychology, Temple University, 1710N, 13th Street Philadelphia, PA19122, USA
L.E. Gibson
Affiliation:
Department of Psychology, Temple University, 1710N, 13th Street Philadelphia, PA19122, USA
S.D. Maxwell
Affiliation:
Department of Psychology, Temple University, 1710N, 13th Street Philadelphia, PA19122, USA
S. Cooper
Affiliation:
Department of Psychology, Temple University, 1710N, 13th Street Philadelphia, PA19122, USA
L.M. Ellman*
Affiliation:
Department of Psychology, Temple University, 1710N, 13th Street Philadelphia, PA19122, USA
*
*Corresponding author. E-mail address:[email protected] (L.M. Ellman).
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Abstract

Background:

There is evidence that individuals along the whole psychosis continuum have increased responsiveness to stress; however, coping responses to stressors have not been extensively explored in subthreshold psychotic symptoms.

Methods:

In 454 undergraduates, psychotic-like experiences (PLEs) were evaluated using the positive items of the Prodromal Questionnaire. Perceived stress and traumatic life events were assessed using the Life Events Checklist and Perceived Stress Scale, and coping was measured using the Brief COPE. We also examined whether different coping styles mediated the relationship between perceived stress and PLEs, as well as whether different coping styles mediated the relationship between traumatic life events and PLEs.

Results:

Both number of traumatic life events and current level of perceived stress were significantly associated with PLEs. These relationships were both mediated by higher levels of maladaptive coping.

Conclusions:

Results have the potential to inform treatment strategies, as well as inform targets for exploration in longitudinal studies of those at risk for psychosis.

Keywords

PsychosisPsychosocial stressCopingTraumaPsychotic-like experiences
Type
Original article
Information
European Psychiatry , Volume 43 , June 2017 , pp. 9 - 13
Copyright
Copyright © European Psychiatric Association 2017

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References

Nuechterlein, KHDawson, MEA heuristic vulnerability/stress model of schizophrenic episodes. Schizophr Bull 1984;10(2):300CrossRefGoogle ScholarPubMed
Addington, JHeinssen, RPrediction and prevention of psychosis in youth at clinical high risk. Annu Rev Clin Psychol 2012;8: 269–289.CrossRefGoogle ScholarPubMed
Myin-Germeys, Ivan Os, JStress-reactivity in psychosis: evidence for an affective pathway to psychosis. Clin Psychol Rev 2007;27(4):409–424.CrossRefGoogle ScholarPubMed
Read, JOs, JVMorrison, ARoss, CAChildhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications. Acta Psychiatr Scand 2005;112(5):330–350.CrossRefGoogle ScholarPubMed
Varese, FSmeets, FDrukker, MLieverse, RLataster, TViechtbauer, Wet al.Childhood adversities increase the risk of psychosis: a meta-analysis of patient-control, prospective-and cross-sectional cohort studies. Schizophr Bull 2012;38(4):661–671.CrossRefGoogle Scholar
Lardinois, MLataster, TMengelers, RVan Os, JMyin-Germeys, IChildhood trauma and increased stress sensitivity in psychosis. Acta Psychiat Scand 2011;123(1):28–35.CrossRefGoogle ScholarPubMed
Gibson, LEAnglin, DMKlugman, JTReeves, LEFineberg, AMMaxwell, SDet al.Stress sensitivity mediates the relationship between traumatic life events and attenuated positive psychotic symptoms differentially by gender in a college population sample. J Psychiat Res 2014;53: 111–118.CrossRefGoogle Scholar
Van Winkel, RStefanis, NCMyin-Germeys, IPsychosocial stress and psychosis. A review of the neurobiological mechanisms and the evidence for gene-stress interaction. Schizophr Bull 2008;34(6):1095–1105.CrossRefGoogle ScholarPubMed
Myin-Germeys, IDelespaul, PVan Os, JBehavioural sensitization to daily life stress in psychosis. Psychol Med 2005;35(05):733–741.CrossRefGoogle ScholarPubMed
Taylor, SEStanton, ALCoping resources, coping processes, and mental health. Annu Rev Clin Psychol 2007;3: 377–401.CrossRefGoogle ScholarPubMed
Folkman, SLazarus, RSIf it changes it must be a process: study of emotion and coping during three stages of a college examination. J Pers Soc Psychol 1985;48(1):150CrossRefGoogle ScholarPubMed
Ventura, JNuechterlein, KHSubotnik, KLGreen, MFGitlin, MJSelf-efficacy and neurocognition may be related to coping responses in recent-onset schizophrenia. Schizophr Res 2004;69(2):343–352.CrossRefGoogle ScholarPubMed
Holahan, CJMoos, RHPersonal and contextual determinants of coping strategies. J Pers Soc Psychol 1987;52(5):946CrossRefGoogle ScholarPubMed
Moos, RH2001 Invited address: the mystery of human context and coping: an unraveling of clues. Am J Community Psychol 2002;30(1):67–88.CrossRefGoogle Scholar
Meyer, BCoping with severe mental illness: relations of the Brief COPE with symptoms, functioning, and well-being. J Psychopathol Behav 2001;23(4):265–277.CrossRefGoogle Scholar
Horan, WPBlanchard, JJEmotional responses to psychosocial stress in schizophrenia: the role of individual differences in affective traits and coping. Schizophr Res 2003;60(2):271–283.CrossRefGoogle ScholarPubMed
Jalbrzikowski, MSugar, CAZinberg, JBachman, PCannon, TDBearden, CECoping styles of individuals at clinical high risk for developing psychosis. Early Interv Psychiatry 2014;8(1):68–76.CrossRefGoogle ScholarPubMed
Ritsner, MSGibel, APonizovsky, AMShinkarenko, ERatner, YKurs, RCoping patterns as a valid presentation of the diversity of coping responses in schizophrenia patients. Psychiat Res 2006;144(2):139–152.CrossRefGoogle ScholarPubMed
Lysaker, PHBryson, GJLancaster, RSEvans, JDBell, MDInsight in schizophrenia: associations with executive function and coping style. Schizophr Res 2003;59(1):41–47.CrossRefGoogle ScholarPubMed
van den Bosch, RJRombouts, RCoping and cognition in schizophrenia and depression. Compr Psychiatry 1997;38(6):341–344.CrossRefGoogle ScholarPubMed
Phillips, LJEdwards, JMcMurray, NFrancey, SComparison of experiences of stress and coping between young people at risk of psychosis and a non-clinical cohort. Behav Cogn Psychother 2012;40(01):69–88.CrossRefGoogle Scholar
Pruessner, MIyer, SNFaridi, KJoober, RMalla, AKStress and protective factors in individuals at ultra-high risk for psychosis, first episode psychosis and healthy controls. Schizophr Res 2011;129(1):29–35.CrossRefGoogle ScholarPubMed
Kim, KRSong, YYPark, JYLee, EHLee, MLee, SYet al.The relationship between psychosocial functioning and resilience and negative symptoms in individuals at ultra-high risk for psychosis. Aust NZ J Psychiat 2013;47(8):762–771.CrossRefGoogle ScholarPubMed
Van Os, JLinscott, RJMyin-Germeys, IDelespaul, PKrabbendam, LA systematic review and meta-analysis of the psychosis continuum: evidence for a psychosis proneness–persistence–impairment model of psychotic disorder. Psychol Med 2009;39(02):179–195.CrossRefGoogle ScholarPubMed
Reeves, LEAnglin, DMHeimberg, RGGibson, LEFineberg, AMMaxwell, SDet al.Anxiety mediates the association between cannabis use and attenuated positive psychotic symptoms. Psychiat Res 2014;218(1):180–186.CrossRefGoogle ScholarPubMed
van Os, JLinscott, RJIntroduction: the extended psychosis phenotype—relationship with schizophrenia and with ultra-high risk status for psychosis. Schizophr Bull 2012;38(2):227–230.CrossRefGoogle Scholar
Lin, AWigman, JNelson, BVollebergh, WVan Os, JBaksheev, Get al.The relationship between coping and subclinical psychotic experiences in adolescents from the general population–a longitudinal study. Psychol Med 2011;41(12):2535–2546.CrossRefGoogle ScholarPubMed
Loewy, RLJohnson, JKCannon, TDSelf-report of attenuated psychotic experiences in a college population. Schizophr Res 2007;93(1):144–151.CrossRefGoogle Scholar
Loewy, RLBearden, CEJohnson, JKRaine, ACannon, TDThe prodromal questionnaire (PQ): preliminary validation of a self-report screening measure for prodromal and psychotic syndromes. Schizophr Res 2005;79(1):117–125.CrossRefGoogle ScholarPubMed
Cohen, SKamarck, TMermelstein, RA global measure of perceived stress. J Health Soc Behav 1983;24(4);385–396.CrossRefGoogle ScholarPubMed
Cohen, SPsychosocial models of the role of social support in the etiology of physical disease. Health Psychol 1988;7(3):269CrossRefGoogle ScholarPubMed
Hewitt, PLFlett, GLMosher, SWThe Perceived Stress Scale: factor structure and relation to depression symptoms in a psychiatric sample. J Psychopathol Behav 1992;14(3):247–257.CrossRefGoogle Scholar
Cohen, STyrrell, DASmith, APNegative life events, perceived stress, negative affect, and susceptibility to the common cold. J Pers Soc Psychol 1993;64(1):131CrossRefGoogle ScholarPubMed
Palmier-Claus, JDunn, GLewis, SEmotional and symptomatic reactivity to stress in individuals at ultra-high risk of developing psychosis. Psychol Med 2012;42(5):1003CrossRefGoogle ScholarPubMed
Tso, IFGrove, TBTaylor, SFSelf-assessment of psychological stress in schizophrenia: preliminary evidence of reliability and validity. Psychiat Res 2012;195(1):39–44.CrossRefGoogle ScholarPubMed
Gray, MJLitz, BTHsu, JLLombardo, TWPsychometric properties of the Life Events Checklist. Assessment 2004;11(4):330–341.CrossRefGoogle ScholarPubMed
Elhai, JDGray, MJDocherty, ARKashdan, TBKose, SStructural validity of the Posttraumatic Stress Disorder Checklist among college students with a trauma history. J Interpers Violence 2007;22(11):1471–1478.CrossRefGoogle ScholarPubMed
Association A.P., Diagnostic and Statistical Manual of Mental Disorders Washington, DC: American Psychiatric Association; 1994.Google Scholar
Carver, CSYou want to measure coping but your protocol’too long: consider the brief cope. Int J Behav Med 1997;4(1):92–100.CrossRefGoogle ScholarPubMed
Baron, RMKenny, DAThe moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51(6):1173CrossRefGoogle ScholarPubMed
Hayes, AFPROCESS: a versatile computational tool for observed variable mediation, moderation, and conditional process modeling; 2012.Google Scholar
Preacher, KJHayes, AFAsymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 2008;40(3):879–891.CrossRefGoogle ScholarPubMed
Cannon, TDCadenhead, KCornblatt, BWoods, SWAddington, JWalker, Eet al.Prediction of psychosis in youth at high clinical risk: a multisite longitudinal study in North America. Arch Gen Psychiat 2008;65(1):28–37.CrossRefGoogle ScholarPubMed
Tait, LBirchwood, MTrower, PAdapting to the challenge of psychosis: personal resilience and the use of sealing-over (avoidant) coping strategies. Br J Psychiat 2004;185(5):410–415.CrossRefGoogle ScholarPubMed
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