BMC Psychiatry | |
Psychotic symptoms, functioning and coping in adolescents with mental illness | |
Mary Cannon2  Carol Fitzpatrick4  Anne Kehoe1  Michelle Harley6  Aileen Murtagh3  Ian Kelleher3  Nina Devlin3  Johanna TW Wigman5  | |
[1] Department of Clinical Psychology, Queen’s University, Belfast, Northern Ireland;Department of Psychiatry, Beaumont Hospital Dublin, Dublin, Ireland;Department of Psychiatry, Royal College of Surgeons in Ireland, Education and Research Centre Dublin, Dublin, Ireland;Department of Child and Adolescent Psychiatry, University College Dublin, Dublin, Ireland;Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University Medical Centre Maastricht, Vijverdalseweg 1, 6226 NB Maastricht, the Netherlands;St Joseph’s Adolescent Unit, St Vincent’s Hospital Fairview Dublin, Dublin, Ireland | |
关键词: Mental health; Functioning; Adolescents; Coping; Psychotic symptoms; | |
Others : 1123667 DOI : 10.1186/1471-244X-14-97 |
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received in 2013-05-28, accepted in 2014-03-13, 发布年份 2014 | |
【 摘 要 】
Background
Psychotic symptoms in the context of psychiatric disorders are associated with poor functional outcomes. Environmental stressors are important in the development of psychosis; however, distress may only be pathogenic when it exceeds an individual’s ability to cope with it. Therefore, one interesting factor regarding poor functional outcomes in patients with psychotic symptoms may be poor coping. This paper aimed to address the question whether 1) psychotic symptoms are associated with poorer functioning and 2) whether poor coping moderated the association.
Methods
In a clinical case-clinical control study of 106 newly-referred adolescent patients with non-psychotic psychiatric disorders, coping was investigated using the Adolescents Coping Scale. Severity of impairment in socio-occupational functioning was assessed with the Children’s Global Assessment Scale.
Results
Patients with non-psychotic psychiatric disorders and additional psychotic symptoms (N = 50) had poorer functioning and were more likely to use avoidance-oriented coping compared to patients with non-psychotic psychiatric disorders without psychotic symptoms (N = 56). No differences were found with respect to approach-oriented coping. When stratifying for poor/good coping, only those adolescent patients with psychotic symptoms who applied poor coping (i.e. less use of approach-oriented coping styles [OR 0.24, p < 0.015] and more use of avoidance-oriented coping [OR 0.23, p < 0.034]) had poorer functioning. However, these interactions were not significant.
Conclusions
Non-adaptive coping and poorer functioning were more often present in adolescents with non-psychotic psychiatric disorders and additional psychotic symptoms. Due to small subgroups, our analyses could not give definitive conclusions about the question whether coping moderated the association between psychotic symptoms and functioning. Improvement of coping skills may form an important target for intervention that may contribute to better clinical and functional outcomes in patients with psychotic symptoms.
【 授权许可】
2014 Wigman et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150216041738272.pdf | 284KB | download | |
Figure 1. | 41KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Gunnar MR, Vaszquez D: Stress neurobiology and developmental psychopathology. Developmental psychopathology. Volume II. Second edition. Hoboken, New Jersey: Wiley & Sons, Inc; 2006::533-577. [Developmental Neuroscience]
- [2]Kessler RC, Price RH, Wortman CB: Social factors in psychopathology: stress, social support, and coping processes. Ann Rev Psychol 1985, 36(1):531-572.
- [3]Gunnar MR, Quevedo K: The neurobiology of stress and development. Annu Rev Psychol 2007, 58:145-173.
- [4]Lazarus RS, Folkman S: Stress, appraisal, and coping. New York: Springer Publishing Company; 1984.
- [5]Taylor SE, Stanton AL: Coping resources, coping processes, and mental health. Annu Rev Clin Psychol 2007, 3:377-401.
- [6]Phillips LJ, Francey SM, Edwards J, McMurray N: Strategies used by psychotic individuals to cope with life stress and symptoms of illness: a systematic review. Anxiety Stress Copin 2009, 22(4):371-410.
- [7]Ritsner MS, Ratner Y: The long-term changes in coping strategies in schizophrenia: temporal coping types. J Nerv Ment Dis 2006, 194(4):261-267.
- [8]Roe D, Yanos PT, Lysaker PH: Coping with psychosis: an integrative developmental framework. J Nerv Ment Dis 2006, 194(12):917-924.
- [9]Van Os J, Linscott R, Myin-Germeys I, Delespaul P, Krabbendam L: A systematic review and meta-analysis of the psychosis continuum: evidence for a psychosis proneness-persistence-impairment model of psychotic disorder. Psychol Med 2009, 39(2):179-195.
- [10]Kelleher I, Connor D, Clarke MC, Devlin N, Harley M, Cannon M: Prevalence of psychotic symptoms in childhood and adolescence: a systematic review and meta-analysis of population-based studies. Psychol Med 2012, 1(1):1-7.
- [11]Kelleher I, Keeley H, Corcoran P, Lynch F, Fitzpatrick C, Devlin N, Molloy C, Roddy S, Clarke MC, Harley M, Arseneault L, Wasserman C, Carli V, Sarchiapone M, Hoven C, Wasserman D, Cannon M: Clinicopathological significance of psychotic experiences in non-psychotic young people: evidence from four population-based studies. Br J Psychiat 2012, 201(1):26-32.
- [12]Kelleher I, Lynch F, Harley M, Molloy C, Roddy S, Fitzpatrick C, Cannon M: Psychotic symptoms in adolescence index risk for suicidal behaviour: findings from two population-based case–control clinical interview studies. Arch Gen Psychiatry 2012, 69(12):1277-1283.
- [13]Wigman JTW, van Nierop M, Vollebergh WAM, Lieb R, Beesdo-Baum K, Wittchen HU, van Os J: Evidence that psychotic symptoms are prevalent in disorders of anxiety and depression, impacting on illness onset, risk, and severity—implications for diagnosis and ultra–high risk research. Schizophr Bull 2012, 38(2):247-257.
- [14]Perlis RH, Uher R, Ostacher M, Goldberg JF, Trivedi MH, Rush AJ, Fava M: Association between bipolar spectrum features and treatment outcomes in outpatients with major depressive disorder. Arch Gen Psychiat 2011, 68(4):351.
- [15]Wigman JTW, van Os J, Abidi L, Huibers MJH, Roelofs J, Arntz A, Kelleher I, Peeters FPML: Subclinical psychotic experiences and bipolar spectrum features in major depressive disorder: association with outcome of psychotherapy. Psychol Med. 2013. doi:10.1017/S0033291713000871
- [16]Yanos P, Moos R: Determinants of functioning and well-being among individuals with schizophrenia: an integrated model. Clin Psychol Rev 2007, 27(1):58-77.
- [17]Dangelmaier RE, Docherty NM, Akamatsu TJ: Psychosis proneness, coping, and perceptions of social support. Am J Orthopsychiat 2006, 76(1):13-17.
- [18]Fonseca-Pedrero E, Lemos-Giraldez S, Paino ME, Sierra-Baigrie S, Villazon-Garcia U, Bobes J, Muniz J: Coping strategies in adolescents with psychotic-like experiences. [Conference Abstract]. Europ Psychiat 2010, 25(Supp 1):1592.
- [19]Jalbrzikowski M, Sugar CA, Zinberg J, Bachman P, Cannon TD, Bearden CE: Coping styles of individuals at clinical high risk for developing psychosis. Early Intervention Psychiat 2012. doi:10.1111/eip.12005
- [20]Lin A, Wigman JTW, Nelson B, Vollebergh WAM, van Os J, Baksheev G, Ryan J, Raaijmakers QAW, Thompson A, Yung AR: The relationship between coping and subclinical psychotic experiences in adolescents from the general population–a longitudinal study. Psychol Med 2011, 41(12):2535-2546.
- [21]Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, Williamson D, Ryan N: Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Psy 1997, 36(7):980-988.
- [22]Chambers WJ, Puig-Antich J, Hirsch M, Paez P, Ambrosini PJ, Tabrizi MA, Davies M: The assessment of affective disorders in children and adolescents by semistructured interview: test-retest reliability of the schedule for affective disorders and schizophrenia for school-age children, present episode version. Arch Gen Psychiat 1985, 42(7):696-702.
- [23]Shaffer D, Gould MS, Brasic J, Ambrosini P, Fisher P, Bird H, Aluwahlia S: A children's global assessment scale (CGAS). Arch Gen Psychiat 1983, 40(11):1228-1231.
- [24]Frydenberg E, Lewis R: Boys play sport and girls turn to others: age, gender and ethnicity as determinants of coping. J Adolescence 1993, 16(3):253-266.
- [25]O’Connor BP: SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behav Res Methods 2000, 32(3):396-402.
- [26]Kelleher I, Devlin N, Wigman JTW, Kehoe A, Murtagh A, Fitzpatrick C, Cannon M: Psychotic experiences in a mental health clinic sample: implications for suicidality, multimorbidity and functioning. Psychol Med 2013, 1-10. http://dx.doi.org/10.1017/S0033291713002122 webcite
- [27]Malla A, Payne J: First-episode psychosis: psychopathology, quality of life, and functional outcome. Schizophr Bull 2005, 31(3):650-671.
- [28]Lin A, Wood SJ, Yung AR: Measuring psychosocial outcome is good. Curr Opin Psychiatr 2013. doi:10.1097/YCO.0b013e32835d82aa
- [29]Wardenaar KJ, Wigman JTW, Lin A, Killackey E, Collip D, Wood SJ, Ryan J, Beksheev G, Cosgrave E, Nelson B, Yung AY: Development and validation of a new measure of everyday adolescent functioning: the multidimensional adolescent functioning scale. J Adol Health 2013, 52:195-200.
- [30]Keshavan MS, DeLisi LE, Seidman LJ: Early and broadly defined psychosis risk mental states. Schizophr Res 2011, 126(1–3):1-10.
- [31]Lin A, Wood SJ, Nelson B, Brewer WJ, Spiliotacopoulos D, Bruxner A, Broussard C, Pantelis C, Yung AR: Neurocognitive predictors of functional outcome two to 13 years after identification as ultra-high risk for psychosis. Schizophr Res 2011, 132:1-7.
- [32]Carrión RE, McLaughlin A, Goldberg TW, Auther AM, Olsen RH, Olvet DM, Correll CU, Cornblatt BA: Prediction of functional outcome in individuals at clinical high risk for psychosis. JAMA Psychiatr 2013, 70(11):1133-1142.
- [33]Morgan C, Fisher H: Environment and schizophrenia: environmental factors in schizophrenia: childhood trauma—a critical review. Schizophr Bull 2007, 33(1):3-10.
- [34]Varese F, Smeets F, Drukker M, Lieverse R, Lataster T, Viechtbauer W, Read J, van Os J, Bentall RP: 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.
- [35]Kelleher I, Harley M, Lynch F, Arseneault L, Fitzpatrick C, Cannon M: Associations between childhood trauma, bullying and psychotic symptoms among a school-based adolescent sample. Br J Psychiatr 2008, 193(5):378-382.
- [36]Read J, van Os J, Morrison AP, Ross CA: Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications. Acta Psychiat Scand 2005, 112(5):330-350.
- [37]Docherty NM, St-Hilaire A, Aakre JM, Seghers JP: Life events and high-trait reactivity together predict psychotic symptom increases in schizophrenia. Schizophr Bull 2009, 35(3):638-645.
- [38]Tessner KD, Mittal V, Walker EF: Longitudinal study of stressful life events and daily stressors among adolescents at high risk for psychotic disorders. Schizophr Bull 2011, 37(2):432-441.
- [39]Lataster J, Myin-Germeys I, Lieb R, Wittchen HU, van Os J: Adversity and psychosis: a 10‒year prospective study investigating synergism between early and recent adversity in psychosis. Acta Psychiat Scand 2011, 125(5):388-399.
- [40]Horan WP, Ventura J, Nuechterlein KH, Subotnik KL, Hwang SS, Mintz J: Stressful life events in recent-onset schizophrenia: reduced frequencies and altered subjective appraisals. Schizophr Res 2005, 75(2):363-374.
- [41]Phillips LJ, Edwards J, McMurray N, Francey S: Comparison of experiences of stress and coping between young people at risk of psychosis and a non-clinical cohort. Behav Cogn Psychother 2012, 40(1):69-88.
- [42]Myin-Germeys I, van Os J: Stress-reactivity in psychosis: evidence for an affective pathway to psychosis. Clin Psychol Rev 2007, 27(4):409-424.
- [43]Myin-Germeys I, van Os J, Schwartz JE, Stone AA, Delespaul PA: Emotional reactivity to daily life stress in psychosis. Arch Gen Psychiat 2001, 58(12):1137-1144.
- [44]Myin-Germeys I, Krabbendam L, Delespaul PA, van Os J: Do life events have their effect on psychosis by influencing the emotional reactivity to daily life stress? Psychol Med 2003, 33(02):327-333.
- [45]Lataster T, Wichers T, Jacobs N, Mengelers M, Derom C, van Thiery E, Os J, Myin-Germeys I: Does reactivity to stress cosegregate with subclinical psychosis? A general population twin study. Acta Psychiat Scand 2009, 119(1):45-53.
- [46]Farhall J, Greenwood KM, Jackson HJ: Coping with hallucinated voices in schizophrenia: a review of self-initiated strategies and therapeutic interventions. Clin Psychol Rev 2007, 27(4):476-493.
- [47]Mortan O, Sutcu PST, Kose GG: A pilot study on the effectiveness of a group-based cognitive-behavioral therapy program for coping with auditory hallucinations. Turkish J Psychiat 2011, 22(1):1-8.
- [48]Sarin F, Wallin F, Widerlöv B: Cognitive behavior therapy for schizophrenia: a meta-analytical review of randomized controlled trials. Nordic J Psychiat 2011, 65(3):162-174.
- [49]Compas BE, Connor_smith JK, Saltzman H, THomson A, Wadsworth ME: Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research. Psychol Bull 2001, 127(1):87-127.
- [50]Coyne JC, Downey G: Social factors and psychopathology: stress, social support, and coping processes. Ann Rev Psychol 1991, 42(1):401-425.
- [51]Grealish A, Rai S, Hunter A, Morrison AP: Qualitative exploration of empowerment from the perspective of young people with psychosis. Clin Psychol Psychot 2013, 20(2):136-148.