Coping strategies in first‐episode psychosis: A systematic review

Abstract

Aims: This paper reviews and discusses the published information on coping strategies in people with a first-episode psychosis (FEP). The objective is to update knowledge about coping strategies used by people with a FEP, to compare these strategies with those used by other mental disorders, and to examine the relationship between coping strategies and other variables in FEP.Method: A search was conducted using PsycINFO, MEDLINE and PSICODOC between 1995 and 2018 using the following terms: coping strategies or Adaptation, Psychological and FEP.Results: A total of 167 studies were found, of which 14 were selected for review. The results suggest the need for a multiple and integrated approach, since there are several factors that are involved in the coping strategies (eg, socio-demographic, clinical and psychological variables) used in the different profiles of psychotic spectrum, specifically in FEP. Conclusions:The role of coping skills is an important issue in psychopathological research in addition to clinical outcome, especially from the point of view of the patients, their social context and their recovery. Moreover, personalized therapies addressed to personal recovery should be considered to develop better coping specifically addressed to patients' needs.

Stress coping strategies and their clinical correlates in patients with psychosis at various stages of illness: A case‐control study

“…The effect of this intervention sustained for 2 years after the use during the inpatient phase. Similarly, interventions that improve self‐reflectiveness, openness, metallisation or reflective functions might also lead to improvement of coping strategies in subjects with psychosis (Moritz & Woodward, ; Ochoa et al, ; Riera‐López de Aguileta, Vila‐Badia, Usall, Butjosa, & Ochoa, ). Moreover, addressing the moderating effects of coping styles on the relationship between traumatic life events, especially those appearing in the childhood, might improve prediction of psychosis risk in vulnerable individuals.…”

Exploring the complex relationships between coping strategies, locus of control and self-esteem with psychopathology: structural equation modeling with a special focus on clinical high-risk of psychosis

“…Relatedly, other relevant intervention targets for this population include transdiagnostic factors of core beliefs – consisting of locus of control (LOC) and competence beliefs – and coping, demonstrating dysfunctional patterns in CHR [29], FEP [29, 30], and schizophrenia patients alike [31, 32], and are regarded as possible predictors of psychosis [29]. That is, the hypothesis that typical psychotic symptoms, for example, delusions and hallucinations, result from the use of dysfunctional coping and core beliefs in response to basic symptoms (BS; self-experienced subclinical disturbances in thinking, speech, and perception) [33] and stressful stimuli [34].…”

"Changes in Adaptive-Compensatory Functions in Patients with Paranoid Schizophrenia with an Affective Pattern of Non-Suicidal Auto- Aggressive Behavior in Conditions of Prolonged Social Isolation"

“…To mitigate distress, patients with paranoid schizophrenia are forced to resort to the development of new forms of adaptive behavior (coping strategies). The result of such actions are changes in the cognitive, emotional and behavioral spheres in such patients [17][18][19][20][21]. Knowledge of the regularities in the change of adaptive functions can contribute to the improvement of therapeutic and rehabilitation measures in this group of patients.…”