The relationship between cognitive dysfunction and coping abilities in schizophrenia

Wilder-Willis, Kelly E.; Shear, Paula K.; Steffen, John J.; Borkin, Joyce R.

doi:10.1016/s0920-9964(01)00211-0

Cited by 97 publications

(58 citation statements)

References 24 publications

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“…In either way, the coping strategies function as emotion modulators and in this sense they are similar to the above concept of emotion regulation. Research on coping with stress has indicated that individuals with schizophrenia are inflexible in their use of coping strategies [27] , tend to use maladaptive emotion-oriented coping styles [28][29][30] , and rely more on passive avoidant strategies and less on active problem solving [31,32] . Maladaptive coping patterns in people with schizophrenia have been associated with higher levels of negative symptoms, depression, and anxiety [33] .…”

Section: Conceptual Foundation Emotion Regulationmentioning

confidence: 99%

Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia

Ponizovsky

Finkelstein²,

Poliakova³

et al. 2013

WJP

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AIM:To explore (1) intergroup differences in comfortable interpersonal distances (CIDs) and the use of coping strategies; (2) the association of these parameters with individual symptomatology; and (3) the interplay between CIDs and coping styles in patients with depression and schizophrenia. METHODS:The parameters of interest were assessed by means of standardized questionnaires: CID and Coping Inventory for Stressful Situations. Psychopathology was evaluated with the Beck Depression Inventory and Positive and Negative Syndromes Scale. ANOVA, Pearson's correlations and multiple regression analyses were used to examine relationships among the variables. RESULTS:Compared with controls, depressed patients were more distanced from family members, significant others and self-images, whereas patients with schizophrenia were less distanced from neutral and threatrelated stimuli. Distancing from self-images was mostly associated with depression severity in depressed patients, whereas distancing from hostile and threat-related stimuli with the severity of psychotic and affective symptoms in patients with schizophrenia. Both patient groups used more emotion-oriented than task-oriented and avoidance-oriented coping strategies. Self-distancing among patients with schizophrenia was positively associated with the use of the social diversion coping, implying social support seeking. CONCLUSION:Patients with depression and schizophrenia use different maladaptive emotion -regulation strategies to cope with their symptoms and related distress. Training in stress management might provide these patients with skills for more effective emotion regulation.© 2013 Baishideng Publishing Group Co., Limited. All rights reserved.Key words: Interpersonal distance; Coping strategies; Psychopathology; Depression; Schizophrenia Core tip: This paper takes a unique approach by investigating two emotion-regulation strategies, interpersonal distancing and coping with stress, in patients diagnosed with both adjustment disorder with depression and schizophrenia, and the relationships of these strategies to symptomatology of the disorders. The findings generally supported the hypotheses that the patient groups would display greater interpersonal distances from both positively and negatively valenced stimuli, and greater use of emotion-focused coping than controls. The findings suggest that patients with depression and schizophrenia use different maladaptive emotion-regulation BRIEF ARTICLE

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Section: Conceptual Foundation Emotion Regulationmentioning

confidence: 99%

Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia

Ponizovsky

Finkelstein²,

Poliakova³

et al. 2013

WJP

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“…Integrated programs offer the advantage of motivating clients toward vocational pursuits and individually tailoring the level of support and follow-up needed for a clinical outcome that includes employment. There have been several successful efforts to integrate mental health services and VS [65][66], and studies have provided support for the effectiveness of integrated models over the traditional brokered service model, which uses separate agencies for mental health and VS [67][68][69][70][71].…”

Section: Discussionmentioning

confidence: 99%

Cognitive impairment as barrier to engagement in vocational services among veterans with severe mental illness

O’Connor¹,

Mueller²,

Ormer³

et al. 2011

JRRD

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Abstract-Vocational services (VS), particularly supported employment models, have clear advantages for assisting adults with severe mental illness (SMI) in returning to the workplace, but a majority of eligible individuals with SMI do not receive any type of VS. The reasons for nonparticipation in VS remain poorly understood, and the potential contribution of cognitive impairment as a barrier to entry has not been explored. The present study uses a pathways-to-care design to examine the specific contribution of cognitive functioning to entry into VS among veterans with SMI. We examined 179 veterans with both SMI and un-or underemployment who completed a work history, the Pathways To Care Inventory, and the Trail-Making Test, Part B. Analysis revealed that veterans with SMI and moderate to severe cognitive impairment took significantly longer to progress through pathways-to-care than those with SMI and mild or no cognitive impairment. These results suggest that identifying veterans with SMI and cognitive impairment early and providing them with integrated and adjunct services may help them navigate VS.

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“…These symptoms are less fluctuating than the positive symptoms and also have a greater effect on the person's social life [8]. Many also have cognitive impairments, such as problems with attention, learning and memory, illogical thinking, confusion, delusion and strange linking of thoughts [8,11,17].…”

Section: Schizophreniamentioning

confidence: 99%

“…The primary treatment in developed countries is antipsychotic medication that primarily treats positive symptoms [9]. Antipsychotic medication does not appear to improve cognitive function, and even though other symptoms improve, these cognitive symptoms tend to remain [17]. Psychosocial treatment such as supported employment and social skills training has been found to improve the outcome of schizophrenia [8].…”

Section: Schizophreniamentioning

confidence: 99%

Wickedness in Design of e-Health Systems for People Diagnosed with Schizophrenia

Lindberg

2017

Lecture Notes in Business Information Processing

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Abstract. With the digitisation of society, e-health systems support new contexts that are different from traditional Information Systems contexts, and therefore need to be better understood. In design for complex, new and sensitive contexts, it is not possible to apply known methods and solutions without deeper contextual understanding. The paper intends to answer how the wickedness of the design context when designing digital services for people diagnosed with schizophrenia can be understood -a context that is contradictory and complex, that is, a wicked design context. The paper presents a grounded theory analysis of stakeholder interviews and focus group interviews with people diagnosed with schizophrenia. Four wicked problems are identified: struggle of dependence, contradiction of social interaction, contradiction of trust and counteracting improvement behaviour. The paper also shows the viability of the use of grounded theory for uncovering and describing contextual wickedness.

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The relationship between cognitive dysfunction and coping abilities in schizophrenia

Cited by 97 publications

References 24 publications

Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia

Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia

Cognitive impairment as barrier to engagement in vocational services among veterans with severe mental illness

Wickedness in Design of e-Health Systems for People Diagnosed with Schizophrenia

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