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Coping styles in individuals at ultra-high risk for psychosis: Associations with cognitive appraisals

Authors
 MinJae Kang  ;  Minji Bang  ;  Su Young Lee  ;  Eun Lee  ;  Sang Woo Yoo  ;  Suk Kyoon An 
Citation
 Psychiatry Research-Neuroimaging, Vol.264 : 162-168, 2018 
Journal Title
 Psychiatry Research-Neuroimaging 
ISSN
 0165-1781 
Issue Date
2018
Keywords
Attributional style ; Coping strategy ; Psychosis ; Self-efficacy ; Social support ; Stress appraisal ; Ultra-high risk
Abstract
Maladaptive coping may play an important role in the manifestation of symptoms, functioning, and overt psychosis onset in individuals at ultra-high risk (UHR) for psychosis. To determine the factors associated with coping strategies, the relationships between cognitive appraisals and coping styles were investigated in UHR individuals. Sixty-five UHR individuals and 83 healthy controls were assessed for coping styles and cognitive appraisals of attribution bias as a primary appraisal and self-efficacy and perceived social support as a secondary appraisal. UHR participants relied more on a passive, tension-reduction coping style and less on an active, problem-focused coping style. These maladaptive coping styles in UHR individuals were significantly associated with their cognitive appraisals of stress. Aberrant attribution style of hostility perception and composite blaming bias were associated with problem-focused coping and tension-reduction, respectively. Perceived social support was related to problem-focused coping, seeking social support, and wishful thinking. General self-efficacy was associated with problem-focused coping. Our findings suggest that cognitive appraisals themselves may be the major determinants of coping styles in UHR individuals. The identified attribution styles, perceived social support, and self-efficacy may provide some clues regarding specialized interventions for the buildup of adaptive coping strategies in UHR individuals.
Full Text
https://www.sciencedirect.com/science/article/pii/S016517811730968X?via%3Dihub
DOI
10.1016/j.psychres.2018.03.079
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
An, Suk Kyoon(안석균) ORCID logo https://orcid.org/0000-0003-4576-6184
Lee, Eun(이은) ORCID logo https://orcid.org/0000-0002-7462-0144
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162573
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