The relationship between coping and subclinical psychotic experiences in adolescents from the general population – a longitudinal study

Autor: Alison R. Yung, J. van Os, Wilma A. M. Vollebergh, Gennedy Baksheev, Ashleigh Lin, Andrew Thompson, Johanna T. W. Wigman, Barnaby Nelson, Quinten A. W. Raaijmakers, Jaymee Ryan
Přispěvatelé: Psychiatrie & Neuropsychologie, RS: MHeNs School for Mental Health and Neuroscience
Rok vydání: 2011
Předmět:
Zdroj: Psychological Medicine, 41(12), 2535-2546. Cambridge University Press
ISSN: 1469-8978
0033-2917
DOI: 10.1017/s0033291711000560
Popis: BackgroundSubclinical psychotic experiences during adolescence may represent liability for developing psychotic disorder. Both coping style and the degree of persistence of psychotic experiences may play a role in the progression to clinical psychotic disorder, but little is known about the causal relationship between the two.MethodPath modelling was used to examine longitudinal relationships between subclinical positive psychotic experiences and three styles of coping (task-, emotion- and avoidance-oriented) in an adolescent general population sample (n=813) assessed three times in 3 years. Distinct developmental trajectories of psychotic experiences, identified with growth mixture modelling, were compared on the use of these coping styles.ResultsOver time, emotion-oriented coping in general was bi-directionally related to psychotic experiences. No meaningful results were found for task- or avoidance-oriented coping. Females reported using a wider range of coping styles than males, but the paths between coping and psychotic experiences did not differ by gender. Persistence of psychotic experiences was associated with a greater use of emotion-oriented coping, whereas a decrease in experiences over time was associated with an increased use of task-orientated coping.ConclusionsEmotion-oriented coping is the most important coping style in relation to psychotic experiences, as it may contribute to a ‘vicious cycle’ and is associated with persistence of experiences. In addition, more task-oriented coping may result in a decrease in psychotic experiences. Results suggest that opportunities for intervention may already be present at the level of subclinical psychosis.
Databáze: OpenAIRE