Dysfunctional coping with stress in psychosis. An investigation with the Maladaptive and Adaptive Coping Styles (MAX) questionnaire.
Abstract
Objective Psychotic episodes have long been conceptualized as inevitable incidents triggered by endogenous biological impairments. It is now well-accepted that the ability of an individual to deal with social and environmental challenges plays an important role in regard to whether or not a vulnerability to psychosis translates into symptoms. For the present study, we examined symptomatic correlates of dysfunctional coping in psychosis and aimed to elucidate a profile of coping strategies that distinguishes patients with schizophrenia from those with depression.Method The newly devised Maladaptive and Adaptive Coping Styles Scale (MAX) was administered to 75 individuals with psychosis, 100 individuals with depression and 1100 nonclinical controls.Results Schizophrenia patients showed compromised coping abilities relative to nonclinical controls, particularly a lack of engaging in adaptive coping. Depression was more closely tied to dysfunctional coping than were positive symptoms as indicated by group comparisons and correlational analyses. Correlations between positive symptoms, particularly paranoid symptoms, and avoidance and suppression remained significant when depression was controlled for.Conclusions Although maladaptive and adaptive coping are unlikely to represent proximal mechanisms for the pathogenesis of positive symptoms, fostering coping skills may reduce positive symptoms via the improvement of depressive symptoms, which are increasingly regarded as risk factors for core psychotic symptoms. Furthermore, the reduction of avoidance and suppression may directly improve positive symptoms.
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Psychological processes linked with the problem of distress and dysfunctional behavior are cognitive fusion with internal experiences and maladaptive coping strategies such as experiential avoidance, thought suppression, and worry.
“Psychological processes linked with this problem are cognitive fusion with internal experiences and maladaptive coping strategies such as experiential avoidance, thought suppression and worry (66, 98–100).”
From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [98]
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“Indeed, the cognitive control of thoughts, intrusive thoughts control, or thought suppression in psychotic disorders have been investigated in studies in various countries, such as US, Germany, and UK [17,32,39].”
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Religious Problem Solving and Methods of Control
Eason, R. M. (2017) · Digital Commons - ACU (Abilene Christian University)
Personality in patients with dual diagnosis: The influence of severe mental illness
Arrico, M., & Julia, E. (2017) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Factors Associated with Coping Mechanisms among Cancer Patients Undergoing Chemotherapy
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Factors Affecting Clinical High Risk for Psychosis
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- Authors
- Moritz, S., Lüdtke, T., Westermann, S., Hermeneit, J., Watroba, J., & Lincoln, T. M.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- University of Bern (CH)
- Universität Hamburg (DE)
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 175
- Issue
- 1-3
- Pages
- 129-135
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2407059115
- Cited by
- 36
- References
- 78
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 6 · 2018: 4 · 2017: 7
- FWCI
- 5.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- dysfunctional coping, psychosis
- MeSH terms
- Adaptation, Psychological, Adult, Depression, Female, Humans, Male, Psychotic Disorders, Surveys and Questionnaires, Schizophrenia, Schizophrenic Psychology, Stress, Psychological
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