Self-reported coping strategies in families of patients in early stages of psychotic disorder: an exploratory study: Coping by families in early psychosis
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AIM: Coping by families of patients with schizophrenia include 'approach' strategies considered to be adaptive (e.g. reinterpretation) and potentially maladaptive 'avoidant' strategies (denial/disengagement, use of alcohol and drugs). Little is known about coping strategies used by families of individuals with incipient or emergent psychosis. METHODS: Self-reported coping styles were assessed in family members of 11 ultra high risk and 12 recent-onset psychosis patients, using a modified version of Carver's Coping Orientations to Problems Experienced questionnaire. RESULTS: Families reported moderate use of 'approach' coping (e.g. planning, seeking social support, positive reinterpretation, acceptance and turning to religion) and rare use of 'avoidant' coping strategies (denial/disengagement and use of alcohol and drugs). CONCLUSIONS: The greater endorsement of 'approach' coping by these families is consistent with findings for families of first episode psychosis patients, and it is in contrast to more prevalent 'avoidant' coping by families of patients with more chronic psychotic illness. Early intervention could plausibly help families maintain the use of potentially more adaptive 'approach' coping strategies over time.
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Problem solving and cognitive restructuring are constructive efforts to modify or achieve better adjustment and management of problematic or difficult situations, and are the strategies most related to a decrease in the caregiver's psychological distress.
“Las estrategias de Solución de problemas y de Restructuración cognitiva constituyen esfuerzos constructivos por modificar o lograr un mejor ajuste y manejo de las situaciones problemáticas o difíciles, las cuales aparecen en la literatura como las más relacionadas con una disminución del malestar psicológico del cuidador”
From Intervención psicológica grupal, basada en la aceptación y el entrenamiento en comunicación, con familiares de personas con trastorno mental grave (2015) · cites this paper as Gerson et al., 2011
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“…y manejo de las situaciones problemáticas o difíciles, las cuales aparecen en la literatura como las más relacionadas con una disminución del malestar psicológico del cuidador (Chakrabarti y Gill, 2002; Chandrasekaran, Sivaprakash y Jayestri, 2002; Gerson et al., 2011; Magliano et al., 2000).”
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Caregiving profiles in first episode psychosis
O’Brien, M., Fornells‐Ambrojo, M., Onwumere, J., Saunders, R., Lewis, G., & Raune, D. (2026) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-026-03202-4
- Authors
- Gerson, R., Wong, C., Davidson, L., Malaspina, D., McGlashan, T., & Corcoran, C.
- Affiliations
- New York University (US)
- Columbia University (US)
- Yale University (US)
- Corresponding author
- Corcoran, Cheryl
- Venue
- Early Intervention in Psychiatry
- Publisher
- Wiley
- Published
- 2011-01-27
- Volume
- 5
- Issue
- 1
- Pages
- 76-80
- ISSN
- 1751-7885 (ISSN-L)
- PMC
- PMC3078580
- OpenAlex
- W2116399400
- Cited by
- 36
- References
- 24
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 6 · 2014: 6 · 2013: 3 · 2012: 3
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Early Intervention in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- Institute for Clinical and Translational Research, University of Wisconsin, Madison
- National Institute of Mental Health (K23MH066279)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- family coping, approach coping, avoidance coping, clinical high risk for psychosis, recent-onset psychosis, early psychosis, alcohol and drug use, positive reappraisal, early intervention
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Female, Humans, Male, Psychotic Disorders, Caregivers, Self Report
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