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The significance of coping as a therapeutic variable for the outcome of psychological therapy in schizophrenia

Published online by Cambridge University Press:  16 April 2020

Karl Andres ,
Mario Pfammatter ,
Alexander Fries  and
Hans Dieter Brenner
Karl Andres*
Affiliation:
Department of Social and Community Psychiatry, University Psychiatric Services Bern, UPD, Bolligenstrasse 111, 3000Bern 60, Switzerland
Mario Pfammatter
Affiliation:
Department of Social and Community Psychiatry, University Psychiatric Services Bern, UPD, Bolligenstrasse 111, 3000Bern 60, Switzerland
Alexander Fries
Affiliation:
Department of Social and Community Psychiatry, University Psychiatric Services Bern, UPD, Bolligenstrasse 111, 3000Bern 60, Switzerland
Hans Dieter Brenner
Affiliation:
Department of Social and Community Psychiatry, University Psychiatric Services Bern, UPD, Bolligenstrasse 111, 3000Bern 60, Switzerland
*
*E-mail address: [email protected]
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Abstract

Although there is now strong evidence confirming the efficacy of psychological therapies in schizophrenia, the therapeutic processes which they activate remain widely unknown. In order to effectively implement them in clinical practice, identification of these processes is essential. In a controlled study, the efficacy of a coping-oriented therapy approach for schizophrenia patients was tested. Furthermore, the study aimed at establishing preliminary hypotheses on the therapeutically relevant factors. Treatment effects were found in the prominence of psychopathology, the extent of cognizance of the disorder, and the level of social functioning. Moreover, a better psychopathological and social outcome as measured 12 and 18 months after completion of therapy was best predicted by the patients’ mastery of active, problem-focused coping strategies immediately after completion of therapy. The findings underscore the clinical relevance of specific coping styles and corroborate the appropriateness of focusing on aspects of coping behavior in psychological interventions for schizophrenia patients.

Keywords

SchizophreniaCopingCognitive behavioral therapyPsychoeducation
Type
Original article
Information
European Psychiatry , Volume 18 , Issue 4 , June 2003 , pp. 149 - 154
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2003

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References

Andreasen, NC. Scale for the assessment of negative symptoms (SANS). Iowa City: The University of Iowa; 1984.Google Scholar
Brenner, HD, Pfammatter, M. Psychological therapy in schizophrenia: what is the evidence? Acta Psychiatr Scand 2000;102(Suppl 407): 74–7.CrossRefGoogle Scholar
Hahlweg, K, Dürr, H, Müller, U. Familienbetreuung schizophrener Patienten: ein verhaltenstherapeutischer Ansatz zur Rückfallprophylaxe; Konzepte, Behandlungsanleitung und Materialien. Weinheim: Beltz Psychologie-Verlags-Union; 1995.Google Scholar
Hecht, H, Faltermaier, A, Wittchen, HU. Social interview schedule (SIS). Regensburg: Roderer Verlag; 1987.Google Scholar
Janke, W, Erdmann, G, Boucsein, W. Stressverarbeitungsfragebogen (SVF). Göttingen: Hogrefe; 1985.Google Scholar
Kemp, R, David, A. Psychological predictors of insight and compliance in psychotic patients. Br J Psychiatry 1996;169:444–50.CrossRefGoogle ScholarPubMed
Krampen, G. Fragebogen zu Kompetenz und Kontrollüberzeugungen (FKK). Göttingen: Hogrefe; 1991.Google Scholar
Linden, M, Nather, J, Wilms, HU. Zur Definition, Bedeutung und Messung der Krankheitskonzepte von Patienten. Die Krankheitskonzeptskala (KK-Skala) für schizophrene Patienten. Fortschr Neurol Psychiatr 1988;56:35–43.CrossRefGoogle Scholar
Mari, JJ, Streiner, D. Family intervention for schizophrenia (Cochrane Review). The Cochrane library, issue 2. Oxford: Update Software; 1998.Google Scholar
Mueser, KT, Bond, GR. Psychosocial treatment approaches for schizophrenia. Curr Opin Psychiatr 2000;13:27–35.CrossRefGoogle Scholar
Muthny, FA. Freiburger Fragebogen zur Krankheitsverarbeitung, FKV. Weinheim: Beltz Test; 1989.Google Scholar
Overall, JE, Gorham, DR. The BriefPsychiatric Rating Scale. Psychol Rep 1962;10:799–812.CrossRefGoogle Scholar
Pallanti, S, Quercioli, L, Pazzagli, A. Relapse in young paranoid schizophrenic patients: a prospective study of stressful life events, P300 measures, and coping. Am J Psychiatry 1997;154:792–8.Google ScholarPubMed
Reicherts, M, Perrez, M. Fragebogen zum Umgang mit Belastungen. Bern: Huber; 1993.Google Scholar
Roder, V, Zorn, P, Andres, K, Pfammatter, M, Brenner, HD. Praxishandbuch zur verhaltenstherapeutischen Behandlung schizophren Erkrankter. Bern: Hans Huber; 2002.Google Scholar
Schaub, A, Andres, K, Brenner, HD, Donzel, G. Developing a group format coping-orientated treatment programme for schizophrenic patients. In: Böker, W, Brenner, HD, Genner, R, editors. Towards a comprehensive therapy for schizophrenia. Seattle: Hogrefe & Huber; 1997. p. 228–51.Google Scholar
Ventura, J, Nuechterlein, KH, Subotnik, KL, Gitlin, M, Bartzokis, G, Sharou, J. Coping responses and neurocognitive functioning in schizophrenia. Paper presented at the 151st meeting of the American Psychiatric Association. Toronto; 30 May-4 June 1999.Google Scholar
Wiedl, KH, Schottner, B. Coping with symptoms related to schizophrenia. Schizophr Bull 1991;17:525–38.CrossRefGoogle Scholar
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