Stress affects the development/course of schizophrenia. Inefficient coping may influence functioning.
Assessment of experienced stress, self-efficacy, self-esteem and coping strategies in schizophrenia.
Study group: 33 schizophrenic in-patients and 27 healthy subjects. Scales: clinical symptoms - PANSS, HDRS; stress-related - experienced stress (SES), self-efficacy (GSES), self-esteem (RSES), coping strategies (COPE).
PANSS, HDRS scores (mean±SD): 49.2±16.2, 10.1±7.6. Table 1 shows SES, GSES, RSES scores, Table 2 - coping strategies (only significant differences). Inter-variable correlations were found: SES-PANSS (r=0.56, p<0.001), SES-HDRS (r=0.69, p=0.01), RSES-HDRS (r=-0.39, p=0.02), COPE14-PANSS (r=0.38, p=0.03), COPE14-PANSS-P (r=0.45, p=0.008).
Table 1Stress, self-efficacy, self-esteem (mean score±SD)ScaleSchizophrenia (n=33, W/M 10/23, age 35.7±13.4)Control (n=27, W/M 17/10, age 36.1±9.4)pSES22.6±7.216.5±5.1<0.001GSES25.2±5.528.6±4.80.02RSES25.4±4.030.3±3.8<0.001
| Table 1 - Stress, self-efficacy, self-esteem (mean score±SD) |
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| Scale | Schizophrenia (n=33, W/M 10/23, age 35.7±13.4) | Control (n=27, W/M 17/10, age 36.1±9.4) | p | | SES | 22.6±7.2 | 16.5±5.1 | <0.001 | | GSES | 25.2±5.5 | 28.6±4.8 | 0.02 | | RSES | 25.4±4.0 | 30.3±3.8 | <0.001 |
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Table 2Coping strategies (mean score±SD)]Strategy (COPE subscale)SchizophreniaControlpActive coping (1)11.0±1.511.8±1.40.047Planning (2)11.0±2.612.7±1.60.003Religious coping (6)11.4±3.37.2±3.0<0.001Restraint (8)11.1±1.810.0±2.20.044Denial (11)7.5±2.16.1±1.60.005Mental disengagement (12)9.8±2.47.4±1.1<0.001Behavioral disengagement (13)8.7±2.16.2±1.6<0.001Substance use (14)5.8±3.04.5±1.40.03
| Table 2 - Coping strategies (mean score±SD)] |
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| Strategy (COPE subscale) | Schizophrenia | Control | p | | Active coping (1) | 11.0±1.5 | 11.8±1.4 | 0.047 | | Planning (2) | 11.0±2.6 | 12.7±1.6 | 0.003 | | Religious coping (6) | 11.4±3.3 | 7.2±3.0 | <0.001 | | Restraint (8) | 11.1±1.8 | 10.0±2.2 | 0.044 | | Denial (11) | 7.5±2.1 | 6.1±1.6 | 0.005 | | Mental disengagement (12) | 9.8±2.4 | 7.4±1.1 | <0.001 | | Behavioral disengagement (13) | 8.7±2.1 | 6.2±1.6 | <0.001 | | Substance use (14) | 5.8±3.0 | 4.5±1.4 | 0.03 |
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Higher experienced stress, lower self-efficacy and self-esteem were found in schizophrenic patients. Stress and coping strategies may affect/result from clinical symptoms. “Passive/avoiding” coping strategies were more frequent in schizophrenic patients.
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Elsevier Masson SAS. Tous droits réservés.
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