Assessment of coping with schizophrenia. Stressors, appraisals, and coping behaviour.
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Biomedical subjects
Publications and source records attributed to K H Wiedl.
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This article describes a method developed to assess coping with schizophrenia by inpatients and outpatients. The approach is based on a transactional theory of coping. Symptoms related to the disease, subjective appraisals given by the 40 patients, and coping behavior are assessed using a list of disease-related strains, rating scales, and a semi-structured interview. Results of this study indicate that the patients' appraisals of the effects of their efforts to cope may not be realistic, leading to a low degree of satisfaction. Coping, described as "problem-centered" versus "nonproblem-centered" and as behavioral, cognitive, or emotional, seemed to be related to the patients' clinical status. Nonproblem-centered strategies predominated in the highly strained groups, along with a tendency to more emotional and less cognitive coping.
Coping can be conceptualized in terms of conformity with certain rules describing the relation between appraisals (here: control-ability and variability of stressors) and coping behaviour (here: problem-oriented, non-problem-oriented). The goal of the study is to examine the relevance of this approach for the analysis of schizophrenic patients' coping with their disease. This was done with the help of a reanalysis of data from a previous study. Subjects were 40 patients, which could be grouped in three clusters: high symptom strain, low symptom strain, specific strain (prodromal). Results showed that patients with low strain had a higher level of rule-conformity. Also, subjects with high rule conformity had a higher level of well-being, better prognosis and a higher level of professional education.
Theoretical positions from schizophrenia research, dealing with the issue of coping, are presented and discussed in terms of the processes described and the relationship, which is seen between symptoms and mechanisms of coping. Also, empirical work is reported, where coping of schizophrenic patients in relation to their disorder was analyzed. Dependent on their respective theoretical perspective, these studies investigate coping with clinical symptoms, with basic disorders or with the requirements of the particular situation of living. Discussing the results, their utility for clinical practice is analyzed. Research questions concerning the conceptual formulation of coping with a psychotic disease, the assessment methodology and the issue of external criteria for validation are elaborated.
Results from studies, dealing with the way, schizophrenic persons cope with their disease, are briefly presented. Research problems are elaborated, which concern the issue of a more comprehensive and differentiated conceptualization of coping and of the respective disease, the development of descriptive categories which at the same time are logically consistent and clinically relevant, and finally the construction of adequate assessment procedures. Contributions from Life-Event-Research and from coping research, especially in the field of somatic diseases, are analyzed for helpful approaches and their transferability to people suffering from psychosis. Finally, perspectives of future research are outlined.
Various testing-the-limits procedures were employed in administering the Raven Coloured Progressive Matrices test to 108 subjects with learning difficulties (age range 8.4 to 12.9 years). Both the picture and the puzzle forms of the test were employed in a repeated-measures format. Results revealed significant improvement in performance due to testing condition, test version, and repeated testing. Testing conditions involving verbalization and feedback were most salient. Performance on the second testing was higher than on the first testing. Localization of these effects was made to subgroupings of items on the test. The results were discussed in theoretical and practical terms.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.