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The relationship between coping and subclinical psychotic experiences in adolescents from the general population – a longitudinal study
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Lin, A., Wigman, J. T. W., Nelson, B., Vollebergh, W. A. M., Os, J. van, Baksheev, Gennady N., Ryan, J., Raaijmakers, Q. A. W., Thompson, Andrew D. and Yung, A. R. (2011) The relationship between coping and subclinical psychotic experiences in adolescents from the general population – a longitudinal study. Psychological Medicine, 41 (12). pp. 2535-2546. doi:10.1017/S0033291711000560 ISSN 0033-2917.
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Official URL: http://dx.doi.org/10.1017/S0033291711000560
Abstract
Background.
Subclinical psychotic experiences during adolescence may represent liability for developing psychoticdisorder. Both coping style and the degree of persistence of psychotic experiences may play a role in the progressionto clinical psychotic disorder, but little is known about the causal relationship between the two.
Method.
Path modelling was used to examine longitudinal relationships between subclinical positive psychoticexperiences and three styles of coping (task-, emotion- and avoidance-oriented) in an adolescent general populationsample (n=813) assessed three times in 3 years. Distinct developmental trajectories of psychotic experiences,identified with growth mixture modelling, were compared on the use of these coping styles.
Results.
Over time, emotion-oriented coping in general was bi-directionally related to psychotic experiences. Nomeaningful results were found for task- or avoidance-oriented coping. Females reported using a wider range of coping styles than males, but the paths between coping and psychotic experiences did not differ by gender.Persistence of psychotic experiences was associated with a greater use of emotion-oriented coping, whereas adecrease in experiences over time was associated with an increased use of task-orientated coping.
Conclusions.
Emotion-oriented coping is the most important coping style in relation to psychotic experiences, as itmay contribute to a ‘vicious cycle’ and is associated with persistence of experiences. In addition, more task-orientedcoping may result in a decrease in psychotic experiences. Results suggest that opportunities for intervention mayalready be present at the level of subclinical psychosis.
Item Type: | Journal Article | ||||||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Psychological Medicine | ||||||||||
Publisher: | Cambridge University Press | ||||||||||
ISSN: | 0033-2917 | ||||||||||
Official Date: | December 2011 | ||||||||||
Dates: |
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Volume: | 41 | ||||||||||
Number: | 12 | ||||||||||
Page Range: | pp. 2535-2546 | ||||||||||
DOI: | 10.1017/S0033291711000560 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | Published | ||||||||||
Access rights to Published version: | Restricted or Subscription Access |
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