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Tania M Lincoln - One of the best experts on this subject based on the ideXlab platform.
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dysfunctional Coping with stress in psychosis an investigation with the malAdaptive and Adaptive Coping styles max questionnaire
Schizophrenia Research, 2016Co-Authors: Steffen Moritz, Thies Ludtke, Stefan Westermann, Joy Hermeneit, Jessica Watroba, Tania M LincolnAbstract:Abstract Objective Psychotic episodes have long been conceptualized as inevitable incidents triggered by endogenous biological impairments. It is now well-accepted that the ability of an individual to deal with social and environmental challenges plays an important role in regard to whether or not a vulnerability to psychosis translates into symptoms. For the present study, we examined symptomatic correlates of dysfunctional Coping in psychosis and aimed to elucidate a profile of Coping strategies that distinguishes patients with schizophrenia from those with depression. Method The newly devised MalAdaptive and Adaptive Coping Styles Scale (MAX) was administered to 75 individuals with psychosis, 100 individuals with depression and 1100 nonclinical controls. Results Schizophrenia patients showed compromised Coping abilities relative to nonclinical controls, particularly a lack of engaging in Adaptive Coping. Depression was more closely tied to dysfunctional Coping than were positive symptoms as indicated by group comparisons and correlational analyses. Correlations between positive symptoms, particularly paranoid symptoms, and avoidance and suppression remained significant when depression was controlled for. Conclusions Although malAdaptive and Adaptive Coping are unlikely to represent proximal mechanisms for the pathogenesis of positive symptoms, fostering Coping skills may reduce positive symptoms via the improvement of depressive symptoms, which are increasingly regarded as risk factors for core psychotic symptoms. Furthermore, the reduction of avoidance and suppression may directly improve positive symptoms.
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Dysfunctional Coping with stress in psychosis. An investigation with the MalAdaptive and Adaptive Coping Styles (MAX) questionnaire.
Schizophrenia research, 2016Co-Authors: Steffen Moritz, Thies Ludtke, Stefan Westermann, Joy Hermeneit, Jessica Watroba, Tania M LincolnAbstract:Psychotic episodes have long been conceptualized as inevitable incidents triggered by endogenous biological impairments. It is now well-accepted that the ability of an individual to deal with social and environmental challenges plays an important role in regard to whether or not a vulnerability to psychosis translates into symptoms. For the present study, we examined symptomatic correlates of dysfunctional Coping in psychosis and aimed to elucidate a profile of Coping strategies that distinguishes patients with schizophrenia from those with depression. The newly devised MalAdaptive and Adaptive Coping Styles Scale (MAX) was administered to 75 individuals with psychosis, 100 individuals with depression and 1100 nonclinical controls. Schizophrenia patients showed compromised Coping abilities relative to nonclinical controls, particularly a lack of engaging in Adaptive Coping. Depression was more closely tied to dysfunctional Coping than were positive symptoms as indicated by group comparisons and correlational analyses. Correlations between positive symptoms, particularly paranoid symptoms, and avoidance and suppression remained significant when depression was controlled for. Although malAdaptive and Adaptive Coping are unlikely to represent proximal mechanisms for the pathogenesis of positive symptoms, fostering Coping skills may reduce positive symptoms via the improvement of depressive symptoms, which are increasingly regarded as risk factors for core psychotic symptoms. Furthermore, the reduction of avoidance and suppression may directly improve positive symptoms. Copyright © 2016. Published by Elsevier B.V.
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more Adaptive versus less malAdaptive Coping what is more predictive of symptom severity development of a new scale to investigate Coping profiles across different psychopathological syndromes
Journal of Affective Disorders, 2016Co-Authors: Steffen Moritz, Tania M Lincoln, Anna Katharina Jahns, Johanna Schroder, Thomas Berger, Jan Philipp Klein, Anja S GoritzAbstract:Abstract Background Lack of Adaptive and enhanced malAdaptive Coping with stress and negative emotions are implicated in many psychopathological disorders. We describe the development of a new scale to investigate the relative contribution of different Coping styles to psychopathology in a large population sample. We hypothesized that the magnitude of the supposed positive correlation between malAdaptive Coping and psychopathology would be stronger than the supposed negative correlation between Adaptive Coping and psychopathology. We also examined whether distinct Coping style patterns emerge for different psychopathological syndromes. Methods A total of 2200 individuals from the general population participated in an online survey. The Patient Health Questionnaire-9 (PHQ-9), the Obsessive-Compulsive Inventory revised (OCI-R) and the Paranoia Checklist were administered along with a novel instrument called MalAdaptive and Adaptive Coping Styles (MAX) questionnaire. Participants were reassessed six months later. Results MAX consists of three dimensions representing Adaptive Coping, malAdaptive Coping and avoidance. Across all psychopathological syndromes, similar response patterns emerged. MalAdaptive Coping was more strongly related to psychopathology than Adaptive Coping both cross-sectionally and longitudinally. The overall number of Coping styles adopted by an individual predicted greater psychopathology. Mediation analysis suggests that a mild positive relationship between Adaptive and certain malAdaptive styles (emotional suppression) partially accounts for the attenuated relationship between Adaptive Coping and depressive symptoms. Limitations Results should be replicated in a clinical population. Conclusions Results suggest that malAdaptive and Adaptive Coping styles are not reciprocal. Reducing malAdaptive Coping seems to be more important for outcome than enhancing Adaptive Coping. The study supports transdiagnostic approaches advocating that malAdaptive Coping is a common factor across different psychopathologies.
Steffen Moritz - One of the best experts on this subject based on the ideXlab platform.
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obsessive compulsive disorder is characterized by a lack of Adaptive Coping rather than an excess of malAdaptive Coping
Cognitive Therapy and Research, 2018Co-Authors: Steffen Moritz, J Fink, Franziska Miegel, Katharina Nitsche, Vivien Kraft, Peter Tonn, Lena JelinekAbstract:The present study aimed to elucidate the profile of Coping in patients with obsessive–compulsive disorder (OCD) in order to discern whether the disorder is characterized by an excess of malAdaptive Coping skills and/or a lack of Adaptive Coping skills. Sixty individuals with OCD were compared with 110 individuals with depression and 1050 nonclinical controls on the MalAdaptive and Adaptive Coping Styles Questionnaire (MAX). Psychopathology was assessed with the Obsessive–Compulsive Inventory-Revised (OCI-R), the Yale-Brown Obsessive–Compulsive Scale (Y-BOCS), and the Patient Health Questionnaire-9 for depression (PHQ-9). Individuals with OCD and depression displayed more malAdaptive Coping and avoidance as well as less Adaptive Coping than nonclinical controls. Importantly, Adaptive Coping was significantly lower in individuals with OCD than in those with depression at a medium effect size, whereas the clinical groups were indistinguishable on malAdaptive Coping and avoidance. Lack of Adaptive Coping was strongly correlated with resistance to symptoms and poor insight in OCD (Y-BOCS), even after controlling for depression. Lack of Adaptive Coping skills may represent a specific pathogenetic factor in OCD. Longitudinal studies need to clarify whether strengthening Adaptive skills during childhood and adolescence may help to prevent the progression from subclinical to manifest OCD.
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Obsessive–Compulsive Disorder is Characterized by a Lack of Adaptive Coping Rather than an Excess of MalAdaptive Coping
Cognitive Therapy and Research, 2018Co-Authors: Steffen Moritz, J Fink, Franziska Miegel, Katharina Nitsche, Vivien Kraft, Peter Tonn, Lena JelinekAbstract:The present study aimed to elucidate the profile of Coping in patients with obsessive–compulsive disorder (OCD) in order to discern whether the disorder is characterized by an excess of malAdaptive Coping skills and/or a lack of Adaptive Coping skills. Sixty individuals with OCD were compared with 110 individuals with depression and 1050 nonclinical controls on the MalAdaptive and Adaptive Coping Styles Questionnaire (MAX). Psychopathology was assessed with the Obsessive–Compulsive Inventory-Revised (OCI-R), the Yale-Brown Obsessive–Compulsive Scale (Y-BOCS), and the Patient Health Questionnaire-9 for depression (PHQ-9). Individuals with OCD and depression displayed more malAdaptive Coping and avoidance as well as less Adaptive Coping than nonclinical controls. Importantly, Adaptive Coping was significantly lower in individuals with OCD than in those with depression at a medium effect size, whereas the clinical groups were indistinguishable on malAdaptive Coping and avoidance. Lack of Adaptive Coping was strongly correlated with resistance to symptoms and poor insight in OCD (Y-BOCS), even after controlling for depression. Lack of Adaptive Coping skills may represent a specific pathogenetic factor in OCD. Longitudinal studies need to clarify whether strengthening Adaptive skills during childhood and adolescence may help to prevent the progression from subclinical to manifest OCD.
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dysfunctional Coping with stress in psychosis an investigation with the malAdaptive and Adaptive Coping styles max questionnaire
Schizophrenia Research, 2016Co-Authors: Steffen Moritz, Thies Ludtke, Stefan Westermann, Joy Hermeneit, Jessica Watroba, Tania M LincolnAbstract:Abstract Objective Psychotic episodes have long been conceptualized as inevitable incidents triggered by endogenous biological impairments. It is now well-accepted that the ability of an individual to deal with social and environmental challenges plays an important role in regard to whether or not a vulnerability to psychosis translates into symptoms. For the present study, we examined symptomatic correlates of dysfunctional Coping in psychosis and aimed to elucidate a profile of Coping strategies that distinguishes patients with schizophrenia from those with depression. Method The newly devised MalAdaptive and Adaptive Coping Styles Scale (MAX) was administered to 75 individuals with psychosis, 100 individuals with depression and 1100 nonclinical controls. Results Schizophrenia patients showed compromised Coping abilities relative to nonclinical controls, particularly a lack of engaging in Adaptive Coping. Depression was more closely tied to dysfunctional Coping than were positive symptoms as indicated by group comparisons and correlational analyses. Correlations between positive symptoms, particularly paranoid symptoms, and avoidance and suppression remained significant when depression was controlled for. Conclusions Although malAdaptive and Adaptive Coping are unlikely to represent proximal mechanisms for the pathogenesis of positive symptoms, fostering Coping skills may reduce positive symptoms via the improvement of depressive symptoms, which are increasingly regarded as risk factors for core psychotic symptoms. Furthermore, the reduction of avoidance and suppression may directly improve positive symptoms.
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Dysfunctional Coping with stress in psychosis. An investigation with the MalAdaptive and Adaptive Coping Styles (MAX) questionnaire.
Schizophrenia research, 2016Co-Authors: Steffen Moritz, Thies Ludtke, Stefan Westermann, Joy Hermeneit, Jessica Watroba, Tania M LincolnAbstract:Psychotic episodes have long been conceptualized as inevitable incidents triggered by endogenous biological impairments. It is now well-accepted that the ability of an individual to deal with social and environmental challenges plays an important role in regard to whether or not a vulnerability to psychosis translates into symptoms. For the present study, we examined symptomatic correlates of dysfunctional Coping in psychosis and aimed to elucidate a profile of Coping strategies that distinguishes patients with schizophrenia from those with depression. The newly devised MalAdaptive and Adaptive Coping Styles Scale (MAX) was administered to 75 individuals with psychosis, 100 individuals with depression and 1100 nonclinical controls. Schizophrenia patients showed compromised Coping abilities relative to nonclinical controls, particularly a lack of engaging in Adaptive Coping. Depression was more closely tied to dysfunctional Coping than were positive symptoms as indicated by group comparisons and correlational analyses. Correlations between positive symptoms, particularly paranoid symptoms, and avoidance and suppression remained significant when depression was controlled for. Although malAdaptive and Adaptive Coping are unlikely to represent proximal mechanisms for the pathogenesis of positive symptoms, fostering Coping skills may reduce positive symptoms via the improvement of depressive symptoms, which are increasingly regarded as risk factors for core psychotic symptoms. Furthermore, the reduction of avoidance and suppression may directly improve positive symptoms. Copyright © 2016. Published by Elsevier B.V.
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more Adaptive versus less malAdaptive Coping what is more predictive of symptom severity development of a new scale to investigate Coping profiles across different psychopathological syndromes
Journal of Affective Disorders, 2016Co-Authors: Steffen Moritz, Tania M Lincoln, Anna Katharina Jahns, Johanna Schroder, Thomas Berger, Jan Philipp Klein, Anja S GoritzAbstract:Abstract Background Lack of Adaptive and enhanced malAdaptive Coping with stress and negative emotions are implicated in many psychopathological disorders. We describe the development of a new scale to investigate the relative contribution of different Coping styles to psychopathology in a large population sample. We hypothesized that the magnitude of the supposed positive correlation between malAdaptive Coping and psychopathology would be stronger than the supposed negative correlation between Adaptive Coping and psychopathology. We also examined whether distinct Coping style patterns emerge for different psychopathological syndromes. Methods A total of 2200 individuals from the general population participated in an online survey. The Patient Health Questionnaire-9 (PHQ-9), the Obsessive-Compulsive Inventory revised (OCI-R) and the Paranoia Checklist were administered along with a novel instrument called MalAdaptive and Adaptive Coping Styles (MAX) questionnaire. Participants were reassessed six months later. Results MAX consists of three dimensions representing Adaptive Coping, malAdaptive Coping and avoidance. Across all psychopathological syndromes, similar response patterns emerged. MalAdaptive Coping was more strongly related to psychopathology than Adaptive Coping both cross-sectionally and longitudinally. The overall number of Coping styles adopted by an individual predicted greater psychopathology. Mediation analysis suggests that a mild positive relationship between Adaptive and certain malAdaptive styles (emotional suppression) partially accounts for the attenuated relationship between Adaptive Coping and depressive symptoms. Limitations Results should be replicated in a clinical population. Conclusions Results suggest that malAdaptive and Adaptive Coping styles are not reciprocal. Reducing malAdaptive Coping seems to be more important for outcome than enhancing Adaptive Coping. The study supports transdiagnostic approaches advocating that malAdaptive Coping is a common factor across different psychopathologies.
Anja S Goritz - One of the best experts on this subject based on the ideXlab platform.
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more Adaptive versus less malAdaptive Coping what is more predictive of symptom severity development of a new scale to investigate Coping profiles across different psychopathological syndromes
Journal of Affective Disorders, 2016Co-Authors: Steffen Moritz, Tania M Lincoln, Anna Katharina Jahns, Johanna Schroder, Thomas Berger, Jan Philipp Klein, Anja S GoritzAbstract:Abstract Background Lack of Adaptive and enhanced malAdaptive Coping with stress and negative emotions are implicated in many psychopathological disorders. We describe the development of a new scale to investigate the relative contribution of different Coping styles to psychopathology in a large population sample. We hypothesized that the magnitude of the supposed positive correlation between malAdaptive Coping and psychopathology would be stronger than the supposed negative correlation between Adaptive Coping and psychopathology. We also examined whether distinct Coping style patterns emerge for different psychopathological syndromes. Methods A total of 2200 individuals from the general population participated in an online survey. The Patient Health Questionnaire-9 (PHQ-9), the Obsessive-Compulsive Inventory revised (OCI-R) and the Paranoia Checklist were administered along with a novel instrument called MalAdaptive and Adaptive Coping Styles (MAX) questionnaire. Participants were reassessed six months later. Results MAX consists of three dimensions representing Adaptive Coping, malAdaptive Coping and avoidance. Across all psychopathological syndromes, similar response patterns emerged. MalAdaptive Coping was more strongly related to psychopathology than Adaptive Coping both cross-sectionally and longitudinally. The overall number of Coping styles adopted by an individual predicted greater psychopathology. Mediation analysis suggests that a mild positive relationship between Adaptive and certain malAdaptive styles (emotional suppression) partially accounts for the attenuated relationship between Adaptive Coping and depressive symptoms. Limitations Results should be replicated in a clinical population. Conclusions Results suggest that malAdaptive and Adaptive Coping styles are not reciprocal. Reducing malAdaptive Coping seems to be more important for outcome than enhancing Adaptive Coping. The study supports transdiagnostic approaches advocating that malAdaptive Coping is a common factor across different psychopathologies.
Arndt Bussing - One of the best experts on this subject based on the ideXlab platform.
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utilized resources of hope orientation and inspiration in life of persons with multiple sclerosis and their association with life satisfaction Adaptive Coping strategies and spirituality
Journal of Religion & Health, 2016Co-Authors: Annegritli Wirth, Arndt BussingAbstract:In a cross-sectional survey among 213 patients with multiple sclerosis, we intended to analyze their resources of hope, orientation, and inspiration in life, and how these resources are related to health-associated variables, Adaptive Coping strategies, and life satisfaction. Resources were categorized as Faith (10 %), Family (22 %), Other sources (16 %), and No answer (53 %). These non-respondents were predominantly neither religious nor spiritual (70 % R−S−). Although R−S− persons are a heterogeneous group with varying existential interest, they did not significantly differ from their spiritual/religious counterparts with respect to physical and mental health or life satisfaction, but for an Adaptive Reappraisal strategy and Gratitude/Awe.
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Adaptive Coping strategies in patients with chronic pain conditions and their interpretation of disease
BMC Public Health, 2010Co-Authors: Arndt Bussing, Thomas Ostermann, E A M Neugebauer, Peter HeusserAbstract:Background We examined which Adaptive Coping strategies, referring to the concept of 'locus of disease control', were of relevance for patients with chronic pain conditions, and how they were interconnected with patients' life satisfaction and interpretation of disease.
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Adaptive Coping strategies and attitudes toward health and healing in german homeopathy and acupuncture users
Explore-the Journal of Science and Healing, 2010Co-Authors: Arndt Bussing, Thomas Ostermann, Christa Raak, Peter F MatthiessenAbstract:Context Although acupuncture and homeopathy both have a theoretical background that refers to immaterial forces difficult to verify, they are nevertheless used and accepted as effective treatments by many individuals. Objective We intended to investigate whether and how users of acupuncture and homeopathy differ with respect to sociodemographic data, Adaptive Coping strategies, and attitudes toward complementary and alternative medicine (CAM). Design and Patients In an anonymous questionnaire survey among 5,830 elderly German health insurants, we identified individuals who used CAM within the last five years. Results Acupuncture was used by 10% of the population, homeopathy by 7%, and both by 5%. More men than women used acupuncture, whereas homeopathy was used equally by women and men. Acupuncture users had a reduced physical health status compared to homeopathy users. In most cases, it was not a disappointment with conventional medicine that accounted for CAM usage. Stepwise regression analyses revealed that the best predictors of acupuncture and homeopathy usage were the conviction that CAM is more profound and expends more time, fear of the side effects of conventional medicine, and high scores in the measure of search for information and alternative help. Negative predictors were physical health, male gender, age, and trust in a scientific rationale of treatments. Conclusion We found that usage of distinct CAM approaches might depend on particular psychosocial profiles, attitudes, and convictions. In contrast to homeopathy users, acupuncture users seemed to be much more pragmatic and referred more often to an expected scientific background of chosen treatment. Our findings fill a gap of knowledge that needs further attention.
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interpretation of illness in cancer survivors is associated with health related variables and Adaptive Coping styles
BMC Women's Health, 2009Co-Authors: Arndt Bussing, Julia FischerAbstract:Background A patient's interpretation of illness may have an influence on the choice of Coping strategies and decision making. We intended to analyze the meaning German cancer survivors would attribute to their disease, and investigated intercorrelations between the respective interpretations, health-related variables and Adaptive Coping strategies.
Catherine Sokum Tang - One of the best experts on this subject based on the ideXlab platform.
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influences of mastery spousal support and Adaptive Coping on sexual drive and satisfaction among chinese gynecologic cancer survivors
Archives of Sexual Behavior, 2010Co-Authors: Catherine Sokum Tang, Tony K H ChungAbstract:This study investigated sexual drive and satisfaction of Chinese gynecologic cancer survivors. It also examined the extent to which personal mastery, Adaptive Coping, and perceived spousal support would exert direct and/or indirect influences on sexual outcomes. The cancer survivor group included 134 Chinese women who had received treatment for gynecologic cancer, while the healthy control group included 105 Chinese women who did not have a known history or current diagnosis of cancer. Compared to healthy women, cancer survivors reported lower levels of sexual drive and sexual satisfaction. Among sexually active participants, cancer survivors relative to healthy women engaged in less masturbation, less kissing and caressing, and less sexual fantasy in the past month. Hierarchical multiple regression analyses showed that mastery and spousal support, but not Adaptive Coping, had a direct influence on sexual outcomes in cancer survivors. Contrary to moderation hypotheses, the three psychological factors did not interact with each other to influence sexual drive and satisfaction. Mediation analyses showed that spousal support fully mediated the influence of mastery on sexual satisfaction. Routine assessment of sexual functioning prior to and following treatment of gynecologic cancer is suggested. Sexual rehabilitation should also aim to enhance personal mastery and spousal support.
