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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: andres@spk.unibe.ch
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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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