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The relationship between coping and subclinical psychotic experiences in adolescents from the general population - a longitudinal study

journal contribution
posted on 2011-01-01, 00:00 authored by A Lin, J Wigman, B Nelson, W Vollebergh, O van, Gennady Baksheev, J Ryan, Q Raaijmakers, A Thompson, Alison YungAlison Yung
Subclinical psychotic experiences during adolescence may represent liability for developing psychotic disorder. Both coping style and the degree of persistence of psychotic experiences may play a role in the progression to clinical psychotic disorder, but little is known about the causal relationship between the two. Path modelling was used to examine longitudinal relationships between subclinical positive psychotic experiences and three styles of coping (task-, emotion- and avoidance-oriented) in an adolescent general population sample (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. Over time, emotion-oriented coping in general was bi-directionally related to psychotic experiences. No meaningful 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 a decrease in experiences over time was associated with an increased use of task-orientated coping. Emotion-oriented coping is the most important coping style in relation to psychotic experiences, as it may contribute to a 'vicious cycle' and is associated with persistence of experiences. In addition, more task-oriented coping may result in a decrease in psychotic experiences. Results suggest that opportunities for intervention may already be present at the level of subclinical psychosis.

History

Journal

Psychological medicine

Volume

41

Issue

12

Pagination

2535 - 2546

Publisher

Cambridge University Press

Location

Ann Arbor, Mich.

ISSN

0033-2917

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2011, Cambridge University Press