Training coping skills and coping with stress self-efficacy for successful daily functioning and improved clinical status in patients with psychosis: A randomized controlled pilot study
Metadatos
Mostrar el registro completo del ítemAutor
Godoy Izquierdo, Débora; Vázquez Pérez, María Luisa; Lara Moreno, Raquel; Godoy García, Juan FranciscoEditorial
SAGE
Materia
Schizophrenia Schizoaffective disorder Self-efficacy Coping Stress
Fecha
2021-12-23Referencia bibliográfica
Godoy Izquierdo, D... [et al.] (2021). Training coping skills and coping with stress self-efficacy for successful daily functioning and improved clinical status in patients with psychosis: A randomized controlled pilot study. Science Progress. [https://doi.org/10.1177/00368504211056818]
Patrocinador
Junta de Andalucia CTS-267Resumen
Due to the symptom diversity and pervasive function impairments (e.g. in perception, cognition,
language, affect, behavior, daily and social functioning and sense of self), recurrent relapses, elevated
disability, high rates of (co)morbidity, heightened premature mortality and high burden of
care of psychotic disorders, psychosocial interventions are part of patients’ standard care.
There is growing evidence on the relevance of self-efficacy for well-being and functioning
among these patients, but specific coping with stress self-efficacy has rarely been investigated.
This study explored the outcomes of an intervention for the improvement of coping resources
based on training in coping skills and coping with stress self-efficacy. Fourteen adult volunteers
with schizophrenia (n=12) or schizoaffective disorder (n=2) were matched in clinical and sociodemographic characteristics and randomly assigned to the study groups. The intervention
group received the training—with 15 twice per week sessions (8 weeks)—along with their pharmacological
therapy; the control group received their prescribed drug therapy. Participants completed
self-reports on coping with stress self-efficacy, perceived successful daily functioning based
on coping skills and clinical status (Expanded Brief Psychiatric Rating Scale). Trained patients
showed a significant increase in coping with stress self-efficacy and reported greater successful
functioning status, and significant improvements in their clinical status were also observed. All
these enhancements remained at 3-month and 6-month follow-ups. The intervention condition
interacted with coping with stress self-efficacy and perceived coping functioning in explaining
improvements in clinical status: in the treatment group, greater coping with stress self-efficacy
translated into enhanced daily functioning, and this improvement predicted better clinical status.
These findings stress the relevance of promoting coping resources in psychotic disorders and provide
preliminary evidence for the potential benefits of coping with stress self-efficacy.