Department of Psychiatry, New York University, New York, New York, USA.
Early Interv Psychiatry. 2011 Feb;5(1):76-80. doi: 10.1111/j.1751-7893.2010.00251.x.
Coping by families of patients with schizophrenia include 'approach' strategies considered to be adaptive (e.g. reinterpretation) and potentially maladaptive 'avoidant' strategies (denial/disengagement, use of alcohol and drugs). Little is known about coping strategies used by families of individuals with incipient or emergent psychosis.
Self-reported coping styles were assessed in family members of 11 ultra high risk and 12 recent-onset psychosis patients, using a modified version of Carver's Coping Orientations to Problems Experienced questionnaire.
Families reported moderate use of 'approach' coping (e.g. planning, seeking social support, positive reinterpretation, acceptance and turning to religion) and rare use of 'avoidant' coping strategies (denial/disengagement and use of alcohol and drugs).
The greater endorsement of 'approach' coping by these families is consistent with findings for families of first episode psychosis patients, and it is in contrast to more prevalent 'avoidant' coping by families of patients with more chronic psychotic illness. Early intervention could plausibly help families maintain the use of potentially more adaptive 'approach' coping strategies over time.
精神分裂症患者家属的应对方式包括被认为是适应性的“方法”策略（例如重新解释）和潜在的适应不良的“回避”策略（否认/脱离、使用酒精和药物）。对于处于初期或急性精神病发作的个体的家属所使用的应对策略知之甚少。
使用 Carver 的经验问题应对取向问卷的修改版，评估了 11 名超高风险和 12 名近期发病的精神病患者家属的自我报告应对方式。
家属报告了“方法”应对策略的中等使用（例如计划、寻求社会支持、积极重新解释、接受和求助于宗教），以及“回避”应对策略的罕见使用（否认/脱离和使用酒精和药物）。
这些家庭对“方法”应对策略的更大认可与首发精神病患者家庭的发现一致，这与更常见的慢性精神病患者家庭的“回避”应对策略形成对比。早期干预可能有助于家庭随着时间的推移保持使用潜在更具适应性的“方法”应对策略。
