PARC SANITARI SANT JOAN DE DÉU. CIBERSAM, Barcelona, Spain.
Early Interv Psychiatry. 2020 Jun;14(3):252-262. doi: 10.1111/eip.12847. Epub 2019 Jul 18.
This paper reviews and discusses the published information on coping strategies in people with a first-episode psychosis (FEP). The objective is to update knowledge about coping strategies used by people with a FEP, to compare these strategies with those used by other mental disorders, and to examine the relationship between coping strategies and other variables in FEP.
A search was conducted using PsycINFO, MEDLINE and PSICODOC between 1995 and 2018 using the following terms: coping strategies or Adaptation, Psychological and FEP.
A total of 167 studies were found, of which 14 were selected for review. The results suggest the need for a multiple and integrated approach, since there are several factors that are involved in the coping strategies (eg, socio-demographic, clinical and psychological variables) used in the different profiles of psychotic spectrum, specifically in FEP.
The role of coping skills is an important issue in psychopathological research in addition to clinical outcome, especially from the point of view of the patients, their social context and their recovery. Moreover, personalized therapies addressed to personal recovery should be considered to develop better coping specifically addressed to patients' needs.
本文回顾和讨论了首发精神病（FEP）患者应对策略的已发表信息。目的是更新人们对首发精神病患者使用的应对策略的认识，将这些策略与其他精神障碍使用的策略进行比较，并研究应对策略与 FEP 中其他变量之间的关系。
使用 PsycINFO、MEDLINE 和 PSICODOC 在 1995 年至 2018 年期间，使用以下术语进行了搜索：应对策略或适应、心理和 FEP。
共发现 167 项研究，其中 14 项被选作综述。结果表明需要采用多种综合方法，因为在不同的精神病谱（特别是在 FEP）中，应对策略涉及到几个因素（例如，社会人口统计学、临床和心理变量）。
应对技能的作用除了临床结果外，还是精神病理学研究中的一个重要问题，尤其是从患者、他们的社会环境和他们的康复的角度来看。此外，应该考虑针对个人康复的个性化治疗，以开发更针对患者需求的应对策略。
