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Title of Journal: Soc Psychiat Epidemiol

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Abbravation: Social Psychiatry and Psychiatric Epidemiology

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Steinkopff-Verlag

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DOI

10.1001/archopht.124.11.1615

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1433-9285

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Coping strategies and social support in old age ps

Authors: Katherine Berry Christine Barrowclough Jane Byrne Nitin Purandare
Publish Date: 2006/01/28
Volume: 41, Issue: 4, Pages: 280-284
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Abstract

According to vulnerability–stress models of psychosis cognitive and behavioural coping strategies can help mediate the potentially negative effects of daily stressors The nature frequency and effectiveness of coping have been studied in people with psychosis under 65 years of age However these findings may not generalise to older people with the diagnosis as the nature of stressors and coping strategies may change with increasing age This study therefore aimed to explore coping in older patients with psychosisA total of 48 older patients with psychosis F2029 ICD10 and 25 nonclinical elderly controls were compared using selfreport measures of stressors perceived control over stressors coping strategies perceived coping efficacy and social support A regression analysis was used to explore predictors of dysfunctional coping in the patient groupPatients used a significantly higher proportion of problemfocused coping strategies but they were more dysfunctional copers and rated their coping as less effective compared to controls They also had fewer friends and less emotional support Severity of symptoms was a significant predictor of dysfunctional coping when depression cognitive impairment and functional disability were controlled

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