Adapting to the challenge of psychosis: personal resilience and the use of sealing-over (avoidant) coping strategies
Adapting to the challenge of psychosis: personal resilience and the use of sealing-over (avoidant) coping strategies
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适应精神病的挑战：个人复原力和封闭（回避）应对策略的使用
DOI：
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发表时间：
2004
影响因子：
10.5
通讯作者：
P. Trower
中科院分区：
文献类型：
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作者：
L. Tait;M. Birchwood;P. Trower
背景回避应对(如封闭)在精神病康复者中很常见，但还不能理解为什么有些人会“封闭”。目标我们检验了一种假设，即被封存的个体没有承受这一重大人生事件的个人韧性。方法对50名受试者在精神病急性发作期间进行访谈，并在3个月和6个月的随访中进行重新评估。测量包括精神病症状、康复方式、服务投入、父母和成人依恋以及自我评估信念。结果封闭式康复方式与儿童早期负性经历、成人依恋不安全感、自我评价负性信念、身份不安全感相关。不安全的成人依恋与较少的服务参与度有关。结论封闭症与适应精神病的个人韧性低下的多种迹象有关。
Background Avoidance coping (e.g. sealing over) is common in people recovering from psychosis, but it is not understood why some individuals ‘seal over’. Aims We examined the hypothesis that individuals who ‘seal over’ do not have the personal resilience to withstand this major life event. Method Fifty participants were interviewed during an acute episode of psychosis and reassessed at 3-month and 6-month follow-up. Measures included psychotic symptoms, recovery style, service engagement, parental and adult attachment and self-evaluative beliefs. Results Sealing-over recovery styles are associated with negative early childhood experience, insecure adult attachment, negative self-evaluative beliefs and insecure identity. Insecure adult attachment was associated with less engagement with services. Conclusions Sealing over was associated with multiple signs of low personal resilience in adapting to psychosis.
影响因子：
7.6
作者：
Eva C. Klohnen;Stephan Bera
通讯作者：
Eva C. Klohnen;Stephan Bera
影响因子：
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作者：
Robinson, D;Woerner, MG;Lieberman, JA
通讯作者：
Lieberman, JA
影响因子：
7.6
作者：
Collins, NL
通讯作者：
Collins, NL